Tuesday, August 21, 2007

Impatient medicine


---- Mortality rate increases 2% per hour in ascending aortic dissection
---- 90 minutes door to balloon time for acute myocardial infarction.

Cardiology Board Examination Preparation Course, not for wimps. Lecture 13 hours each day and the Cleveland Clinic has this ridiculous commitment to healthy eating- so no junk food, coffee or chocolate allowed in the lecture hall. Some kind of torture.

What impresses me when reviewing my chosen field is the focus on rapid evaluation and quick, concise treatment. This is contrasted by my experience in outpatient orthopedics.

Symptom onset 4.5 months ago, physical therapy for 8 plus 6 weeks. Wait and see approach, will it get better? Will osteoarthritis develop? What will the long-term outcomes of currently favored treatment be?

Recognizing that being a patient, when trained to be im-patient is challenging.

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