Comments on: http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html medical blog Sun, 21 Mar 2010 19:22:08 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59434 Anonymous Sun, 19 Feb 2006 03:17:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59434 Buy a Powerball ticket sodomite. Just as likely you'll win and less damage to what's left of the fragile healthcare system. Buy a Powerball ticket sodomite. Just as likely you’ll win and less damage to what’s left of the fragile healthcare system.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59430 Anonymous Sun, 19 Feb 2006 00:11:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59430 He's right, of course. Physicians are the only thing that matters in this. Especially physicians like him. He’s right, of course. Physicians are the only thing that matters in this. Especially physicians like him.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59429 Anonymous Sat, 18 Feb 2006 23:46:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59429 The doctor never "wins" He either loses the case outright, in which case his reputation is tarnished, has trouble getting insurance, career can be ruined, or the jury "finds in his favor", which means the trial took alot of his time, money and affected his health. No such thing as a "victory" OK here comes some vermin sodomite with the "how about the patient's loss" comment. Save it for Oprah. The doctor never “wins” He either loses the case outright, in which case his reputation is tarnished, has trouble getting insurance, career can be ruined, or the jury “finds in his favor”, which means the trial took alot of his time, money and affected his health. No such thing as a “victory” OK here comes some vermin sodomite with the “how about the patient’s loss” comment. Save it for Oprah.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59423 Anonymous Sat, 18 Feb 2006 18:43:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59423 And if the jury finds in the doctor's favor? And if the jury finds in the doctor’s favor?

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59419 Anonymous Sat, 18 Feb 2006 15:18:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59419 Vascular surgeon refers the patient to a Cardiologist for "medical clearance for surgery"Cardiologist orders echo, dobutamine study, if he finds anything maybe he refers to an invasive cardiologist for a catheterization. Add another $20,000, all this to avoid the lawyer sharks.. Vascular surgeon refers the patient to a Cardiologist for “medical clearance for surgery”Cardiologist orders echo, dobutamine study, if he finds anything maybe he refers to an invasive cardiologist for a catheterization. Add another $20,000, all this to avoid the lawyer sharks..

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59415 Anonymous Sat, 18 Feb 2006 06:29:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59415 Don't forget a vascular surgery consult if there is significant carotid plaque on the MRA Don’t forget a vascular surgery consult if there is significant carotid plaque on the MRA

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59414 Anonymous Sat, 18 Feb 2006 06:20:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59414 "And what does the IM doc do? EEG and a neurology c/s, hence spreading the feces even wider."<br/><br/>Neurologist gets an MRI, thus bringing in the radiologist (and another $2000 of taxpayer $$$) to the CYA Gangbang. “And what does the IM doc do? EEG and a neurology c/s, hence spreading the feces even wider.”

Neurologist gets an MRI, thus bringing in the radiologist (and another $2000 of taxpayer $$$) to the CYA Gangbang.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59413 Anonymous Sat, 18 Feb 2006 05:40:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59413 And what does the IM doc do? EEG and a neurology c/s, hence spreading the feces even wider. And what does the IM doc do? EEG and a neurology c/s, hence spreading the feces even wider.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59405 Anonymous Fri, 17 Feb 2006 21:29:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59405 " if possible transient ischemic attack during a Valsalva maneuver + youngish patient + atrial enlargement isn't suspicious enough to warrant an echocardiogram, what is?"<br/><br/>How about Syncope with a family history of early cardiac death. Would you like another 100 more likely scenarios.<br/><br/>As an ER DOc, for me the teaching lesson here is it sounds (though, no CJD, I don't have the records) like some lucky ER doc inappropriately admitted a first time seizure. The so-called "standard of care" for first time seizures is discharge and outpatient workup (after a CT Head.) But this ER doc admitted the pt., passing the legal responsibility off to an internist. If you're an ER doc, the more you admit to your poor internal medicine colleagues, the better. It lessens your risk, and passes it along to them. Let some other poor schmuck take the fall. It's a dog eat dog world out there. My admission rate just went even higher!! (And the healthcare system more bankrupt!) ” if possible transient ischemic attack during a Valsalva maneuver + youngish patient + atrial enlargement isn’t suspicious enough to warrant an echocardiogram, what is?”

How about Syncope with a family history of early cardiac death. Would you like another 100 more likely scenarios.

As an ER DOc, for me the teaching lesson here is it sounds (though, no CJD, I don’t have the records) like some lucky ER doc inappropriately admitted a first time seizure. The so-called “standard of care” for first time seizures is discharge and outpatient workup (after a CT Head.) But this ER doc admitted the pt., passing the legal responsibility off to an internist. If you’re an ER doc, the more you admit to your poor internal medicine colleagues, the better. It lessens your risk, and passes it along to them. Let some other poor schmuck take the fall. It’s a dog eat dog world out there. My admission rate just went even higher!! (And the healthcare system more bankrupt!)

]]> By: but i play one on TV http://www.kevinmd.com/blog/2006/02/defensive-echocardiogram-would-have.html/comment-page-1#comment-59404 but i play one on TV Fri, 17 Feb 2006 20:32:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20057.html#comment-59404 A nondoctor asks: if possible transient ischemic attack during a Valsalva maneuver + youngish patient + atrial enlargement isn't suspicious enough to warrant an echocardiogram, what is? A nondoctor asks: if possible transient ischemic attack during a Valsalva maneuver + youngish patient + atrial enlargement isn’t suspicious enough to warrant an echocardiogram, what is?

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