diagnosis, diseases and conditions, symptoms and signs, medical diagnosis expert system, diagnosis aid
 

5GL-Doctor Medical Diagnosis Expert System

And the Alzheimer's Scam Report and potential Female Child Sexual Abuse legal scam, as well as a new proposed medical science of psycholegalanalysis.

Other links: Bereavement Counselling
Introduction to the proposed Science of Law
5GL-Doctor Personal Edition
Of personal interest (or professional to psychiatrists) might be the super psychic Life in the Spirit/Telepathy site

5GL Software
370 Jettys by the Lake Estate
Windang   NSW   2528 Australia
mobile: (country code is 61) 0431 741 233
med5gl@pacific.net.au
glsoftwa@5glsoftware.org


Purchase and Download
5GL-Doctor Displays
Architecture

WARNING TO PHYSICIANS WORLDWIDE ESPECIALLY AUSTRALIA (USA also?)
Always examine a frail elderly or a young female "protected" by a court order.
Medical Fact Sheet for Australian Doctors but this scam could be worldwide

Case study called the Alzheimer's Scam report (only a brief version online) shows court orders can be literally "bought" under the pretext of "protecting" a person from violence. These can then be used to engineer a new Last Will and Testament and potentially for child sexual abuse. Typical victims are families of people with damage to the brain such as Alzheimer's. Also typical victims are siblings with an intellectual deficit. "Legal property theft" by engineering a Will, as documented in the Australian situation in the Alzheimer's Scam, may be true in other countries An expert witness document in preparation for WHO explains the urgency of WHO acting to encourage physicians to also try and manage some basic legal work to do with power of attorney and a Will prior to a physician diagnosing dementia. The expert witness document explains step by step the shocking consequences of how easy it is to legally steal wealth from those with dementia and the massive impact on families, in fact, some of the siblings who organize such may even try to arrange things so other siblings end up in prison! Scams such as the Alzheimer's Scam are a shocking attrocity against defenceless human beings. Such scams cause a "psycholegal shock" in victims (family members) and that is something physicians ought to come to grips with to aid patients in deep distress. Spouses of victims even in long standing marriages may choose to separate or divorce rather than cope with the stress of the "insanity of law" such legal scams bring to light.

In regards to USA. Caution required with protection court orders made against people with an intellectual or mental handicap. This group could be set up ever so easily. Financial gain, engineering a new Last Will and Testament, or isolating a person with a mental illness from natural children could be one use of "setting" up an "assault". In my experience junior courts of law are not worth a cent when it comes to getting to the truth of the matter, and few can afford senior courts. Protection court orders issues by lower court can become a yoke around an innocent victim as everyone in the judiciary attempts to prove such were warranted.

WARNING - ADVISE DEMENTIA FAMILY MEMBERS TO BE CAUTIOUS OF LEGAL BODIES SUCH AS GUARDIANSHIP TRIBUNALS
In Australia (NSW), this body is there to assign power of attorney and guardianship rights when a person with dementia can no longer look after their own affairs and has no power of attorney in place. This appears easily bypassed! One reason is that the Australian NSW experience clearly shows this body compares an Alzheimer's victim to a "person with two legs", even convinces geriatric specialists of this (how?), and somehow in some esoteric way works out if such a person has "testament capacity" based on such an absolutely idiotic (medically speaking) notions. In any country, the way legal forums think may be so far removed from medical reality that any skilled legal firm could bypass such tribunals and a sibling not entitled to anything is suddenly in control of a huge estate! Isolating executors of a legal Will by "protection" court orders, then bypassing legal forums to engineer power of attorney and a new Last Will and Testament should possibly be a worldwide health alert because family members affected go through a "psycholegal shock" even divorce to isolate oneself from the "insanity of law" which is so blatant to family members and so impossible to believe by legal forums and police! Lower courts in most countries are probably very incompetent when it comes to more serious "staging" of incidents such as "assault". For most people superior courts can be prohibitively expensive and few people are articulate enough to represent themselves. The local physician may be the best point of advice. Ideally medical associations ought to provide general physicians and psych geriatric specialists with a list of reliable legal firms that family members can approach. The Australian Alzheimer's Scam report shows so clearly how easy it is to stage an "assault", to "act" terrified of a sibling, and to isolate an executor or a Will, and engineer a new one!



If you are in Israel you may have come across this packaging of 5GL-Doctor (about 10 years ago but you may still find some such).

