Comments on: Cases you never forget http://www.kevinmd.com/blog/2008/03/cases-you-never-forget.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/03/cases-you-never-forget.html#comment-84278 Anonymous Tue, 18 Mar 2008 09:12:00 +0000 http://clients.emmense.com/kevinmd/2008/03/cases-you-never-forget.html#comment-84278 anon 8:09, I guess it is lucky for you, and your radiologist, that this patient went to a real ER with a real doc. working there. anon 8:09, I guess it is lucky for you, and your radiologist, that this patient went to a real ER with a real doc. working there.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/03/cases-you-never-forget.html#comment-84246 Anonymous Sun, 16 Mar 2008 13:55:00 +0000 http://clients.emmense.com/kevinmd/2008/03/cases-you-never-forget.html#comment-84246 Sometimes the song seems the same, but a variations is added. Here there was new, if you listened for it. The patient was fortunate indeed to have an unbiased doctor notice her NEW history of recent trauma, and the new, unusual fainting spell that motivated her to appear in to the ER....and she wasn't in for the usual management of pain. So the labs and that gut feeling about her appearance weren't just dismissed. Sometimes the song seems the same, but a variations is added. Here there was new, if you listened for it. The patient was fortunate indeed to have an unbiased doctor notice her NEW history of recent trauma, and the new, unusual fainting spell that motivated her to appear in to the ER….and she wasn’t in for the usual management of pain. So the labs and that gut feeling about her appearance weren’t just dismissed.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/03/cases-you-never-forget.html#comment-84242 Anonymous Sun, 16 Mar 2008 01:09:00 +0000 http://clients.emmense.com/kevinmd/2008/03/cases-you-never-forget.html#comment-84242 Drug seekers, frequent fliers, GOMERS and hypocondriacs tend to die of the same things everyone else does (except for the occasional one who dies of a complication of medial procedure).<br/><br/>The pt was very lucky. Where I work, radiology would have refused to do the CT - she's had so many already that we normal.<br/><br/>How many times are we supposed to work up the same complaint? Drug seekers, frequent fliers, GOMERS and hypocondriacs tend to die of the same things everyone else does (except for the occasional one who dies of a complication of medial procedure).

The pt was very lucky. Where I work, radiology would have refused to do the CT – she’s had so many already that we normal.

How many times are we supposed to work up the same complaint?

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