Unicist Healthcare Cybernetics – The Medical Diagnosis and the Hippocratic Oath


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The diagnosis is the first point of maximum risk that is faced by any health professional. Research begun in 1988 with Dr. René Favaloro, the developer of the coronary bt-pass technique, into the way to approach patients’ problems, and that included a group of doctors accepted as eminences, led to a reassessment of the weight that the Hippocratic Oath has on the doctor’s attitude when the time comes to diagnose.

When a doctor fails to perceive what is wrong with the patient he will restrict himself to do what a computer does, process information and data provided by the patient or the tests. With this he can arrive, with a lot of knowledge, to a symptomatic diagnosis but not to a diagnosis of the patient.

What we transcribe below is an extract on ethics that allows the patient to be handled from a conceptual point of view. It implies viewing him not only from the clinical point of view, but also as a person, and as a complex system that needs to be grasped for its diagnosis and subsequent cure. For this an attitude is required that allows a good conceptual handling, which is a dominant feature in the eminences studied.

The result of the research was that all the medical eminences, besides a capability, have a different attitude to common man with respect to their patient. They really care for him, they manage to “introject” what is wrong with him and they do not work only on an external physical element that has life. They have it so deeply incorporated that they do it naturally and instantaneously.

The difference is noticed in the quality of the diagnosis and obviously in all the subsequent stages. We believe that it is worth while to reflect on the added value of the Hippocratic Oath for the other and for oneself.

The Ethics of Conceptual Thought

The age of knowledge is the age of conceptual management and of added value. Knowledge in conceptual terms implies adding value to fellow men. That is why the age of knowledge implies a new attitude to the market, to one’s fellow men, seeking to satisfy the value that he is seeking. It implies as well the search for concepts that enable one to go beyond the permanent change that in the material implies having arrived at knowledge.

Material reality is so transitory that if one does not have a concept of what is occurring it becomes chaotic for those involved in it.

“The concept is a mental map that guides human action. It is composed of elements that for man represent his utopias, his myths and his taboos.
Therefore concepts are cross-cultural and timeless, and their description enters the realm of ambiguity and of fuzzy sets.”

To enter the world of conceptual thought, the basis of strategic thought, a special set of conditions are required that make the people carrying it out very special.

Conceptual thought is reserved to those whose final goal is to give the medium added value. All those interested in strategy need to arrive at the functional concepts (essential ones) of the activity they carry out.

That is why conceptual thought is developed with the individual as he matures and only in those fields where he is adapted to his environment, which we define as his vocational field, and only then is man in a condition to arrive at the concept.

With this synopsis we want to show that only those that are truly biased towards ones fellow men are in a condition to operate conceptually in the end.
To carry out strategies implies having a really sound understanding of the concept of the reality in which one operates.

When one has a real need to carry out strategies then the concepts become visible, if and only if, the final and genuine aim of the strategy is to add value to another. The strategies that one adopts to obtain value only for its own purpose end in death.

This can be seen in the world in the evolution of empires, political, social and economic leaders and the demise of each of them. When what one did was to help or collaborate in the development of an institute, a culture or a third person, one accessed the real functional concept of a reality.

When, however, it was done for a personal goal one only accessed the operational concept, which is in permanent flux and has, in its functionality, a beginning and an end. In that case what one was doing was managing reality tactically, the end result of which was indefectibly tragic

Entering the world of strategy is to enter the world of the functional concepts. Only those people who have a final goal that is superior to the individual goal can enter that world. In the cultures where the search for economic value for the same individual predominates, tactics rather than strategies are used. This makes institutions very unstable and they succumb to every change in circumstances.

Only someone who is clearly, genuinely, inclined to add value to ones fellow man can adopt a strategy that proves successful over time. The person that does so may have greater or lesser difficulties in developing his course, but inevitably his mission will triumph because of the value he adds to the community.

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The Editor

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