Comments on: Advice to ER patients: "Say, ‘I need to be tested.’" http://www.kevinmd.com/blog/2007/02/physician-to-er-patients-say-i-need-to.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/02/physician-to-er-patients-say-i-need-to.html#comment-72288 Anonymous Tue, 27 Feb 2007 22:19:00 +0000 http://clients.emmense.com/kevinmd/2007/02/advice-to-er-patients-say-i-need-to-be-tested.html#comment-72288 Unfortunately for you and your patients Anonymous Medical Student, you will find lots of doctors on medblogs who will insist to you that the H & P is an anachronism. Testing is where it's at. It's justified by fears of malpractice, but it's more likely due to poor clinical skills and prolonged deterioration thereof.<br/><br/>Today's examples:<br/>1) 6 y/o child sent in by ER and PCP for followup of Acute Otitis Media. He presented to the ER a week ago because of bloody otorrhea. No history of chronic OM. Getting better on antibiotics. Oh, and he had a CT scan- beats me why. Any particular reason this kid should be seeing a specialist for an ear infection?<br/><br/>2) Adult male comes in with complaint of unilateral hearing loss. He has clear fluid in his right middle ear. Asks me why his PCP didn't see it. Beats me. Maybe he needed a CT scan.<br/><br/>This happens EVERY single day. And you wonder why this journalist is telling readers to <br/>get tested?" Unfortunately for you and your patients Anonymous Medical Student, you will find lots of doctors on medblogs who will insist to you that the H & P is an anachronism. Testing is where it’s at. It’s justified by fears of malpractice, but it’s more likely due to poor clinical skills and prolonged deterioration thereof.

Today’s examples:
1) 6 y/o child sent in by ER and PCP for followup of Acute Otitis Media. He presented to the ER a week ago because of bloody otorrhea. No history of chronic OM. Getting better on antibiotics. Oh, and he had a CT scan- beats me why. Any particular reason this kid should be seeing a specialist for an ear infection?

2) Adult male comes in with complaint of unilateral hearing loss. He has clear fluid in his right middle ear. Asks me why his PCP didn’t see it. Beats me. Maybe he needed a CT scan.

This happens EVERY single day. And you wonder why this journalist is telling readers to
get tested?”

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/02/physician-to-er-patients-say-i-need-to.html#comment-72286 Anonymous Tue, 27 Feb 2007 22:05:00 +0000 http://clients.emmense.com/kevinmd/2007/02/advice-to-er-patients-say-i-need-to-be-tested.html#comment-72286 Very very irresponsible reporting. The data on this has not defined its utility. This not take into effect the false positive rate (especially when testing a low risk group), or the radiation. Very very irresponsible reporting. The data on this has not defined its utility. This not take into effect the false positive rate (especially when testing a low risk group), or the radiation.

]]> By: The Anonymous Medical Studenthttp://www.kevinmd.com/blog/2007/02/physician-to-er-patients-say-i-need-to.html#comment-72280 The Anonymous Medical Student Tue, 27 Feb 2007 18:23:00 +0000 http://clients.emmense.com/kevinmd/2007/02/advice-to-er-patients-say-i-need-to-be-tested.html#comment-72280 At my school they teach us that the history and physical is the most important part of the exam! That is absurd what that woman is telling patients to do!<br/><br/>theanonymousmedicalstudent.blogspot.com<br/><br/>ps- any chance i could get a link? I've linked you... At my school they teach us that the history and physical is the most important part of the exam! That is absurd what that woman is telling patients to do!

theanonymousmedicalstudent.blogspot.com

ps- any chance i could get a link? I’ve linked you…

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