Instant Feedback

My pager went off just after supper. The caller was Cindy Spofford, who works in a local real estate office, the patient was her four-year-old daughter Amanda, and the number was a cell phone. Their regular physician is Dr. Wilford Brown.

“Hi Doctor, thanks for calling me back. We’re down in the Capital City visiting my parents for Christmas. Amanda has had this terrible cough for two days and we just took her to the emergency room. They diagnosed her with bronchitis but didn’t give her an antibiotic. We wanted to check with you if that makes any sense.”

I inquired about her general condition. She didn’t have a high fever, had no trouble breathing, was eating and drinking fine, didn’t have any history of asthma, and her cough was dry and almost barking; I could hear her in the background, coughing in the back seat.

“Well, bronchitis is usually viral”, I explained. “Doctors have been quick to prescribe antibiotics for bronchitis for many years, but most of the time, they’re not necessary. Even ear infections are often caused by viruses, and can go away without antibiotics. You probably know how much trouble we’re having now with drug-resistant staph infections, right? They are such a problem because of all the antibiotics we have used unnecessarily over the years.”

I made sure that Amanda had had a decent physical exam and reviewed the warning signs that would warrant a return trip to the emergency room down in the Capital City.

Cindy thanked me. I wished her family a Merry Christmas and mused over how a reassuring voice on a cell phone from your hometown sometimes rates higher than an in-person opinion from a big city emergency room doctor.

1 Response to “Instant Feedback”

  1. 1 Country Doc December 21, 2008 at 2:57 pm

    It’s always nice to hear that our opinion is still valued. It again speaks to the power and potential that continuity of care holds. Good for that ER doc that didn’t take the easy route and just write an antibiotic as well.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.


CONDITIONS, Chapter 1: An Old, New Diagnosis

Top 25 Doctor Blogs Award

Doctor Blogs

Enter your email address to subscribe to this blog and receive notifications of new posts by email.


contact @
Bookmark and Share
© A Country Doctor Writes, LLC 2008-2022 Unauthorized use and/or duplication of this material without express and written permission is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given.

%d bloggers like this: