List Archives

Sat Aug 18 18:28:51 BST 2007

We will NEVER be able to change this habit of over ordering CT scans until 
there is one class action law suit against a group of doctors or even a 
specialty group for the development of leukemia or lymphoma because of the 
radiation from CT scanning.

Mo

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