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- Nov 27, 2002
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I've noticed for several years that pediatricians always seem to want to order lots of stuff extra when I call them about their patients. I'm talking about stuff they wouldn't order when seeing the patient themselves. For example I just gave a peds a courtesy call to say that I'm discharging a 2 year old on some amox for a pharyngitis and he askes what the white count is. After I explained that I didn't stick the kid for a non-toxic presentation and a "fever" of 100.0 he said "Well, you really should get a CBC with a diff."
Aside from the fact that this won't change the management of the kid at all I think that these guys just have this attitude that sticking kids in the ED is really easy and quick and that every kid that rolls in needs a full work up. I know that these guys are not referring every pharyngitis and viral syndrome out to the lab for a draw. Why does it need to be done in the ED?
Aside from the fact that this won't change the management of the kid at all I think that these guys just have this attitude that sticking kids in the ED is really easy and quick and that every kid that rolls in needs a full work up. I know that these guys are not referring every pharyngitis and viral syndrome out to the lab for a draw. Why does it need to be done in the ED?