Comments on: http://www.kevinmd.com/blog/2005/07/chris-rangel-talks-about-his-case-of.html Tue, 14 Feb 2012 22:28:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2005/07/chris-rangel-talks-about-his-case-of.html#comment-54004 Anonymous Wed, 20 Jul 2005 13:04:00 +0000 http://clients.emmense.com/kevinmd/2005/07/18599.html#comment-54004 Funny, that's true (I feel more comfortable discharging someone if they've had tons of defensive tests) Here's the other sick thing I do: I find i'm more likely to discharge a patient from the ER if I look at "demographics" on the chart and see they don't have a "next of kin". I really hate what litigation has done to my career. Funny, that’s true (I feel more comfortable discharging someone if they’ve had tons of defensive tests) Here’s the other sick thing I do: I find i’m more likely to discharge a patient from the ER if I look at “demographics” on the chart and see they don’t have a “next of kin”. I really hate what litigation has done to my career.

]]> By: Chris Rangelhttp://www.kevinmd.com/blog/2005/07/chris-rangel-talks-about-his-case-of.html#comment-54002 Chris Rangel Wed, 20 Jul 2005 05:11:00 +0000 http://clients.emmense.com/kevinmd/2005/07/18599.html#comment-54002 Actually a good history and physicial exam should be enough in this case.<br/><br/>The question becomes, "I you feel lucky? Well, do ya . . punk?"<br/><br/>A healthy young woman with everything to live for and an event that could signal a potentually fatal disease . . the other question is would you feel comfortable on the stand defending your management of this case.<br/><br/>That's what I often think of in these cases. The sad truth is that most physicians believe that they can defend any case as long as there is extensive testing. Actually a good history and physicial exam should be enough in this case.

The question becomes, “I you feel lucky? Well, do ya . . punk?”

A healthy young woman with everything to live for and an event that could signal a potentually fatal disease . . the other question is would you feel comfortable on the stand defending your management of this case.

That’s what I often think of in these cases. The sad truth is that most physicians believe that they can defend any case as long as there is extensive testing.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/07/chris-rangel-talks-about-his-case-of.html#comment-53955 Anonymous Mon, 18 Jul 2005 16:53:00 +0000 http://clients.emmense.com/kevinmd/2005/07/18599.html#comment-53955 As a private practice internist, I am very sensitive to malpractice and "customer service" pressure, but wouldn't a history and an echo be sufficient in this straightforward case? As a private practice internist, I am very sensitive to malpractice and “customer service” pressure, but wouldn’t a history and an echo be sufficient in this straightforward case?

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