Visión retro y prospectiva del ejercicio de la medicina

In the 19 ^th century Bichar affirmed that the medicine would not have a scientific focus until there is a correlation among the clinical observation and the anatomoclinical lesions. One of the pathologies that have had large conceptual modifications is alcoholism. It was analyzed an article published in 1879 by Labastida with the purpose of studying in a retro and prospective way the medical practice. The observations that Labastida carried out on alcoholism for more than 40 professional years of practice enclose three points to analyze: a) early death, b) inheritance, and c) aggressive conduct of the alcoholic. After these clinical observations it was shown that alcoholism is a cause of premature aging because of the formation of free radicals. Twenty years later it became known the fetal alcohol syndrome with the subsequent effects of alcohol on spermatogenesis. A century later, Cloninger mentions the recompensatory deficiency syndrome. In the 21 ^st century changes such as globalization, biotechnology and world demography appeared; their effects in the medical area do not take too long. Tip technology and more precise diagnosis vs bad patient-physician relation started to be compared, as well as greater biomolecular knowledge and third level services vs molecular conduct, understanding this latter as a conduct whose action toward the patient is fragmented and that does not allow to observe the patient in an integral way.