tag:blogger.com,1999:blog-2760353953251845523.post9199505263775465389..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: The dying art of physical examJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2760353953251845523.post-75896773999623807712009-05-11T18:42:00.000-04:002009-05-11T18:42:00.000-04:00"The [Dartmouth] research suggests that where ther..."The [Dartmouth] research suggests that where there are more specialists, and more fancy equipment, patients get more tests and procedures," <A HREF="http://blogs.wsj.com/health/2009/05/11/ama-prez-elect-what-docs-want-in-exchange-for-curbing-costs/" REL="nofollow">said AMA to POUS</A>.<br /><br />Should we regulate it? Should we limit the kinds of test that doctors can order like how we regulate the types of prescription health practitioners can prescribe?<br /><br />There are general guidelines already in place, but should they be enforced? It's feared that such rigid DO's and DON'Ts will further compromise the quality of health care in US.<br /><br />Any suggestions? WHAT DO DOCS WANT?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-39678419564088140982009-05-06T11:50:00.000-04:002009-05-06T11:50:00.000-04:00So this is a case where "WNL = We Never Looked"!So this is a case where "WNL = We Never Looked"!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-13955107719505258982009-04-27T14:17:00.000-04:002009-04-27T14:17:00.000-04:00I got one for you. I was sent a patient with diag...I got one for you. I was sent a patient with diagnosis of "bleeding umbilical hernia". My examination revealed about 50-60 grams of skin debris and hair impacted in a deep umbilicus causing dermatitis. Patient's BMI around 27.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-9106153152185100372009-04-27T11:56:00.000-04:002009-04-27T11:56:00.000-04:00Frank- The patient is obviously quite thin. The C...Frank- The patient is obviously quite thin. The Ct was ordered to delineate size/location/structural relationship of a mass found on physical exam....Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67705802117016048202009-04-27T11:53:00.000-04:002009-04-27T11:53:00.000-04:00Yeah, Yeah, like YOU would have found it you Romme...Yeah, Yeah, like YOU would have found it you Rommel Worshipin Wierdo...<br />See that thick Black layer just superficial to the Watchamacallit??? My trained eye can see this patient has a BMI around 30, not at all unusual now a days, but certainly makes diagnosing an Adnexal Mass tricky...Even Buckeye needed Radiation to find it...<br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-82568956855065035972009-04-27T11:04:00.000-04:002009-04-27T11:04:00.000-04:00a abd mass that size should have been readily palp...a abd mass that size should have been readily palpatable!<br /><br />this post ties well with the last ("machine"); H&P is indeed becoming a lost art in US.HMShttps://www.blogger.com/profile/17168620011502808236noreply@blogger.com