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	<title>Comments on: This Is Cheating. Plain &#038; Simple.</title>
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	<link>http://www.catscanman.net/blog/2009/07/this-is-cheating/</link>
	<description>random noise, nebulous views &#038; artifacts</description>
	<pubDate>Mon, 21 May 2012 09:54:03 +0000</pubDate>
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		<title>By: Hildy</title>
		<link>http://www.catscanman.net/blog/2009/07/this-is-cheating/comment-page-1/#comment-48334</link>
		<dc:creator>Hildy</dc:creator>
		<pubDate>Sun, 19 Jul 2009 01:00:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.catscanman.net/blog/?p=1541#comment-48334</guid>
		<description>Completely cheating.

Any addenda should be clearly marked as such;  the preliminary report should stand and be dated with when it was dictated.

I cheated a litle recently;  I was confronted with a film that looked like http://www.medicalfinals.co.uk/joomla/images/stories/medical_finals/lllpneumonia.jpg and was reported by the outside (private) radiologist as an moderate effusion and hiatus hernia.  It wasn't until after we spent an hour trying to mark the effusion with bedside ultrasound that I looked at the lateral and came to the correct diagnosis.

When I wrote up my notes, I mentioned the report, but didn't mention that I didn't look at the lateral until 2 hours later.</description>
		<content:encoded><![CDATA[<p>Completely cheating.</p>
<p>Any addenda should be clearly marked as such;  the preliminary report should stand and be dated with when it was dictated.</p>
<p>I cheated a litle recently;  I was confronted with a film that looked like <a href="http://www.medicalfinals.co.uk/joomla/images/stories/medical_finals/lllpneumonia.jpg" onclick="javascript:pageTracker._trackPageview('/outbound/comment/http://www.medicalfinals.co.uk/joomla/images/stories/medical_finals/lllpneumonia.jpg');" rel="nofollow">http://www.medicalfinals.co.uk/joomla/images/stories/medical_finals/lllpneumonia.jpg</a> and was reported by the outside (private) radiologist as an moderate effusion and hiatus hernia.  It wasn&#8217;t until after we spent an hour trying to mark the effusion with bedside ultrasound that I looked at the lateral and came to the correct diagnosis.</p>
<p>When I wrote up my notes, I mentioned the report, but didn&#8217;t mention that I didn&#8217;t look at the lateral until 2 hours later.</p>
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		<title>By: enrico</title>
		<link>http://www.catscanman.net/blog/2009/07/this-is-cheating/comment-page-1/#comment-48333</link>
		<dc:creator>enrico</dc:creator>
		<pubDate>Sat, 18 Jul 2009 20:36:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.catscanman.net/blog/?p=1541#comment-48333</guid>
		<description>I'm sure that radiologist was shady and was a key component to the real events, but I'd take at least half of what WhiteCoat writes with a grain of salt, if not outright suspicion. Too many of his stories--even before EPMonthly--were often *too* perfect, all the dialogue "just so", and that's exactly what one could expect from a good writer who at the same time needs to cover his tracks (as per HIPAA). One would think that writing in such an official forum now it would be less the case, but one never knows--perhaps the need is to be even more obscuring/fictional. 

All I know is that I trust bloggers that steadfastly remain anonymous about as far as I can throw 'em. Add that to a self-serving spectacle drawn out over 20 parts for maximum readership?  Yes, John Grisham taking notes is about right.</description>
		<content:encoded><![CDATA[<p>I&#8217;m sure that radiologist was shady and was a key component to the real events, but I&#8217;d take at least half of what WhiteCoat writes with a grain of salt, if not outright suspicion. Too many of his stories&#8211;even before EPMonthly&#8211;were often *too* perfect, all the dialogue &#8220;just so&#8221;, and that&#8217;s exactly what one could expect from a good writer who at the same time needs to cover his tracks (as per HIPAA). One would think that writing in such an official forum now it would be less the case, but one never knows&#8211;perhaps the need is to be even more obscuring/fictional. </p>
<p>All I know is that I trust bloggers that steadfastly remain anonymous about as far as I can throw &#8216;em. Add that to a self-serving spectacle drawn out over 20 parts for maximum readership?  Yes, John Grisham taking notes is about right.</p>
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