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	<title>Comments on: Get Your Own X-ray</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Vladimir von Winkelstien</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94394</link>
		<dc:creator>Vladimir von Winkelstien</dc:creator>
		<pubDate>Mon, 23 Jul 2012 03:40:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94394</guid>
		<description><![CDATA[My experience:
Me: &quot;Hi Doc. I rolled my ankle yesterday, now it&#039;s swollen and it hurts like crazy.&quot;
Doc: &quot;Do you want an x-ray?&quot;
Me: &quot;Um. Actually, I wanted to know what I need to do to make my ankle better.&quot;
Doc: &quot;Okay, let&#039;s get you an x-ray.&quot;

I don&#039;t think the problem is entirely that patients are demanding x-rays...]]></description>
		<content:encoded><![CDATA[<p>My experience:<br />
Me: &#8220;Hi Doc. I rolled my ankle yesterday, now it&#8217;s swollen and it hurts like crazy.&#8221;<br />
Doc: &#8220;Do you want an x-ray?&#8221;<br />
Me: &#8220;Um. Actually, I wanted to know what I need to do to make my ankle better.&#8221;<br />
Doc: &#8220;Okay, let&#8217;s get you an x-ray.&#8221;</p>
<p>I don&#8217;t think the problem is entirely that patients are demanding x-rays&#8230;</p>
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		<title>By: Nurse K</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94378</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Mon, 23 Jul 2012 01:15:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94378</guid>
		<description><![CDATA[We x-ray plantar fasciitis and atraumatic foot pain all the time.  My favorite x-ray was the chick who was wearing high heels all day who said her feet hurt from walking in high heels all day.  

We Americans don&#039;t even need an injury for an x-ray!  Ottawa Ankle Rules are like Step 10 in the X-Ray 10-Step Program...Step 1 is just trying to convince doctors that people with plantar fasciitis don&#039;t need x-rays.

But our doctors are &quot;special&quot;.]]></description>
		<content:encoded><![CDATA[<p>We x-ray plantar fasciitis and atraumatic foot pain all the time.  My favorite x-ray was the chick who was wearing high heels all day who said her feet hurt from walking in high heels all day.  </p>
<p>We Americans don&#8217;t even need an injury for an x-ray!  Ottawa Ankle Rules are like Step 10 in the X-Ray 10-Step Program&#8230;Step 1 is just trying to convince doctors that people with plantar fasciitis don&#8217;t need x-rays.</p>
<p>But our doctors are &#8220;special&#8221;.</p>
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		<title>By: Kipper</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94374</link>
		<dc:creator>Kipper</dc:creator>
		<pubDate>Mon, 23 Jul 2012 00:56:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94374</guid>
		<description><![CDATA[When my ankle was broken, neither an X-ray nor Ottawa ankle rules were needed to know there was a problem: my foot was facing the wrong direction. However, the orthopedic surgeon still needed X-rays before making the repair, so the ER doc saved me time and stress when he ordered them.]]></description>
		<content:encoded><![CDATA[<p>When my ankle was broken, neither an X-ray nor Ottawa ankle rules were needed to know there was a problem: my foot was facing the wrong direction. However, the orthopedic surgeon still needed X-rays before making the repair, so the ER doc saved me time and stress when he ordered them.</p>
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		<title>By: Jane Farries</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94355</link>
		<dc:creator>Jane Farries</dc:creator>
		<pubDate>Sun, 22 Jul 2012 21:13:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94355</guid>
		<description><![CDATA[&quot;Ottawa Ankle Rules&quot; -- what a great name for a hockey team. I&#039;ll suggest it to the NHL.]]></description>
		<content:encoded><![CDATA[<p>&#8220;Ottawa Ankle Rules&#8221; &#8212; what a great name for a hockey team. I&#8217;ll suggest it to the NHL.</p>
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		<title>By: Wayne Conrad</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94268</link>
		<dc:creator>Wayne Conrad</dc:creator>
		<pubDate>Sat, 21 Jul 2012 19:10:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94268</guid>
		<description><![CDATA[Essays like this one are why I&#039;ve told Google reader to file your blog under both &quot;rescuers&quot; and &quot;liberty.&quot;  Nicely said, Dr. WC.]]></description>
		<content:encoded><![CDATA[<p>Essays like this one are why I&#8217;ve told Google reader to file your blog under both &#8220;rescuers&#8221; and &#8220;liberty.&#8221;  Nicely said, Dr. WC.</p>
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		<title>By: Roo</title>
		<link>http://www.epmonthly.com/whitecoat/2012/07/get-your-own-x-ray/#comment-94227</link>
		<dc:creator>Roo</dc:creator>
		<pubDate>Sat, 21 Jul 2012 04:05:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8312#comment-94227</guid>
		<description><![CDATA[How would the insurance determine if the x ray is indicated?  Is ankle pain a good enough diagnosis for that?  I was an athletic trainer we used pretty much the same protocol as the Ottawa rules to determine the necessity for an x ray.  If one of our pt&#039;s wanted an x-ray, too bad.  I&#039;m not going to talk to the doc and ask for one, don&#039;t need it.  Don&#039;t like it?  Too bad, my training supersedes your want for an image study.]]></description>
		<content:encoded><![CDATA[<p>How would the insurance determine if the x ray is indicated?  Is ankle pain a good enough diagnosis for that?  I was an athletic trainer we used pretty much the same protocol as the Ottawa rules to determine the necessity for an x ray.  If one of our pt&#8217;s wanted an x-ray, too bad.  I&#8217;m not going to talk to the doc and ask for one, don&#8217;t need it.  Don&#8217;t like it?  Too bad, my training supersedes your want for an image study.</p>
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