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NDT Plus Advance Access published online on November 3, 2009
NDT Plus, doi:10.1093/ndtplus/sfp156
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© The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Treat the patient not the lab value

Ramin Tolouian and Hasan Salameh

Division of Nephrology and Hypertension, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, USA

Correspondence: Ramin Tolouian; E-mail: ramin.tolouian@ttuhsc.edu

Key Words: clinical assessment • D313Y • Fabry's disease

Received for publication September 4, 2009. Accepted for publication September 29, 2009.

The first 150 words of the full text of this article appear below.


   Introduction
 
Remembering back to medical training, it was always stated that it is important to treat the patient and not the lab value. With the advancement of technology, it appears that this concept is fading. First and foremost, proper assessment is of greatest importance to the welfare of a patient. In addition, with the current changing economy and its affects on healthcare, it is of vast significance that we stress the importance of a proper assessment. This case report uses an example to highlight this importance.


   Case
 
In May 2007, a 39-year-old male truck driver was referred by his primary care physician (PCP) to a neurologist for evaluation concerning peripheral neuropathy. The patient stated that he began having numbness in his lower extremities approximately 3 years prior. He described icy cold sensation along with pain in his toes, associated with needle-like pricks that interfered with his sleep. The symptoms at this point . . . [Full Text of this Article]


   Discussion
 

   Teaching points
 

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