In brief:
- USA or British English supported, select at installation time
- large database (information from Harrisons, Merck, e-medicine, to name a few. However, most of the wording is slightly changed because the software is a highly intelligent program that scans entries during a process known as the building of a Compilation Matrix, and puts together intelligent insights into a particular condition. Thus, it needs specific wording in some cases to pick up the intelligent insights.)
- about 9000 symptoms/signs/labs predefined
- about 4000 disease entries (but in some entries there are 20 or more variations or combinations)
- different diagnosis functions including based on history or lab alone
- typical operations: find the most appropriate symptoms/signs from the Selection List, select, and click on the doctor's icon, later select relevant patient history from a list
- some warnings are provided should symptoms/signs satisfy an "emergency" condition
- the database is completely updateable and so are the "expert system" rules which means, for example, you can introduce as many warnings as you like
- there is a conversation compiler in the software. Two versions of the software are available, one for physicians and nurses and allied professionals, the other for personal use. The conversations are intended for the personal user however such can be used to design diagnosis algorithms as well. These are included in the professional editions as examples of how to define conversations.




Medscape group has case studies for physicians. When it comes to less common conditions, the result on the left is typical accuracy. A delay in diagnosis can lead to serious consequences. A delay in knowing who to refer a patient to can also result in treatment consequences, not to mention potential legal suits. With 5GL-Doctor, we aim to increase that to 90%. (did 5GL-Doctor assist in this diagnosis? Well - it is a large database and the entry for hypophosphatasia infantile includes: onset before six months of age, failure to thrive and features of rickets, bulging of anterior fontanella, papipilledema, proptosis, mild hypertelorism, brachiocephaly, sometimes blue sclerae, predisposition to pneumonia. Except the database at that time forgot to mention this applies to infants! The software is not perfect mainly because of the very large database which is hard to check at all levels, however, besides the diagnosis functions there are other ways to identify the most reflective diagnosis.)

On the other hand, physicians are not used to using the modern computer diagnosis aids. How to encourage physicians is a challenge. We did have a case of a doctor in Eastern Europe who ended up using 5GL-Doctor every day just to check things. We did have a physician taken with the software he approached an African country health department to have it in every hospital. So, the software itself ought to benefit everyone, however, marketing of an advanced diagnosis aid is a challenge.




Search functions. If all else fails, this will find the relevant information!
 

Drugs database included. Quick and easy access to adverse reactions or other information. Any new drug can be added to the database.





Alzheimer’s Scam Report - $US49.95

A must read for anyone with Alzheimer’s in the family, for medical doctors and lawyers. This report while reflecting an Australian situation is likely to have implications in all countries. It shows how relatively easy it is to stage an “assault”, then obtain a protection court order naming an elderly demented parent as “protected”, a court order that also gives the applicant sole control of the elderly’s bank account, and then to engineer a new Last Will and Testament leaving all the estate to the applicant. The death certificate is obtained and this Will passed through a process known as probate and this is granted before other legal firms acting for other members of the family are even aware this had taken place. All too easy – if you know how!

However, the basic principles expounded could be used for all manner of fraud under the disguise of a protection court order, even to obtain a female child for sexual abuse. (in Australia, no reasons stated on these when obtained from local courts!) Family members with shortage of money or with an intellectual deficit or a mental illness (e.g. schizophrenia) may be easy marks for scammers of this type. Staged “assaults” (in Australia all you need to claim is that you were pushed and pay $10,000 to a legal firm to obtain a protection court order naming not just you, but other members of the family as “protected”) are easy to obtain. Lawyers refer to this protection legislation as "Draconian" – however, it is not the law itself, it is how the courts had “diluted” the law by legal precedents that had made this possible. What the law actually is, and how the courts make decisions, are not always the same thing.

The full report can be obtained from us at a cost of $US49.95. It is a Microsoft Word document. You can purchase using PayPal by sending this amount of money to our email account (med5gl@pacific.net.au). Once your order is received, we will email instructions where to download the full report from. The full report explains the “critical points” to be aware of. For example, a sibling on the way to engineer a new Last Will and Testament has to remove other siblings from the picture in the legal sense – thus he or she may wait to stage an “assault” when another sibling arrives who may have been entrusted by a dementia parent to pay for insurance policies (e.g. for house and content) . The sibling intent on Will fraud needs to have these in his or her hands and once a court order is obtained, he or she can use it to ensure the policies are now sent to him (or her). Thus there are “critical junctions” in a any legal fraud that must be well coordinated.

