Comments on: http://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56407 Anonymous Wed, 02 Nov 2005 05:30:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56407 Great. Now she is in my ER. I can't remember all those tests to order but hey, it could progress to an airway problem. I'll intubate her. Intensivist please. Great. Now she is in my ER. I can’t remember all those tests to order but hey, it could progress to an airway problem. I’ll intubate her. Intensivist please.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56404 Anonymous Tue, 01 Nov 2005 23:59:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56404 Agree with Anon 6:27.<br/>If she goes AMA, and she calls me tonight I can always send her to the ER. I'm not going to be sued all by myself while I sleep. Agree with Anon 6:27.
If she goes AMA, and she calls me tonight I can always send her to the ER. I’m not going to be sued all by myself while I sleep.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56403 Anonymous Tue, 01 Nov 2005 23:27:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56403 YOu guys are leaving yourself as open as a hooker on a Saturday Night! Even with all those tests, you could miss the diagnosis. You need to admit so she becomes someone elses legal responsibility, or coerce an AMA! YOu guys are leaving yourself as open as a hooker on a Saturday Night! Even with all those tests, you could miss the diagnosis. You need to admit so she becomes someone elses legal responsibility, or coerce an AMA!

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56402 Anonymous Tue, 01 Nov 2005 22:49:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56402 "Thanks for list of possibilities and a free medical advice, I feel better already."<br/><br/>Your welcome. That's what we like to here and people like you are what keep us going. -Your Mega Work Up Docs. “Thanks for list of possibilities and a free medical advice, I feel better already.”

Your welcome. That’s what we like to here and people like you are what keep us going. -Your Mega Work Up Docs.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56401 Anonymous Tue, 01 Nov 2005 22:34:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56401 Thanks for list of possibilities and a free medical advice, I feel better already. Oops, but it is November, so I am fine anyway.<br/>I thought it could be an allergy given its seasonal nature. <br/><br/>If I do the rest of the tests I'll have a heart attack or stroke and then I don't need to worry about hives (or will be fired from my job for not having time to do any work - then I'll have no money for either doctors or tests). <br/><br/><i> If it is you might someday see an attorney about delayed diagnosis.</i><br/>if only I had complained... otherwise I have nobody to sue. Thanks for list of possibilities and a free medical advice, I feel better already. Oops, but it is November, so I am fine anyway.
I thought it could be an allergy given its seasonal nature.

If I do the rest of the tests I’ll have a heart attack or stroke and then I don’t need to worry about hives (or will be fired from my job for not having time to do any work – then I’ll have no money for either doctors or tests).

If it is you might someday see an attorney about delayed diagnosis.
if only I had complained… otherwise I have nobody to sue.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56400 Anonymous Tue, 01 Nov 2005 21:36:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56400 And I forgot to mention a liver biopsy. -same anon as above. And I forgot to mention a liver biopsy. -same anon as above.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56399 Anonymous Tue, 01 Nov 2005 21:35:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56399 The above work up is still not up to our standard here at the high price region of Pennsylvania.<br/>I recommend including CMP to excude primary biliary cirrhosis, RMSF titer, Lyme disease titer,RPR(to rule out syphilis) HIV, Hepatitis panel, West Nile Virus IgG and IgM titer, TB skin test. <br/>A referral to a Psychiatrist will be taken into consideration for possible Neurodermatitis. The above work up is still not up to our standard here at the high price region of Pennsylvania.
I recommend including CMP to excude primary biliary cirrhosis, RMSF titer, Lyme disease titer,RPR(to rule out syphilis) HIV, Hepatitis panel, West Nile Virus IgG and IgM titer, TB skin test.
A referral to a Psychiatrist will be taken into consideration for possible Neurodermatitis.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56398 Anonymous Tue, 01 Nov 2005 21:16:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56398 Hives? It is probably just an allergy......But, Could be some strange autoimmune disorder or occult malignancy. If it is you might someday see an attorney about delayed diagnosis.<br/><br/>Work up could include, but not limited to:<br/><br/>cbc<br/>sed rate<br/>ANA<br/>allergist referal<br/>allergy testing<br/>bone marrow bx<br/>colonoscopy<br/>cxr<br/>egd<br/>CT scan for malignancy<br/>derm referral<br/>skin bx<br/>rheumatolgy referal<br/><br/>Navigating a simple complaint is not always easy. The public and lawyers demand perfection. Don't order any unneeded tests, but also don't miss a zebra diagnosis. Hives? It is probably just an allergy……But, Could be some strange autoimmune disorder or occult malignancy. If it is you might someday see an attorney about delayed diagnosis.

Work up could include, but not limited to:

cbc
sed rate
ANA
allergist referal
allergy testing
bone marrow bx
colonoscopy
cxr
egd
CT scan for malignancy
derm referral
skin bx
rheumatolgy referal

Navigating a simple complaint is not always easy. The public and lawyers demand perfection. Don’t order any unneeded tests, but also don’t miss a zebra diagnosis.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56394 Anonymous Tue, 01 Nov 2005 18:06:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56394 OOps, thank god my breast didn't get infected when my cat scratched it. <br/>I also get hives in various places of my body around end-of-August/September/October timeframe - don't know if it is allergy or some kind of invisible bugs (or if my indoor-only cat gets invisible flees only during these months...). My one nightmare this year was that I would get one on my breast (as I occasionally do) right before my ObGyn visit and would have to undergo a cycle of tests. OOps, thank god my breast didn’t get infected when my cat scratched it.
I also get hives in various places of my body around end-of-August/September/October timeframe – don’t know if it is allergy or some kind of invisible bugs (or if my indoor-only cat gets invisible flees only during these months…). My one nightmare this year was that I would get one on my breast (as I occasionally do) right before my ObGyn visit and would have to undergo a cycle of tests.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/10/news-flash-ordering-more-tests.html#comment-56393 Anonymous Tue, 01 Nov 2005 17:02:00 +0000 http://clients.emmense.com/kevinmd/2005/10/19236.html#comment-56393 I'm a practicing physician. A year ago my wife accidentally scratched her breast. It healed but then 2 weeks later it looked like there was an infection in the area- pus, redness and swelling. She saw her doctor and I knew what the next series of events would be. She had a wound culture, a mammogram and ultrasound(that were negative) and a biopsy of the wound( that was negative). This was first class treatment. But my wife already knew that this was all CYA ( cover your ass) practice of medicine because she knows I practice it myself. I’m a practicing physician. A year ago my wife accidentally scratched her breast. It healed but then 2 weeks later it looked like there was an infection in the area- pus, redness and swelling. She saw her doctor and I knew what the next series of events would be. She had a wound culture, a mammogram and ultrasound(that were negative) and a biopsy of the wound( that was negative). This was first class treatment. But my wife already knew that this was all CYA ( cover your ass) practice of medicine because she knows I practice it myself.

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