Open Question: Oblivious US public/patients?
Example of a doctor in Canada:
-Patient with very low risk factors for heart disease comes with chest pain. Canadian doctor will rule out heart problem and may be run ECG ($15 test) to rule out a deadly problem. After that, the doctor will send the patient home with meds if needed.
Example of US doctor:
-Healthy patient with very low risk factors of heart disease with chest pain: doctor will run ECG, X-ray, MRI, CT, refer to the cardiologist just to rule out something that was may be 0.01% likely. Ends up costing thousands of dollars vs $50.
The question is, why did the US doctor run all those tests? Are Americans doctors stupid? NO, its because they are scared of being sued by the patients who fail to understand that medicine is more about probability, differential diagnosis, chance than fancy imaging. In Canada, patients don’t really sue and they are much more thankful to their doctors and in general have more respect.
If US needs to lower the wastage of health care dollar, it needs to lower the numbers of frivolous lawsuits.
I am a student doctor in Canada, and I assure you that doctors/patients in Canada are much more satisfied than doctors/patients in the US. What is a CT scan going to tell you for simple a fracture that the family doctor can pick up on an X-ray? Why the wasting of so much nmoney?
discussion,comments, criticism, hatred, questions, answers everything welcome, thanks
Sun, 21 Mar 2010 20:34:53 GMT
Open Question: B blocker poisoning information required?
For my university assignment I need help.
I know For cases of beta-blocker poisoning where symptomatic bradycardia and hypotension are present, high-dose glucagon is considered the first-line antidote. For cases of CCB poisoning where cardiotoxicity is evident, a combination of calcium and epinephrine should be used initially, reserving HDIDK for refractory cases
But I want to know which treatment is better for this case?
68 years old female having complaint of weakness and dizzy after ingestion of handful of ?heart pills?.
History
Vitals:
Pulse __ 48
B.P__ 90/60
R/R __ 24
No murmurs
Temp: 98.6
No:- JUD
ECG
3:1 AV block
Cardioegaly
Na : 145
K: 5.9
HCO3: 24
Glucose : 120
Cr: 2.2
BUN= 46
Sun, 21 Mar 2010 07:45:11 GMT
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