The full report also contains an expert witness document prepared for the World Health Organisation (WHO) and also submitted in court case number 2010/83570 in the Supreme Court of NSW (Australia), a claim under the so called “family provisions”. It is essential WHO is made aware of such scams because a form of shock sets in some family members who may even choose to separate from their spouses because they can not cope with this “insanity of law”. It is also a question of forming solid diagnosis criteria for Alzheimer's and a recommendiation to WHO is to encourage medical associations to  work with governments to ensure basic basic legal work is completed prior to diagnosis. In the early stages, the stress on other family members is not as extreme and most problems can be sorted out and basic legal work ensured, perhaps by putting such under the protection of a public guardian. The Alzheimer's Scam Report should persuade WHO how very important it is to come to grips with the Alzheimer's Scam but also the deficiencies in legal systems which make all this all too easy - deficiencies which the correct process prior to formal diagnosis may go a long way to overcome. However, this possibly worldwide trend of staging "assaults" or "incidents" may in fact be outside the scope of police or courts of law to come to grips with, and may require a new type of medical specialist capable of  "detective" like work. Consider. Hide the medication a woman with schizophrenia needs, then scratch yourself and call police claiming you were assaulted. Some schizophrenics without medication may not even know who the man is or that he lives with her in the same apartment and that they have two young attractive female children. Hence to the police and courts, the person claiming assault will come across as so genuine and the schizophrenia woman as a nut case. (this incident observed in a show called COPS which films USA police on some of their duties, and I came across this, and the poor woman did not have any idea of what was going on and was desperate to have her medication which she did not know where such were. All too easy if you know how?)

Another worrying aspect is what comes across as incompetence of government agencies to come to grips with dementia or greed! In Australia (NSW) a body known as the Guardianship Tribunal is supposed to step in and assign a power of attorney and even a public guardian in cases of a dementia person no longer being able to look after their own financial affairs. As demonstrated in the expert witness document, this body in Australia compares a person with Alzheimer's to a person with "two legs" and on this basis makes a determination if such a person has the "capacity" to understand what they are signing! Thus a sibling intent on Will Fraud simply gets a parent to sign power of attorney - even years after the person has been diagnosed with Alzheimer's! How those into law have learnt to think and reason, may be far removed from any notions of rationality, sanity, and solid medical and common sense. All these issues raised and demonstrated, ought to make WHO aware of the urgent need to step in and form special medical procedures prior to diagnosis of dementia and in some cases "assault". In fact, the Legal Services Commissioner in NSW (police of law firms) has also been demonstrated that in cases of such blatant Will Fraud, no legal firm could be found to represent sibling(s) left out of a Will obtained by deception and/or fraud. Money sent to legal firms was returned! Fraud that is so blatant may be too difficult for ordinary lawyers to know how to present in higher courts. What do you actually present when something is so blatant? Another problem is that scams to do with a Last Will and Testament obtain a report from a geriatric specialist - in the case of Ms White of this report, this specialist does not appear to know what the MMSE is, putting a score in one report out of 20 and in another out of 29 (What does this have to do with anything anyway? By definition a person with Alzheimer's has "clouded judgment"), also clamiming that Ms White's blood pressure was 120/80 and she was not incontinent in one report (but in a subsequent one explains the incontinence). Now, Ms J White, 80 year old at the time, usually bedridden, had enormous difficulty getting out of a chair let alone walk with a frame (she was on a disability pension). For her, this was a super effort to walk into a public hospital - and her blood pressure is 120/80! Note that in 5GL-Doctor which contains cases studies, those involving over 75 year olds rarely have a BP perhaps because this is not such a good indicator in the elderly that something is wrong, but in those that do, the BP is nowhere near 80! The 120/80 is the standard typical young adult measure. In the elderly, of course, the BP can vary with seasons, the arteries also no longer that competent, and postural hypotension can also set in when sitting. To see 120/80 is almost amusing. Was she on medication to lower blood pressure? If she was, which could explain this BP, then this is not mentioned perhaps because such medications further clouds the mind and in medical reports that aid legal scams what is important is to make a person come across as normal as possible. (But why would a geriatric specialist in a public hospital cooperate with the Guardianship Tribunal to make a person who was almost totally incoherent come across as almost normal? Perhaps the answer is that public hospitals do not try to "stir the pot" when formally requested by a judicial body to produce a particular report? There is no rational explanation for the medical reports attached to the expert witness documents. They are "puzzling" to say the least. They are from one specialist in a public hospital, a director of the geriatric unit in fact. Why a director? No suggestion this is a psych geriatric either.

