Comments on: Too Many CT Scans … or Not Enough? http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/ A blog from inside the emergency department Thu, 23 May 2013 06:31:58 +0000 hourly 1 http://wordpress.org/?v=3.5.1 By: SeaSpray http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-82442 SeaSpray Tue, 21 Feb 2012 22:13:11 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-82442 Scalpel is still around – YAY! :)

]]> By: Loretta T. http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-82292 Loretta T. Mon, 20 Feb 2012 14:13:29 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-82292 So…. why not wait 24 hrs to do the CT scan in the absence of concerning S & S?

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79778 WhiteCoat Wed, 25 Jan 2012 22:52:29 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79778 It could be a plethora of things. Any of multiple forms of dementia. NPH – although usually causes balance issues. Stroke/expressive aphasia. Psych issue. Medications. Chronic bleed is a possibility, but less likely. Has her doctor been notified/noted a change?

]]> By: Dr Killpatient http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79611 Dr Killpatient Tue, 24 Jan 2012 16:53:24 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79611 Oh, and yeah Scalpel, I thought that looked like an epidural myself.

]]> By: Dr Killpatient http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79610 Dr Killpatient Tue, 24 Jan 2012 16:52:51 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79610 Ugh. What a disastrous study. I wonder how many of the patients in the group that have bleeds picked up 24 hours later had any new or worsening symptoms. (no I did not read the study – guess I should)
Regardless, this will be a mess trying to get these people admitted and have this paid for. I think a much better study of several thousand people would have to be done to show enough benefit to warrant the monumental costs.

]]> By: scalpel http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79404 scalpel Mon, 23 Jan 2012 04:09:55 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79404 That image appears to be an epidural rather than a subdural hematoma.

]]> By: doc99 http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79362 doc99 Sun, 22 Jan 2012 15:58:41 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79362 Matt must be salivating. I have a headache.

]]> By: DefendUSA http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79355 DefendUSA Sun, 22 Jan 2012 14:10:23 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79355 My Gram is on coumadin…and the one thing I have noticed over the last three years is that she has lost her ability to verbally communicate with any coherence. She has remained quite mobile and spry,and I have not noticed any falling or unexplained bruises. I wonder if this has an effect somehow in her decreased capacity and it has not been tested?

]]> By: SeaSpray http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79270 SeaSpray Sat, 21 Jan 2012 19:51:23 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79270 What about the radiation? Although ..brain bleed trumps that. And perhaps doesn’t matter as much in elderly population ..but younger people can be on coumadin too.

I would not want to have to make the kinds of decisions physicians routinely have to make ..between a rock and a hard place decisions, but then that is why you all wear the white coat and I do not.

]]> By: SeaSpray http://www.epmonthly.com/whitecoat/2012/01/too-many-ct-scans-or-not-enough/#comment-79268 SeaSpray Sat, 21 Jan 2012 19:48:09 +0000 http://www.epmonthly.com/whitecoat/?p=7693#comment-79268 Your comment cracks me up! :)

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