I wanted some input from ya'll. I'm a senior EM resident and it seems that whatever I do with diagnosing appy, I'm wrong in the surgeon's eyes. If I have someone with an obvious appy and call before a CT, I get told to do the CT and call back. If I do the CT, I get told that I didn't need it and should have just called. Regardless, it seems like everyone I'm concerned about ends up getting the CT. So my question is this: What is your practice? If your ED doc calls with a great story, would you lay hands on the patient and go to the OR? Is it acceptable practice to operate in 2015 without a CT scan? Also, what is your practice setup, as I imagine this affects your decision. Thanks!