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<P>hi</P>
<P>My own observation is that we will soon been replaced by nurse practioners who can order a CT just as easily as a doctor and cost a lot less to train. The art of medicince will soon only be found in galleries as opposed to hospitals and clinics</P>
<P>Wadoodi<BR><BR></P></DIV>
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<DIV></DIV>From: <I>"Eaves.Wanda" <Eaves.Wanda@mccg.org></I><BR>Reply-To: <I>"Trauma &amp; Critical Care mailing list" <trauma-list@trauma.org></I><BR>To: <I>"Trauma &amp; Critical Care mailing list" <trauma-list@trauma.org></I><BR>Subject: <I>RE: New Intern, Resident, Internist, Family Practioner, -- CT Scan</I><BR>Date: <I>Sat, 18 Aug 2007 12:45:36 -0400</I><BR>>Mike: I totally agree with your post. It is so frustrating to CT<BR>>everything when the patient obviously needs intervention, not testing.<BR>>Wanda Eaves<BR>><BR>>-----Original Message-----<BR>>From: Mike Smertka [mailto:medic0947969@yahoo.com]<BR>>Sent: Friday, August 17, 2007 2:33 PM<BR>>To: Trauma &amp, Critical Care mailing list<BR>>Subject: Re: New Intern, Resident, Internist, Family Practioner, --
CT<BR>>Scan<BR>><BR>>Dr. Mattox,<BR>><BR>> it is my observations that physicians who can do a HX and PE without<BR>>relying on radiology are becoming few and farther between. Infact, many<BR>>of the physicians I worked under and my preceptors have reminded me that<BR>>there is no diagnosis without radiology, irregardless of physical<BR>>findings. It was shocking to see the comments about taking the pt to the<BR>>OR so fast. I can count the number of patients I have seen taken to the<BR>>OR from the ED in less than 45 minutes. The number I have seen go to<BR>>surgury without a head/chest/abd/pelvis CT scan is even less. Of course<BR>>I have a theory on this if you'd like, but I will spare the group from<BR>>it.<BR>><BR>> Mike<BR>><BR>>KMATTOX@aol.com wrote:<BR>><BR>>In a message dated 8/17/2007 10:10:47
A.M. Central Daylight Time,<BR>>Krin135@aol.com writes:<BR>><BR>>What was the patient doing in the "CT scan 2 hours after arrival "<BR>>with a "systolic BP 0f 40-60" ??<BR>><BR>><BR>><BR>>What are MOST people that are in CT scans doing in them. I have been<BR>>tabulating just how many CT scans that are done in medicine, surgical,<BR>>pediatric , etc. patients actually produce data that alters decision<BR>>making over and above what SHOULD HAVE been discovered on the history<BR>>and physical, assuming a history and physical examination had been done<BR>>at all, More often than not, such findings (HX & PE) are not recorded on<BR>>the chart prior to the order of the CT scan.<BR>><BR>>k<BR>><BR>><BR>><BR>>************************************** Get a sneak peek of the all-new<BR>>AOL at
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