Comments on: More on Perfect Medicine

By: peter

peter — Tue, 10 Apr 2012 11:35:18 +0000

@Matt and the lawyer made this statement, not to help his case hevean forbid, but because……..um…….he liked the hot journalist?

By: Ron Miller

Ron Miller — Fri, 16 Mar 2012 14:14:56 +0000

Everything you say is accurate. But let’s not get too excited about an out-of-context quote. Maybe he just meant an implied “that a reasonable prudent doctor should have ruled out.”

By: Lawyer: ER “simply not permitted to discharge” without ruling out life-threatening conditions

Fri, 16 Mar 2012 12:43:17 +0000

[...] pulmonary embolisms in a Greenwich man who came in complaining of flank pain. [Connecticut Post] White Coat analyzes what it would mean for emergency departments to hold on to patients until any possible [...]

By: Defense

Defense — Mon, 12 Mar 2012 15:18:01 +0000

The standard is “what would a reasonable physician do?” My opinion is that this is multi-factorial.

By: Throckmortonsothersigns

Throckmortonsothersigns — Sun, 11 Mar 2012 22:48:15 +0000

Not at all. Someone who doesn’t feel good or who has back pain goes home and stays in bed and doesn’t move can develope a clot and pe just like someone on a long airplane flight.

By: Ben Rush MD

Ben Rush MD — Sun, 11 Mar 2012 14:19:33 +0000

I say that every patient in the ED receive a consult with a trial lawyer prior to discharge to learn the real diagnosis before his condition gets too far advanced to salvage.

By: Skippy

Skippy — Sat, 10 Mar 2012 09:50:49 +0000

If it is in the diffrenetial, then should be ruled out. PE’s can present with flank pain, if you were unaware of this, add it tou your roledex. I screen with D-Dimer in low risk cases. By the way, upper abdominal pain can also be a PE. Damn PE, proof that PE is lawyers best friend. Good luck all.

By: D

Sat, 10 Mar 2012 01:30:06 +0000

I don’t think you’re getting what he’s presented. There was no CT scan of the chest because it wasn’t appropriate. It wasn’t a misread study.

And what a ridiculous standard. Medicine isn’t black and white and shouldn’t be treated as such.

By: Scott

Scott — Fri, 09 Mar 2012 21:55:39 +0000

I’ve been an ER doc for over 25 yrs. I’ve had patients with “flank pain” that had both PE and kidney stone in the differential. I’ve missed my share of PE’s, appreciate the difficulty of making the diagnosis, and without the facts, I am in no way being critical of the poor guy who discharged this patient, but I have seen a PE mimic a stone. That is not to say every negative stone study deserves a CT of the chest…….

By: SeaSpray

SeaSpray — Fri, 09 Mar 2012 17:55:39 +0000

Darned if you do and darned if you don’t.

I think the physician would win if your argument were presented in court.

Could you just imagine the cost for each patient and doses of unnecessary radiation? I hope the radiation scare is wrong tho. Oh and then you can be sued for that if they become ill in the future. It’s just not fair. If the workup protocols are followed and documented …then how can the doc be held accountable?

And if the Obama care is here to stay …in time they wouldn’t allow added expense anyway. The government will be too busy trying to cut state-of-the-art equipment, treatments and medications, etc., to compensate for the added financial burden.