listening the patient

Edita Falco edita.falco at GMAIL.COM
Tue Oct 25 16:46:37 UTC 2016


Dear doctor Grossman
the story is as follows
1.Girl eats chicken
2-Girl feels adifficultyl when swallowing
3-A couple of days later feels chest pain, fever
4-Goes to the doctor
5-Gets an RX and is told to have flu
6-A week after the chicken food she wakes up with a violent hematemesis
7-Comes to the hospital
8-The mother founds chicken bone in the vomit.blood
9-Diagnosis is suspected(perforation of oesophagus and aortic vessel
10-vascular surgeon sutures both
11-Girl dies after some days in the ICU due to suture failure

the  fact i wanted to point is that the doctor who attended the first
 complain did not pay attention to the whole history and did not suspect
 the origin of the symptoms
So sorry for the confuson
edita

On Tue, Oct 25, 2016 at 1:42 PM, Edita Falco <edita.falco at gmail.com> wrote:

> Dear doctor Grossman
> the story is as follows
> 1.Girl eats chicken
> 2-Girl feels adifficultyl when swallowing
> 3-A couple of days later feels chest pain, fever
> 4-Goes to the doctor
> 5-Gets an RX and is told to have flu
> 6-A week after the chicken food she wakes up with a violent hematemesis
> 7-Comes to the hospital
> 8-The mother founds chicken bone in the vomit.blood
> 9-Diagnosis is suspected(perforation of oesophagus and aortic vessel
> 10-vascular surgeon sutures both
> 11-Girl dies after some days in the ICU due to suture failure
>
> the  fact i wanted to point is that the doctor who attended the first
>  complain did not pay attention to the whole history and did not suspect
>  the origin of the symptoms
> So sorry for the confuson
> edita
>
> On Tue, Oct 25, 2016 at 1:27 PM, Michael Grossman <
> Michael.Grossman at mihs.org> wrote:
>
>> 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
>> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>> *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
>> edita
>>
>>
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>>
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>>
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>>
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>>
>>
>






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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