article thumbnail

Screening Can Do Silent Harm

Sensible Medicine

After evaluation showed no cancer beyond the nodule, he underwent surgery followed by four rounds of chemotherapy (cisplatin and etoposide). Following the chemotherapy, mediastinal lymphadenopathy was detected. The test was followed up with a coronary artery CT which revealed a 75% blockage of her mid LAD.

Follow-Up 234
article thumbnail

Most Important

Sensible Medicine

She meets her existing patients and picks up a new one, Bill. They found a medication that made it harder to induce VT and sent him up to the medical floor for admission and monitoring with instructions to initiate that medication. After a mean follow-up of 10 months, 8.3% Bill is 35 and has a severe cardiomyopathy.

Billing 324
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

A major trash-talking “FAIL”

Scrubs

Here are some snippets: “After five minutes of talking to you in pre-op, I wanted to punch you in the face and man you up a little bit.” Followed by “It’s probably tuberculosis in the penis, so you’ll be all right.” Needless to say, the comments were less than flattering. Said the anesthesiologist to the patient.) What do you think?

article thumbnail

In Honor of the Three Greatest Words in the English Language

Sensible Medicine

RM is a 72-year-old man who comes to the office for routine follow-up of spinal stenosis, hypertension, and peripheral vascular disease. I was obsessed with the sport long before I began telling people, “I want to be a doctor when I grow up.” Sensible Medicine is a reader-supported publication. It is March.

article thumbnail

Doctor’s Failure to Follow Up on Medical Test Leads to Large Settlement

Pulmonology Advisor - Practice Management

Unfortunately, it’s not uncommon for physicians to order tests and then fail to follow up on results — often due to the sheer volume of patients that the physician sees. However, Dr P, who had an extremely high caseload at the medical center, failed to follow up on this finding. Some follow up on results.

article thumbnail

Primary care news round-up (27th February to 5th March 2025)

Practice Index

Lords bid to exempt practices from NI increases Practices could still be exempted from the increase in employers National Insurance rates following a vote in the House of Lords. Practices advised to continue safe working Practices have been advised to continue with safe working following the end of the contract dispute in England.

article thumbnail

Highs and Lows

Sensible Medicine

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. I came to her room for rounds in the morning. ” Seizing the interruption before I turned this into a full-blown therapy session, I got up and brought the tray over to her desk.