In message <[log in to unmask]>, Katie Law <katie@utu-
mno.demon.co.uk> writes
>I would also argue that it is too easy to do investigations - e.g. we do
>pregnancy tests at the drop of a hat when time will provide an answer as
>often as not,
Doesn't this depend on the *relevance* of the investigation?
If the patient *doesn't want* a termination, then the only reason for
doing a test would be the need to treat with something which might be
detrimental to the foetus...
>we send MSUs at the first sign of so called *cystitis*.
Do you consider that the future management will be changed by knowing
both the presence or absence of the organism (if there is one), and/or
the drug sensitivities?
E.g. Do you refer paediatric patients with *documented* bacterial UTIs?
>If presented with these same symptoms in the middle of the Antarctic or
>somewhere equally rural (Wales?) we would have to use time and intuition
>and clinical expertise alone.
as we may have to do after 1.1.2000!...
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|