Harvey Louzon wrote:
> I don;t understand the logic here.
Nor do I. Why is it necessary to keep a well-appearing, generally
healthy patient who is most likely to have a disease that requires no
treatment in the hospital just to receive "just-in-case" IV antibiotics
once a day?
By the way, it seems to me that all of these discussions - CT before LP,
LP at all, antibiotics before LP, etc. - occur because of our
insurance-based health care system, that has physicians making decisions
that are not theirs to make. Travel agents don't decide where their
clients should go on vacation, chefs don't decide which meal their
diners should eat and so on. Our jobs should be to present the data,
and patients should make their own cost-benefit analyses.
With regard to the well-appearing, probably viral meningitic [is there
such a word?], my guess is that if you offered these patients $400 in
cash versus the admission, they's all take the former. I know I would.
- Mike Newdow
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