System medicine
From an organ oriented medicine to a systemic medicine: back to the origin
A great formative, cultural and of orientation difference exists, between Medicine of organ and Medicine of system.
The Medicine of organ is concerned in prevalence about the sick organ, entirely studied in its anatomy, physiology and pathology, often without a precise implication of the vision of the whole organism. In the last fifty years, the fast progression of the scientific knowledge has provoked the birth of a whole series of specialty disciplines, surely essential for the study of specific pathologies, but misleading from the medicine of system, since almost entirely detached from the vision of the organism in its unity. The Medicine of System must be intended as the study of the pathology of the sick organ in his multiple and complexes association with all the other organs and apparatus, in primis with the immunological system! through a careful global evaluation of the whole organism; today it is inadequately known and rarely practiced. It is absolutely necessary that we return to the Medicine of System; nevertheless the actual baggage of knowledge is too much onerous for a single physician; he is not able in some way to be a "tuttologo" as probably were the great Clinicians of the past, not burdened by the vast actual scientific knowledge. Insofar a realistic interdisciplinary collaboration is necessary among different competences to the purpose of a valid and efficient global evaluation of the patient, holding Immunology in maximum account; that is the intervention of the immunological system, that pervades and acts in any kind of pathology. It is therefore desirable that a Medicine of System will be achieved, with broad interdisciplinary approach, so to get an effective treatment of the patient and also a positive scientific and professional realization of the physician.
