Occasional reflections on Life, the World, and Mathematics

The value of diagnosis


What is diagnosis worth, if there is no treatment? This is a perennial question in medical ethics. I recall a passage in Roy Porter’s history of medicine, The Greatest Benefit to Mankind, referring to the sardonic praise heaped upon the clinic in Vienna (I think it was), where the magisterial diagnoses were always “swiftly confirmed at the autopsy”.

An article in Salon recounts the revelation from autopsy that comedian Robin Williams was suffering from Lewy body dementia at the time of his recent suicide. The article quotes the programming director of the Lewy Body Dementia Association, saying “Though his death is terribly sad, it’s a good opportunity to inform people about this disease and the importance of early diagnosis.” I know this is the sort of thing that someone in her position is required to say, but given that there is no cure, and very little by way of effective treatment, I wonder what “importance of early diagnosis” she is referring to, and what she takes the relevance of this event in particular to be. That early diagnosis allows you to know what’s happening while you’re still fit enough to take your own life?

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