Robert Treharne Jones wrote:
>
> Chap turned up the other evening with a vague ache down the left side of his neck, no nodes, and some tingling at the angle of his mouth - on the other side. I had no idea what it was, and told him so - see SOS etc.
>
> The next day, presumably cliically advanced, he presents in A&E and the make the diagnosis of Bell's palsy. They give him a week's course of high-dose oral steroids. Who did they do this?
>
> a. Tried, trusted, and medically approved, according to recent EBM
> b. They had to do something, and it seemed like a good idea
> c. Something else.
>
> Answers please.
>
> Robert
>
> Dr Robert Treharne Jones
> aka Wizard Wheeze Computing
> 8 Oxlea Road, Wellswood, Torquay TQ1 2HF
> Tel: 01803 214864
> email: [log in to unmask]
This has happened to me too. I thought there was no evidence FOR any
kind of steroids, but hosps (A/E Neuroligists or whoever sees pt) tends
to prescribe. This type of behaviour also happens when patients go to
A/E after you've practised EBM and NOT given antibiotics for URTI.
Why? I think they are covering their backs
Yomi
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