We have a new doctor, Alex. He's from Maine and is another DO. I am trying to train him as Larry, our Medical Director, is going home for Christmas. I am trying to show him the ropes, but the ropes here are not like ropes anywhere else.
Anyone who does medicine will tell you that one of the coolest feelings is when you come up with a difficult diagnosis and you are proved right. We will also tell you that ya can't gloat because for every time you are right, there are three times that you were clueless. But, I couldn't help myself. A patient came to the clinic and the Medic told me he was stumped. He had weird abdominal pain and I poked on his belly and thought that he may have appendicitis. I ordered a complete blood count and he had an elevated white blood cell count, indicating that something just wasn't right. So off I went to the Role 3 to present him. The accepted him and I asked them to do a CT scan. I went back later to see how he was doing. The NP there didn't feel that he had appendicitis. And had decided that he didn't need a CT scan. "based on my clinical judgement," he said. I bit my tongue. They do us a favor by doing CT scans. No sense in pissing him off. I was bursting at the seams. "What clinical judgement?!" I wanted to yell. I thanked him for seeing my patient. I told him to call me when he was ready. We then started talking about all of the weird diagnosis we have had since we've here. I was fuming as I drove back to the clinic. His last comment was,"well the CT scanner will always be here if he gets worse later on." Ok, he was no longer my patient, but all I wanted for Christmas was a CT scan of his belly. No worries. I will deal with it. Maybe I'm wrong. Later on, I realized thatI hadn't heard from them, so I sent Larry down to pick the guy up, because I was busy in the clinic. He drove down there but returned without the patient. "Where's our guy ? I asked. "In the operating room, getting his appendix out." He said. I couldn't help myself. I jumped up and gave myself an imaginary high five. Even a blind squirrel finds a nut now and then. Turns out that his appendix had slipped up and behind another organ, giving him an unusual presentation. I guess sometimes the voices in my head are right. Sometimes...
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