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	<title>Comments on: The Edge</title>
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	<link>http://distractible.org/2008/03/09/the-edge/</link>
	<description>Thoughts of a moderately strange (yet not harmful) primary care physician.</description>
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		<title>By: Grand Rounds Vol. 4 No. 27 &#171; Living with Fibromyalgia</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-1030</link>
		<dc:creator>Grand Rounds Vol. 4 No. 27 &#171; Living with Fibromyalgia</dc:creator>
		<pubDate>Wed, 26 Mar 2008 10:53:29 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-1030</guid>
		<description>[...] The Edge Musings of a Distracted Mind posts about two patient encounters, ending the post with: &#8220;It is [...]</description>
		<content:encoded><![CDATA[<p>[...] The Edge Musings of a Distracted Mind posts about two patient encounters, ending the post with: &#8220;It is [...]</p>
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		<title>By: Monash Rounds &#124; Musings of a Distractible Mind</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-1008</link>
		<dc:creator>Monash Rounds &#124; Musings of a Distractible Mind</dc:creator>
		<pubDate>Mon, 24 Mar 2008 17:10:23 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-1008</guid>
		<description>[...] Rounds is up at Monash Medical Student.&#160; I am very grateful for Jeffery highlighting my post The Edge.&#160; He has done a great job.&#160; If you want to get to know medical blogs, go check it [...]</description>
		<content:encoded><![CDATA[<p>[...] Rounds is up at Monash Medical Student.&#160; I am very grateful for Jeffery highlighting my post The Edge.&#160; He has done a great job.&#160; If you want to get to know medical blogs, go check it [...]</p>
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		<title>By: Grand Rounds Volume 4 No. 27 &#171; monash medical student</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-1003</link>
		<dc:creator>Grand Rounds Volume 4 No. 27 &#171; monash medical student</dc:creator>
		<pubDate>Mon, 24 Mar 2008 14:02:57 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-1003</guid>
		<description>[...] well ahead of time, Dr Rob at Musings of a Distractible Mind writes a beautiful account of a recent patient encounter. &#8220;It is nice to feel liked and important, but you always need to remember that the edge of [...]</description>
		<content:encoded><![CDATA[<p>[...] well ahead of time, Dr Rob at Musings of a Distractible Mind writes a beautiful account of a recent patient encounter. &#8220;It is nice to feel liked and important, but you always need to remember that the edge of [...]</p>
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		<title>By: Laurie Myers</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-965</link>
		<dc:creator>Laurie Myers</dc:creator>
		<pubDate>Sat, 15 Mar 2008 15:36:06 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-965</guid>
		<description>A happy story--a &quot;good catch&quot; by a primary care doc, who I was on a date with on a Fri. night. I felt feverish and weak, but I had canceled once before, and I didn&#039;t want to do it again, as I really liked him. I had had spinal surgery a few months earlier.  He hugged me, I screamed, and he checked out my red, hot back. Love my surgeon, but he had told me to wait until Tues. for a office procedure.  Cute doc took me to the ER, had surgery for staph and suture reaction, in the hospital many days.  Happy ending, still love my surgeon, who felt way worse than I did.</description>
		<content:encoded><![CDATA[<p>A happy story&#8211;a &#8220;good catch&#8221; by a primary care doc, who I was on a date with on a Fri. night. I felt feverish and weak, but I had canceled once before, and I didn&#8217;t want to do it again, as I really liked him. I had had spinal surgery a few months earlier.  He hugged me, I screamed, and he checked out my red, hot back. Love my surgeon, but he had told me to wait until Tues. for a office procedure.  Cute doc took me to the ER, had surgery for staph and suture reaction, in the hospital many days.  Happy ending, still love my surgeon, who felt way worse than I did.</p>
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		<title>By: SeaSpray</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-939</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Tue, 11 Mar 2008 19:42:06 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-939</guid>
		<description>Your post moved me greatly Dr Rob.  I am sorry that happened and sorry the other doc may have quit.  Hopefully he found his way back.

I didn&#039;t realize meningitis could present this way.  I thought the pt would have a stiff and painful neck? Also, for these cases...do you need to follow up with meds to prevent you from catching it?  I remember the ED staff doing that when they felt they were exposed.

Meningitis is so frightening.  When I work for SCARC...one of our residents was there because she contracted the disease and was left with permanent brain damage.

