Archives for November 15, 2007

Aggravated DocSurg: To CT or Not to CT? Another Salvo

Aggravated DocSurg: To CT or Not to CT? Another Salvo

Common things being common, anyone who has spent a little time perusing medical blogs has read a few posts about the value, or lack thereof, of CT scans in the evaluation of suspected acute appendicitis. I’ll outline my opinions below (Opinions? Moi?), but there has been another salvo fired in this skirmish, this time aimed against the “CT everyone” crowd.

Your ED’s mileage may vary, and the “CT everyone” crowd is usually the surgeons.  The ED Docs would love to avoid ordering them.

Great American Smokeout is today

20% of American adults smoke, a statistic that’s not going down.

From the CDC:

Smokers who use effective cessation aids such as clinician assistance, pharmacotherapy approved by the Food and Drug Administration, and behavioral counseling (e.g., quitlines) can increase their likelihood of quitting permanently (3). All 50 states, the District of Columbia, and certain U.S. territories have quitlines that can be reached at 800-QUIT-NOW (800-784-8669). Other interventions that increase cessation include implementing sustained media campaigns, reducing patient out-of-pocket treatment costs, increasing the price of tobacco products, and establishing smoke-free environments (4).

The Great American Smokeout (from the American Cancer Society). Quit today, and don’t start if you haven’t already.