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> From: [log in to unmask]
> Subject: Re: Lost the Battle
> First, try agreeing with the bloke that it is difficult to detect
infection by
> simply auscultating the chest. I worked for an eminent consultant
> paediatrician who found in some research that patients in the situation
you
> describe were sometimes found to have a segmental pneumonia on CXR. And
before
Here in lies the gamble. Most of the time you will win the gamble because
you know it will be a viral trigger or simply uncontrolled asthma. Once in
a while you will get the above.
However, the obvious clue to your plan should have been the number of flare
ups over the preceeding months. If he/she has been coming frequently for
the antibiotic Rx it will be easy to persuade them that it was worsening
asthma that was the culprit not the lack of antibiotic. Furthermore, if
they did end up in hospital did they actually get antibiotic whilst in
hospital. If they were so treated then difficult to persuade
otherwise.Otherwise your case is easy.
Dinesh
Dr Dinesh Patel MRCGP
General Medical Practitioner
Fax: +44 (0)1772 769733
Email: [log in to unmask]
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