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"Mattox to participate in study"

McSwain, Norman E Jr. nmcswai at tulane.edu
Fri Oct 9 13:09:09 BST 2009


Unfortunately that teaching is not well practiced  today.
Too much is done by  protocol and not by asking that question. I find that lesson the most difficult  to teach to the residents. I am not sure why. Several thoughts but no answers
Norman

Typed by the thumbs of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list-bounces at trauma.org <trauma-list-bounces at trauma.org>
To: trauma-list at trauma.org <trauma-list at trauma.org>
Sent: Fri Oct 09 07:01:15 2009
Subject: Re: "Mattox to participate in study"

May I paraphrase Ken and, therefore, simply repeat a succinct lesson that my
professors taught me 30 years ago?

NO paraclinical examination should ever be ordered unless there is a clear
indication as to what the person ordering the tests expects to learn, and
how that additional new knowledge, over and above the clinical
examination,will alter decision making and treatment.

cheers from the "old school"

>
> christos giannou
Monemvasia Lakonia
23070 Greece
tel & fax: (++30) 27320-61772
mob: (++30) 69 74 83 28 18
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