I think we live in an imperfect world and sometimes all we can do is our best...but still it&#039;s not enough.  The important thing is to learn from it.  These kinds of events hopefully don&#039;t happen in vane, but rather...serve to teach us so that we can then better help others as well as ourselves.

We never know who is traveling through our blogs and hopefully posts like this are helping someone passing through who very much needs to here your words.

Thank you for sharing this heartfelt post.</description>
		<content:encoded><![CDATA[<p>Your post moved me greatly Dr Rob.  I am sorry that happened and sorry the other doc may have quit.  Hopefully he found his way back.</p>
<p>I didn&#8217;t realize meningitis could present this way.  I thought the pt would have a stiff and painful neck? Also, for these cases&#8230;do you need to follow up with meds to prevent you from catching it?  I remember the ED staff doing that when they felt they were exposed.</p>
<p>Meningitis is so frightening.  When I work for SCARC&#8230;one of our residents was there because she contracted the disease and was left with permanent brain damage.</p>
<p>I think we live in an imperfect world and sometimes all we can do is our best&#8230;but still it&#8217;s not enough.  The important thing is to learn from it.  These kinds of events hopefully don&#8217;t happen in vane, but rather&#8230;serve to teach us so that we can then better help others as well as ourselves.</p>
<p>We never know who is traveling through our blogs and hopefully posts like this are helping someone passing through who very much needs to here your words.</p>
<p>Thank you for sharing this heartfelt post.</p>
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		<title>By: cathy</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-938</link>
		<dc:creator>cathy</dc:creator>
		<pubDate>Tue, 11 Mar 2008 15:35:45 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-938</guid>
		<description>This brings back a memory of when my boys were little. Our oldest son was 6 years old, (he is now 35.)  He started complaing of a headache. My experience is that 6 YOs do not get headaches, then he began running a high fever. I called his Dr. who told me to take him to the ER. I did and he was diagnosed with a URI and given antibiotics. He cried in pain all night and then his eye began to swell. I took him back to the ER and again they called it a URI and told me he hadn&#039;t been on the anitibiotics long enough for them to work. By that afternoon his eye was swollen completely shut, and he was screaming, with head and eye pain.

This time we went across town to the other hospital and the ER doc there knew something serious was going on. He told us &quot;Kids use to die of this before antibiotics were invented.&quot; I had no clue what he was even talking about. He called in a specialist and our son was admitted and placed on high dose IV antibiotics.

The bottom line is he had a serious sinus infection and it was explained to us that this sinus passage drains right beside the brain, which would cause meningitis if it spread to the brain. The fight was on to keep that from happening. It would be 6 days before we knew he was out of danger. I can&#039;t even tell you how scared we were during this time.  

I also did not blame the other ER docs. They had done what they thought was right. But, I knew my child was in far to much pain for a URI. I know it gave me a whole new respect for the term &quot;sinus infection&quot;. I never knew, before then, that  they could be so dangerous. It still makes me ill when I think about what could have happened to him 30 years ago.</description>
		<content:encoded><![CDATA[<p>This brings back a memory of when my boys were little. Our oldest son was 6 years old, (he is now 35.)  He started complaing of a headache. My experience is that 6 YOs do not get headaches, then he began running a high fever. I called his Dr. who told me to take him to the ER. I did and he was diagnosed with a URI and given antibiotics. He cried in pain all night and then his eye began to swell. I took him back to the ER and again they called it a URI and told me he hadn&#8217;t been on the anitibiotics long enough for them to work. By that afternoon his eye was swollen completely shut, and he was screaming, with head and eye pain.</p>
<p>This time we went across town to the other hospital and the ER doc there knew something serious was going on. He told us &#8220;Kids use to die of this before antibiotics were invented.&#8221; I had no clue what he was even talking about. He called in a specialist and our son was admitted and placed on high dose IV antibiotics.</p>
<p>The bottom line is he had a serious sinus infection and it was explained to us that this sinus passage drains right beside the brain, which would cause meningitis if it spread to the brain. The fight was on to keep that from happening. It would be 6 days before we knew he was out of danger. I can&#8217;t even tell you how scared we were during this time.  </p>
<p>I also did not blame the other ER docs. They had done what they thought was right. But, I knew my child was in far to much pain for a URI. I know it gave me a whole new respect for the term &#8220;sinus infection&#8221;. I never knew, before then, that  they could be so dangerous. It still makes me ill when I think about what could have happened to him 30 years ago.</p>
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		<title>By: Rob</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-937</link>
		<dc:creator>Rob</dc:creator>
		<pubDate>Tue, 11 Mar 2008 14:28:53 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-937</guid>
		<description>I don&#039;t think curioua really understands how crushing this is to the physicians.  I tried to balance the emotion that surrounds this with an acceptance that these do happen.  If that emergency physician had not been between me and the child&#039;s death, then I am sure I would have struggled far more than I did, but to have someone else confirming what I thought was there made it far easier to feel I did all I could.  I think the ER doctor quit not long after this event.  This kind of thing can totally destroy a physician.  Just writing it brought out a lot in me.

