Diabetic Neuropathy and Clinical Practice
Diabetic Neuropathy and Clinical Practice aims to improve the pathophysiological understanding of the entire spectrum from sensory motor to autonomic diabetic neuropathy, its correlation with the symptoms, improving thereby the communication with the pati
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Diabetic Neuropathy and Clinical Practice
Sanjeev Kelkar
Diabetic Neuropathy and Clinical Practice
Sanjeev Kelkar Independent Health Researcher Pune, Maharashtra India
ISBN 978-981-15-2416-5 ISBN 978-981-15-2417-2 (eBook) https://doi.org/10.1007/978-981-15-2417-2 © Springer Nature Singapore Pte Ltd. 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore
To Mr. Dhananjay Kesheo and Mrs. Sai Dhananjay Kelkar For their significant contribution to the development of The movement for better Diabetic Foot Management in India Through the development of fine instrumentation, Yeoman’s work in Diabetic Footwear That received less recognition than it deserved
Preface
The cornerstone of clinical practice, Communication between the doctor and the patient, the cornerstone of clinical practice, is the greatest casualty in the last two decades. There is a failure to understand the meaning of what the patient is saying, explaining not just the complaints but his concerns. The art and science of history taking, communication through fingers and eyes in examining a patient, about arriving at a primary diagnosis and extending a differential one, pertinence of investigation and rational management, and the various forms of communication are as good as lost today. There are many reasons for this, which have been elaborated in the two volumes on India’s Public Health Care Delivery: Policies for Universal Health Care and India’s Private Health Care Delivery: Critique and Remedies I have written. These two volumes will soon be published by Palgrave Macmillan. In addition, there is a lack or loss of critical clinical reasoning and its articulate, non-jargonistic and emp
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