However, these type of scams may need to be understood in perspective in light of the mentality and state of mind of the culture that operates the legal system. For example. While Australians of Anglo-Saxon background are less than 50% since 2000, all the surnames of magistrates and judges are typically Anglo-Saxon names (compare to sports team in which it can be hard to find an Anglo-Saxon surname). This culture forms "views". This culture is a monarchy oriented culture and the legal system the "protector" of the weathy and those in the "upper class". (Compare to caste system in India; the Anglo-Saxon mentality while different is very similar). Lawyers are considered "offcers of court". In the case of Ms J White, the person who engineered a legal scam is a lawyer, a Mr R White. In the expert witness document it is explained that when Mr R White appeared in the witness box, he told one lie after another inventing an elaborate tale of how he was assaulted and why. The magistrate said "I am not satisfied" (a magistrate can not say to a lawyer "you are lying") but had to approve this protection court order because Mr R White is a lawyer and hence an "officer of the court" and the mentality of the Anglo-Saxon is such that "officers of the court" are the upper echoleon of "authority" and "credibility". Armed with a protection court order, Mr R White can spread any malice he likes about Mr A white (the true executor of a legal Will) shoving the court order in front of a person to establish his credibility about what he is saying. It is possible this is the reason the geriatric specialist felt obliged to write a report which included the words "testament capacity" - this for a woman with Alzheimer's who hardly managed to know where she was or who she was! Mr R White would have carefully prepared reasons, some vile perhaps, that would persuade this medical doctor to write a report in his favour explaining that Ms J White still has "testament capacity" and hence the power of attorney and the new Last Will and Testament she signed in 2005 was "legal"!

The question that begs to be asked - but why was Ms J White named as protected? No lawyer approached and asked about this has been able to provide an explanation!



5GL-Doctor Displays

Different Diagnosis/Analysis Functions

















Architecture


Written in Visual Basic. Available for 64 bit machines as well as 32 bit. Any Windows version. Note that Windows "clones" to date have not been able to cope with the size of this software.

A large database is the foundation. Every medical condition is defined using a "symptom/sign" pattern, sometimes with labs. The latter not that important because there is a distinct lab analysis function.

Important to understand is that it is not only medical professionals who purchase the software - a person with a serious condition may also purchase. The latter group was a larger market initially and for this reason the decision was made to use as simple a description of a symptom and sign as possible (but there are aliases that map each symptom/sign onto proper medical names too). There is an "explanation" capability too hence any term  not clear can be "explained".

The inquiry, consisting of symptoms and signs and other keys, is matched against the disease pattern. The matching is mainly mathematical type using what are called ESDPs (expert system decision process). Each ESDP considers different aspects of how well the matching satisfies. One ESDP may consider how common a conditions is. Another how many others are sufficiently similar hence the likely "error" in the short list. Another might go through the top short listed entries and then scan a differential diagnosis table and adjust the "measure values" on the short list.

There are a number of analysis functions. Note that a few are only suitable for large displays (say 21 inch) because the information is not going to fit onto smaller displays (but with most laptops this does not matter nowadays as you can make the display smaller).

The symptoms/sign selection list is simply huge with any variation you can think of likely being on the list. Anytime you add a disease entry, you can either also add new symptoms signs or these will be picked up and understood during the Compilation Matrix building.

Some ESDPs attempt to imitate the thinking of an expert in medicine. Such put emphasis on certain keys or the sequence of presentation of symptoms and signs.

The software is also a partial compiler. It can compile code into conversations. This was developed for the Personal Edition but also left in the professional editions. That code is easy to put together and explained in the comprehensive tutorials. However, some features of the compiler are used at many levels thus suddenly a compiler message might come up warning about a conflict, or that the best result (from the "compiler's" point of view) is in fact not on the top short list, etc. This option can be switched off because it can be a nuisance if you are refining a particular inquiry and do not want to see all the warning or information messages again. (the image library is also shared by the personal and professional editions, which means some images are basic).

Perhaps the biggest weakness is the fact that as many conditions as are defined, medicine is still a large field and there are ever so many extremely rare conditions. How many of these does the database know about? No way to be certain - but when Medscape sends us new cases studies, such often also contain extremely extremely rare situations and so far about 50% of these are not on the database (that is, are added as they come to light and available in each new version, but of course you can add these yourself very easily).

The medical database can be replaced with any other database and the expert system technique used against it. This could be useful for perhaps researchers who wish to put together a specific database.


Purchase and Download

Current version is 9.3. Each new version has new definitions that have come to notice since the previous version.

5GL-Doctor Professional Expanded. Cost is $US250. You can pay by credit card through PayPal. This edition contains more analysis functions and a slightly larger database as well as improved matching in more complex situations. Two activation codes supplied which means you can instal on your laptop (or two) as well. After purchase come back to this page and click to download.
5GL-Doctor Professional. Cost is $US140. Two activation codes supplied. After purchase come back to this page and click to download.