Thursday, May 22, 2008
(Tis better to operate on a patient who doesn't need it than to not operate on a patient who needed it!) Some people are able to make decisions, others want somebody else to make the choice. Many times it is the pain in the RLQ that seperates one group from the other. I often think that you can teach anyone how to do an operation. In fact, the operation is the easy part. The hard part is knowing when to operate. In the classic trip to the operating room to rule out appendicitis, a pretty good average was to be right 90% of the time. The main idea is that you would rather go in and find out that it was a swollen lymph node or something else rather than miss the peritonitis of a missed appy. In this world where 2/3 of the attorneys on this planet are in the U.S., I wonder how long it will be before any negative appy is a lawsuit.