Comments on: Flea is again too demanding of the ER http://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html Tue, 14 Feb 2012 21:39:00 +0000 hourly 1 By: trenchyhttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69366 trenchy Wed, 06 Dec 2006 18:39:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69366 with an N of around two dozen, I know of ONE solo practitioner that does not have a personality or prior substance abuse disorder.<br/>Granted the ONE is one of my favorite people on the planet.<br/>Throw in "pediatrics and northeast" and I am the water to their oil. with an N of around two dozen, I know of ONE solo practitioner that does not have a personality or prior substance abuse disorder.
Granted the ONE is one of my favorite people on the planet.
Throw in “pediatrics and northeast” and I am the water to their oil.

]]> By: Dr. Mary Johnsonhttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69361 Dr. Mary Johnson Wed, 06 Dec 2006 15:06:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69361 Trench, I'm just curious.<br/><br/>Why do you "look away"? Trench, I’m just curious.

Why do you “look away”?

]]> By: trench dochttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69354 trench doc Wed, 06 Dec 2006 03:55:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69354 sorry, I looked away after "pediatrician, solo practice, northeast"... sorry, I looked away after “pediatrician, solo practice, northeast”…

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69349 Anonymous Tue, 05 Dec 2006 17:46:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69349 A physician that is making home visits is clearly way too "unbusy". That is why he has to occupy his time ranting about how someone else got the story wrong. A physician that is making home visits is clearly way too “unbusy”. That is why he has to occupy his time ranting about how someone else got the story wrong.

]]> By: scalpelhttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69348 scalpel Tue, 05 Dec 2006 17:36:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69348 To be fair, there is a significant difference between the two scenarios:<br/><br/>A physician who knows the patient and who is in the 0.1% of PCPs who would make a home visit <b>at all</b> (not to mention on a weekend) coming to the house as a courtesy<br/><br/>vs.<br/><br/>A physician who doesn't know the patient who is treating him because his condition worsened enough to cause the mother to seek emergency care in the ED.<br/><br/>Of course we would be more likely to give steroids in the <br/>ED....that doesn't mean Flea "screwed up." Those are two completely different types of visits. To be fair, there is a significant difference between the two scenarios:

A physician who knows the patient and who is in the 0.1% of PCPs who would make a home visit at all (not to mention on a weekend) coming to the house as a courtesy

vs.

A physician who doesn’t know the patient who is treating him because his condition worsened enough to cause the mother to seek emergency care in the ED.

Of course we would be more likely to give steroids in the
ED….that doesn’t mean Flea “screwed up.” Those are two completely different types of visits.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/12/flea-is-again-too-demanding-of-er.html#comment-69345 Anonymous Tue, 05 Dec 2006 15:36:00 +0000 http://clients.emmense.com/kevinmd/2006/12/flea-is-again-too-demanding-of-the-er.html#comment-69345 "He was wheezing all right, but wasn't terribly distressed. He didn't seem ill enough for steroids, so I gave him a couple of hits of Albuterol"<br/><br/>He was wheezing because of bronchial wall edema. Most ER docs would have started this patient on steroids because we have only one chance to do it right. Almighty Dr. Flea relied on his vast experience and screwed up. “He was wheezing all right, but wasn’t terribly distressed. He didn’t seem ill enough for steroids, so I gave him a couple of hits of Albuterol”

He was wheezing because of bronchial wall edema. Most ER docs would have started this patient on steroids because we have only one chance to do it right. Almighty Dr. Flea relied on his vast experience and screwed up.

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