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Fri May 19 18:25:46 BST 2006

l may not be most competent to participate this discussion, but l can say
that main rule once u meet d pt is to take care of 2 major things: history
and physical exam which consist 50-70% of diagnosis....therefore if those 2
things are substantial then by simple means of using one or 2 cheap labs are
sufficient to make the right dg.
ante

2006/5/19, docrickfry at aol.com <docrickfry at aol.com>:
>
> 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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