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Re: Yikes! I agree with Estella

Posted by kylenn on August 8, 2006, at 23:09:38

In reply to Re: Yikes! I agree with Estella » kylenn, posted by Estella on August 8, 2006, at 22:04:50

Yes, I have asked them.

Usually, it is phrased thus:
"Mrs. X, your daughter has been ill for several days, you must have been really worried.
Can you tell me, what was different about her symptoms tonight that led you to bring her to the ER."
sometimes they have a really good reason, and it can be important to coming to a diagnosis.
sometimes they don't, and sometimes, I have gotten sideways looks and defensive answers, even though I need to ask the question, as it is central to figuring out the problem.
It is, to me, and to most people who make it through med school that have learned what they were taught, a very important, maybe the most important question in the history of present illness, which is the first, and most important part of, the evaluation of a sick patient.

I am fed up with explaining things that I keep assuming would be understood.
Of course I ask them.
I am curious by nature, and usually it is an important part of the history, and can be very, very important.
Geez.


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poster:kylenn thread:674781
URL: http://www.dr-bob.org/babble/poli/20060610/msgs/675082.html