Thursday, December 13, 2007

Up to date

My resident loves to say "I have checked with Up-to-Date and we should do this and that."

Well, literature can only be as good as the person who uses it. If you ask a wrong question or - more commonly - put your emphasis on irrelevant things, no clinical trial or textbook could help. Unfortunately, laboratory and radiological investigations are now performed in such a shotgun approach that there are often more red herrings than genuine problems. It really needs wisdom rather than book knowledge to decide that a slightly abnormal investigation result is irrelevant and should be put aside (at least for the time being).

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