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If your monitor displays nothing at all and does not issue a beep code, the first thing you should do is move the mouse or press a key on the keyboard Many computers use screen savers or power modes that cause the screen to go blank after a specified period of time Using the mouse or the keyboard should return the computer to its normal state If this action doesn t solve the problem, begin by checking the video system components Start with the easiest component first the monitor Make sure that the monitor is plugged into a power outlet and is turned on Also ensure that the brightness is set at an adequate level Next, check the cable that attaches the monitor to the computer Verify that none of the pins are bent in on the video connector, straighten them out if necessary In most cases, a missing or unattached cable will result in a POST error, but it is possible for this cable to come loose during operation You can determine if the monitor is at fault by swapping it with a known good one If the new monitor works in the system, you can assume that the original monitor is the problem Before replacing an expensive monitor or FPD, you should have it checked by a trained technician Since monitors and FPDs can be very expensive, it would not be prudent to throw one of these out if it is possible to have it replaced at a reasonable cost If the monitor is not the cause, check that the video card is seated properly in the expansion slot AGP cards, especially earlier ones, are not easily seated Press the card firmly (not too hard) and listen for an audible click to tell you the card is seated

so as not to overlook any medical or surgical disease, which may strike a hysterical patient just as it does any other person The success of this program over a long period is not known The eradication of some recently acquired hysterical symptom is relatively easy The real test is whether it enables the patient to adjust satisfactorily to family and society and to perform daily activities effectively, and whether it prevents addiction, unnecessary medical treatments, and operations Estimates of the recurrence rate of hysterical symptoms vary widely from 12 to 80 percent In the series reported by Gat eld and Guze and by Merskey, the recurrence of somatic symptoms of similar or of other types was as high as in sociopathies We have seen a few patients with monosymptomatic hysteria (paraparesis, bizarre gait, crippling dystonia) that persisted for years on end regardless of treatment The long-term poor prognosis for well-established symptoms in several series has been alluded to earlier The use of a wheelchair for more than several days has been a bad prognostic sign in these cases

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Hypochondriasis is the morbid preoccupation with bodily functions or physical signs and sensations, leading to the fear or belief of having serious disease Hallmarks of this condition are the failure of repeated examinations to disclose any physical basis for the patient s symptoms and the failure of reassurance to affect either the patient s symptoms or his conviction of being sick It is estimated that 85 percent of hypochondriasis is secondary to other mental disorders, chie y depression, but also schizophrenia and the neuroses In about 15 percent of cases, however, there appears to be no associated illness ( primary hypochondriasis) Most patients in this latter category are habitues of medical outpatient clinics, who are passed from specialist to specialist, perplexing and angering doctors along the way, because their symptoms defy both satisfactory diagnosis and cure Often referred to by house of cers as crocks, these patients seldom bene t from conventional therapy Related to hypochondriasis, but probably more delusional are young adults who present with a xed somatic belief regarding a peculiar symptom such as that the tongue is swollen, the jaw is not properly aligned, or the penis is ulcerated, when in fact no such abnormalities are present The malignant aspect of such an illness is the persistence of the symptom and disability that extends for years, all tests having been negative Probably these patients should be treated like schizophrenic patients, which many of them probably are What to do with patients who are less severely affected but have an unshakable belief that they have Lyme disease or environmental allergies depends on the context but the outcome can be almost as bad as for the worst hypochondriac patients The treatment of primary hypochondriasis is dif cult if not impossible unless the physician keeps in mind the personality of the patient and the therapeutic goals A psychodynamic outlook would suggest that for a variety of reasons, these patients need to retain their symptoms, so that the usual concept of curing is inapplicable The presence of symptoms provides the context for a relationship with a physician It is the continuation of this relationship, which is often the only dependable human contact in the patient s life, and is the motivation for some hypochondriac patients Such patients are best managed by general physicians who realize that these are patients who do not necessarily want or expect a cure, and who are content with small gains and the avoidance of unnecessary surgery.

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