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Fri May 19 15:46:01 BST 2006

So--you agree the test is most often not necessary, you just worry about appearances as to how others, including administrators, see you?  How many administrators do you think exist who care what a doctor thinks (or knows anything about) about how they do their job?  And..Are you really trying to tell us that lack of a CBC is going to cause you to miss a pneumonia!?  Ever hear of chest auscultation, percussion, tactile fremitus, egophony--otherwise known collectively as a physical exam--which together with a confirmatory chest x-ray pretty much tells the story in the face of a relevant clinical picture like fever, cough, etc?
ERF 

-----Original Message-----
From: Krin135 at aol.com
To: trauma-list at trauma.org
Sent: Fri, 19 May 2006 07:53:32 EDT
Subject: Re: trauma labs

In a message dated 19-May-06 06:48:23 Central Daylight Time,  
docrickfry at aol.com writes:

...and...I suppose you are saying a CBC is essential for this???   Please 
explain...
ERF 

no...I am saying that if you don't check a CBC in many of these  cases, you 
will be hearing from the administration of your facility because you  WILL get 
criticized by both the mothers and the staff physicians even if you do  
intensive teaching of both the mothers at point of service and staff physicians  

during meetings...

and as soon as you miss the concomitant pneumonia because the  kid has had 
his tonsils out, then you will also be hearing from your insurance  company...

ck 

Charles S. Krin, DO  FAAFP

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