Friday, August 15, 2008
(two MDs consulting on a case) I wish everything in medicine was cut and dried like it is on TV. Sometimes though, you have to scratch your head and take a SWAG. (scientific wild ass guess). To help figure it out you call on partners, collegues and whoever you can get. The problem usually is that they are guessing too. It is one thing to sit back and guess from the sidelines, but having to act on the guess is a totally different thing because it is not you who will pay the price if you are wrong. Just recently we had a case where there is really not a good answer that has been determined for what to do with this type of cancer. My partner and I each had different opinions, two docs with a paradox. We tried to explain the diffent options and then the patient looked at me and said, do what you think is best. Luckily, they did well.