Comments on: The long tail – implications for quality http://www.medrants.com/archives/3626 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: pat http://www.medrants.com/archives/3626/comment-page-1#comment-520912 pat Thu, 10 Jul 2008 00:48:27 +0000 http://www.medrants.com/?p=3626#comment-520912 Last week I saw two "typical" :-) pharyngitis patients in an urgent care...one had a peritonsillar abscess and the other had adult epiglottitis and ended up in the ICU. If we hadn't had a fiberoptic scope handy we may not have found this. This was after seeing thousands of garden variety sore throats. Please email me your grand rounds if you have a chance. Last week I saw two “typical” :-) pharyngitis patients in an urgent care…one had a peritonsillar abscess and the other had adult epiglottitis and ended up in the ICU. If we hadn’t had a fiberoptic scope handy we may not have found this. This was after seeing thousands of garden variety sore throats. Please email me your grand rounds if you have a chance.

]]> By: pcb http://www.medrants.com/archives/3626/comment-page-1#comment-520908 pcb Wed, 09 Jul 2008 13:00:25 +0000 http://www.medrants.com/?p=3626#comment-520908 I hope you're planning to summarize your grand rounds here too. Always look forward to your pharyngitis pearls. I hope you’re planning to summarize your grand rounds here too. Always look forward to your pharyngitis pearls.

]]> By: The Jobbing Doctor http://www.medrants.com/archives/3626/comment-page-1#comment-520907 The Jobbing Doctor Tue, 08 Jul 2008 19:24:57 +0000 http://www.medrants.com/?p=3626#comment-520907 Elegant, beautifully put, and absolutely vital to understand. This is really the essence of primary care diagnosis, and I always have to ask myself if my diagnosis is right, and (if necessary) go back to the beginning - the history - to check that I have got it right. This process is important so we do not repeat the mistakes of other doctors. Another issue is whether this differentiates between clinicians of different levels of intellect, training and skills (doctors vs. nurses vs. health care assistants): I think it does. Elegant, beautifully put, and absolutely vital to understand. This is really the essence of primary care diagnosis, and I always have to ask myself if my diagnosis is right, and (if necessary) go back to the beginning – the history – to check that I have got it right.

This process is important so we do not repeat the mistakes of other doctors.

Another issue is whether this differentiates between clinicians of different levels of intellect, training and skills (doctors vs. nurses vs. health care assistants): I think it does.

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