The primary doctor should have been more aggresive with this patient. If a patient has been vomiting, and has not developed diarrea after 24 hours, one should reconsider the gastroenterits diagnosis.
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The primary doctor should have been more aggresive with this patient. If a patient has been vomiting, and has not developed diarrea after 24 hours, one should reconsider the gastroenterits diagnosis.
I never comment on the work up by any doctor prior to my involvement. Hindsight is always 20/20 and playing the armchair quarterback is always very easy once all the information is in front of you.
But to your point, the pt saw his primary doctor once and decided to bypass him after he wasn't getting better. So from the primary doctor's viewpoint he had no idea that the patient wasn't improving. More to that point, the primary doctor had no idea what the guy had until I called him on discharge. So again, easy to blame someone once you have all the info but I always put myself in someone else's shoes before assigning blame.
Yes, but you wrote he had been vomiting for two weeks. Did he see his primary doctor after two weeks and then the gastroenterologist after 5-6 days?
He had been to his primary doctor ALREADY
and had been told that he probably had "viral gastroenteritis" That happened at some point in the two week period.... Subsequently he went to GI. Maybe the way I wrote it is confusing...