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Trauma case

KMATTOX at aol.com KMATTOX at aol.com
Fri Nov 23 02:42:41 GMT 2007


1st.    He complained of left posterior chest wall pain and  got a 
$200,000.00 workup for anterior and right chest  issues.         What ever happened to  
his left posterior chest wall pain??   
 
2nd      I am surprised that someone did not order  a Cardiac Cath with 
stents and Plavix.      Would have  fit with the rest of the wild goose chases
 
3rd.     I have seen the CT and Cavogram "shadow" of a  presumed clot, which 
was GONE a week later on subsequent grams WITHOUT  anticoagulation.   
 
4th.     Where was the IVC filter placed.    If it was not ABOVE the supposed 
clot, it is inserted totally un  necessarilly.   
 
5th.    Could you reporduce and send the cavogram of the  clot?   You have 
launched on a long term care, which in itself has  very little evidence based 
support, on the cavogram  alone.      
 
6th.    If I were the patient I would want to be OFF the  coumadin today.     
 
 
k
 
 



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