My Latest on KevinMD – 7/26/20 on ACDW

I was left wondering exactly what was what, not an unusual situation in primary care. Was there cellulitis? Did he have shingles with mild encephalitis? Does he have a disc problem in his neck that might flare up again when he is off the prednisone? And did his blood sugar play any part in his altered mentation? I’ll probably never really know.

I keep coming back to the famous quote by Sir Willam Osler, “Medicine is a science of uncertainty and an art of probability.”
— Read on

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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”.



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