listening the patient

Michael Grossman Michael.Grossman at MIHS.ORG
Tue Oct 25 16:27:21 UTC 2016

The story you relate seems almost impossible. Who saw the patient? its not non listening , but rather active DISREGARD, not just for the historic information , but equating massive hematemesis with a "flu"  diagnosis seems a bit out of touch.

Michael Grossman, MD, MACP

Special Assistant to the Dean

Professor, Internal Medicine

Professor, Biomedical Informatics

University of Arizona College of Medicine Phoenix

From: Edita Falco [edita.falco at GMAIL.COM]
Sent: Tuesday, October 25, 2016 7:08 AM
Subject: [IMPROVEDX] listening the patient

Dear colleagues

Absolutely true!!!  the patients tell the story.... if we know how to listen

Short story
teen ager comes to ward with huge hematemesis.Her mother shows a chiken bone the girl has vomited with the blood-
some days before   she had suffered a problem while eating ..later feels chest
disconfort, malaise, fever..Goes to doctor gets a RX and is sent home with
flu diagnosis...nobody paid atention to the incident.
The bone had eroded
the esophagus and produced an aortic tear...she died days after being
repared the lesion
nobody listened the true story


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