Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS

From: Joanne Bulley, MD (islesannie@yahoo.com)
Mon Dec 22 19:32:28 2003


Ahh - but I would argue that you CAN have TOO much information. I think we have all (at least once) in our careers had a test where we said we wished we HADN'T done the test - cause it confounded - and led down other paths and spent more money - but didn't make a difference?

With the chart police out there checking to see if a note was written about EVERY test ordered - and what was going to be done (or why not if nothing) - and you really only needed a potassium - but got the full 'lytes - and the sodium is only one or two points off the norm ... etc.

To quote a (George) Morleyism: a difference to BE a difference must MAKE a difference.

So don't do or order any test that you aren't sure will help the diagnostic process rather than hinder it!

Joanne

At Mon, 22 Dec 2003, Brickster0@aol.com wrote: >
>My arguement was that you can't have too much
>information. The sono on Friday could have shown an IUP, new free fluid or have been
>unchanged, but if she ruptured on Saturday or Sunday, you're screwed. The
>quant could have gone up or down; the first quant could have been spurious. But
>if it can back at 5000 with no IUP i'm worried.
>
>Brick

--
Joanne Bulley, MD
Keene, NH, USA

----- Work to create peace everywhere you go and with everything you do. ----- Let us accept truth, even when it surprises us and alters our views. -George Sand





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