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Re: pathology

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Ever since entering into solo practice, I thought patients were much sicker with

acute illnesses. I realize that at my last practice I did not get to see my

patients when they seriously ill. I was too busy...

And during what I refer to as " May Medical Mystery Month, " I see 3-5 patients

per week with differential diagnoses a mile long. I saw 2 teens with mono

hepatitis (no sore throat or lymph nodes until a few day after jaundice), a man

with back pain due to a change from brand prevacid to generic (that took a while

to figure out, but involved the $*%^#*% " GI cocktail " that I should have given

him after the first 2 visits), and 2 febrile RLQ pain females that the surgeons

were happy to do appendectomies on for normal organs.

As I am learning with time, communication and patient confidence is key. I sent

far more folks to the ER on nights and weekends than I ever do now -- but I

still dread " May Medical Mystery Month. "

a Garrido, ARNP

www.villagefamilyclinic.com

>

> just checking if anything is in the air...in the past week, i've had new

> breast ca dx, new prostate ca dx, acute cholecystitis and now today a

> spontaneous pneumothorax. crazy.

>

> have good day all

>

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