The bottom line is that we learn most from the hard things that happen.  For me to point out the silver lining is in no way denying the dark cloud (which is far bigger than the silver lining, by the way).  You must learn from this kind of thing.  If you don&#039;t, you are going to be a very bad doctor.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think curioua really understands how crushing this is to the physicians.  I tried to balance the emotion that surrounds this with an acceptance that these do happen.  If that emergency physician had not been between me and the child&#8217;s death, then I am sure I would have struggled far more than I did, but to have someone else confirming what I thought was there made it far easier to feel I did all I could.  I think the ER doctor quit not long after this event.  This kind of thing can totally destroy a physician.  Just writing it brought out a lot in me.</p>
<p>The bottom line is that we learn most from the hard things that happen.  For me to point out the silver lining is in no way denying the dark cloud (which is far bigger than the silver lining, by the way).  You must learn from this kind of thing.  If you don&#8217;t, you are going to be a very bad doctor.</p>
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		<title>By: Ami</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-936</link>
		<dc:creator>Ami</dc:creator>
		<pubDate>Tue, 11 Mar 2008 14:17:14 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-936</guid>
		<description>curioua,

If payment for services in any field were held back because the person doing the service learned something while doing it, no one could ever get paid. 

My own kids have probably had eardrums that looked very much like that child&#039;s. The thing is, with the learning I have about ears and fevers right now, I probably wouldn&#039;t take a feverish, grumpy kid in for several days. Unless there was something odd. I hope if I ever need to, I can pick up on the odd.

Anyway, when I first read this, I was going to say: that is one of the reasons I&#039;m not in medicine. Thank you all for putting your psyches on the line to serve us.</description>
		<content:encoded><![CDATA[<p>curioua,</p>
<p>If payment for services in any field were held back because the person doing the service learned something while doing it, no one could ever get paid. </p>
<p>My own kids have probably had eardrums that looked very much like that child&#8217;s. The thing is, with the learning I have about ears and fevers right now, I probably wouldn&#8217;t take a feverish, grumpy kid in for several days. Unless there was something odd. I hope if I ever need to, I can pick up on the odd.</p>
<p>Anyway, when I first read this, I was going to say: that is one of the reasons I&#8217;m not in medicine. Thank you all for putting your psyches on the line to serve us.</p>
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		<title>By: Toni Brayer, MD</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-935</link>
		<dc:creator>Toni Brayer, MD</dc:creator>
		<pubDate>Tue, 11 Mar 2008 05:46:30 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-935</guid>
		<description>Every doctor has at least one case that continues to haunt them. I am sorry that this was yours.  Your write an inspiring post and it should make us all stop and appreciate when things go right.</description>
		<content:encoded><![CDATA[<p>Every doctor has at least one case that continues to haunt them. I am sorry that this was yours.  Your write an inspiring post and it should make us all stop and appreciate when things go right.</p>
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		<title>By: scalpel</title>
		<link>http://distractible.org/2008/03/09/the-edge/comment-page-1/#comment-934</link>
		<dc:creator>scalpel</dc:creator>
		<pubDate>Tue, 11 Mar 2008 03:40:53 +0000</pubDate>
		<guid isPermaLink="false">http://distractible.org/2008/03/09/the-edge/#comment-934</guid>
		<description>Nobody &quot;caused&quot; that death. Even young people die sometimes.

If you expect doctors to make correct diagnoses 100% of the time, even in the early stages of illness, then you are expecting too much.</description>
		<content:encoded><![CDATA[<p>Nobody &#8220;caused&#8221; that death. Even young people die sometimes.</p>
<p>If you expect doctors to make correct diagnoses 100% of the time, even in the early stages of illness, then you are expecting too much.</p>
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