Should have known better than to suggest controversial medical investigation
like taking the patients temperature on GP-UK :-)
...and I admit it, I'm not even a 100% sure that a raised temp is
"evidence -based" (hangs head in shame at lack of meta analysis and full
literature search).
Go on, buy an ear clicker and revel in those 0.5 degree left-ear, right-ear
variations <g>
Paul Galloway
-----Original Message-----
From: David Evans <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 26 April 1998 23:49
Subject: Re: Dream on........
On Sat, 25 Apr 1998 04:54:30 EDT, Medandson <[log in to unmask]> wrote:
>One of our better local Paediatric Consultants says that kids are hot or
not
>hot and really all of this "Have you actually got a temperature recorded
>doctor?"I think is probably a ploy by abrasive registrars to a)humiliate
and
>b)deflect referrals.
Yes, but subjective skin temperature can be very deceptive, esp. in
adults. I am sometimes surprised by pryrexias suggesting significant
infection in someone whose skin felt normal - e.g. 39.5 C in a pt with
loin pain. Conversely lots of people with flushed hot feeling faces
have normal temps when you measure them, and when it only takes a few
seconds, why not do it?
David
---------------------------------------
Dr David Evans
Cardiff
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