Monday, April 17, 2006


The unknown diagnosis. It's like a friend you've just met: you're smitten with possibilities. Then you start in on it and it'll turn out to be something or other, another normal disease, just like your friend will turn out to just be a normal person.

But right at takeoff it's still open. And that's where I am with one of the patients. This one is highlighted by the fact that I'm leaving and won't do the follow ups that'll seal the diagnosis, for better or for worse. But on this one I'll get the rest of the story.

I find the most interesting cases are always slightly outside my comfort zone, which is exactly what makes them interesting, they are not routine.


Blogger Peg Spencer said...

I agree totally. Docs are weird that way; the sicker the patient, the more excited we get! Well, not really, but I do find mysteries and illness fascinating.

Where are you going that you won't be there for the punch line? Vacation, one hopes.

Hope the patient recovers quickly.

5:11 PM  
Blogger marybishop said...

Keep us posted on the diagnosis!

I was thining, it must really suck when there is more than one ailment bothering the patient...then you have to sort out what symptoms go with what disease...

I remember being a "celebrity" patient in the hospital when I was admitted with FUO and no other symptoms.

After one week and a gazillion tests, I remained a patient with FUO -- and then thankfully for all our sakes, I was given the diagnosis of mono....and finally sent home!

12:05 PM  
Blogger marybishop said...

thinking, not thining...

12:59 PM  
Blogger Doc NOS said...

FUO: how horrible! Bet you never knew how many crevices the human body can hold a cause of a fever.

This guy has a myopathy. When there's an diagnostic issue, get diagnostic tissue.

10:04 AM  

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