|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: OB: Fun with preeclampsia--very long!From: Robert Woolley (wooll005@tc.umn.edu)Tue Jul 31 21:38:53 2001
In my wildest dreams, I never at > all thought, and still do not think that there was any doubt about the > diagnosis, or that anything but delivery was warranted. And herein lies the problem. Sbp 90, platelets 95, it's preeclampsia. Not a single thought for the next three days that it could be anything else, or that any other course of action should be contemplated. No need to obtain further data. We *have* our diagnosis, dammit--don't confuse the issue with more data! Great article a couple of years ago in JAMA. Pointed out how we docs tend to order tests to confirm our suspicions, when the scientific method is to try to do everything in your power to *disprove* your hypothesis, accepting it only when all other possibilities have been excluded. Obviously there are practical limits to that pure ideal when dealing with clinical medicine. But it is never out of order to ask onesself repeatedly, "Am I as sure as I should be of the diagnosis? Am I *too* confident of the diagnosis, so that I'm blinding myself to other possibilities?" That you never gave a moment's thought to the possibility that your guess was wrong is, in my view, a mark of shame, not of honor as you seem to think.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:49:24 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.