Comments on: The ‘wrong’ fluid http://gruntdoc.com/2006/05/the-wrong-fluid.html Ramblings of an Emergency Physician in Texas Sat, 12 May 2012 12:36:18 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Goatwhacker http://gruntdoc.com/2006/05/the-wrong-fluid.html/comment-page-1#comment-3850 Goatwhacker Sun, 07 May 2006 15:41:40 +0000 http://gruntdoc.com/2006/05/the-wrong-fluid.html#comment-3850 Mary, speaking as one who has worked in both ER's and currently in my own office, you'll find good and bad docs in both ER's and clinics. Gunner, I am sad to say I have seen gastroenterologists go directly to scopes without doing a physical exam first - "when all you have is a hammer the whole world looks like a nail". Mary, speaking as one who has worked in both ER’s and currently in my own office, you’ll find good and bad docs in both ER’s and clinics.

Gunner, I am sad to say I have seen gastroenterologists go directly to scopes without doing a physical exam first – “when all you have is a hammer the whole world looks like a nail”.

]]> By: mary http://gruntdoc.com/2006/05/the-wrong-fluid.html/comment-page-1#comment-3849 mary Sat, 06 May 2006 00:49:28 +0000 http://gruntdoc.com/2006/05/the-wrong-fluid.html#comment-3849 Thank you for following up on your patient, and having the experience (& being awake enough) to recognize more workup was needed on the patient. Being a family member of people who have been misdiagnosed and inadequately treated in both Colorado and Texas medical clinics, I have very little regard left for physician office clinics. I have seen far better, more accurate treatment in ER's. Maybe that is partially because you have qualified staff in your ER, stay more up-to-date, or are just a 'different' class of physician than the 10 minute visit clinic docs. Thank you for following up on your patient, and having the experience (& being awake enough) to recognize more workup was needed on the patient. Being a family member of people who have been misdiagnosed and inadequately treated in both Colorado and Texas medical clinics, I have very little regard left for physician office clinics. I have seen far better, more accurate treatment in ER’s. Maybe that is partially because you have qualified staff in your ER, stay more up-to-date, or are just a ‘different’ class of physician than the 10 minute visit clinic docs.

]]> By: GruntDoc http://gruntdoc.com/2006/05/the-wrong-fluid.html/comment-page-1#comment-3848 GruntDoc Thu, 04 May 2006 04:54:16 +0000 http://gruntdoc.com/2006/05/the-wrong-fluid.html#comment-3848 The tumor gave her an ulcer, see? It's a unifying diagnosis. The tumor gave her an ulcer, see? It’s a unifying diagnosis.

]]> By: The gunner http://gruntdoc.com/2006/05/the-wrong-fluid.html/comment-page-1#comment-3847 The gunner Thu, 04 May 2006 02:11:26 +0000 http://gruntdoc.com/2006/05/the-wrong-fluid.html#comment-3847 Strange, I had a patient last week with abd pain, grossly distended. CT showed a 47x25x25 ovarian mass. Not a tricky diagnosis as the abd felt hard as a rock. Funny thing, she had just seen a GI doc for same compaint. He scoped her and told her she had an ulcer. Go figure. Strange, I had a patient last week with abd pain, grossly distended. CT showed a 47x25x25 ovarian mass. Not a tricky diagnosis as the abd felt hard as a rock. Funny thing, she had just seen a GI doc for same compaint. He scoped her and told her she had an ulcer. Go figure.

]]> By: Bad Shift http://gruntdoc.com/2006/05/the-wrong-fluid.html/comment-page-1#comment-3846 Bad Shift Wed, 03 May 2006 18:45:00 +0000 http://gruntdoc.com/2006/05/the-wrong-fluid.html#comment-3846 Phew! I thought you were going to say it was amniotic fluid! Nice work, GD, it's kind of like the first time you see pus coming from your LP needle. Whoops--get the mask tight and hang the bug juice. Phew! I thought you were going to say it was amniotic fluid! Nice work, GD, it’s kind of like the first time you see pus coming from your LP needle. Whoops–get the mask tight and hang the bug juice.

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