-=> Quoting Chris Ecclestone to Mark Anderson <=-
 
 CE> Sunday February 23 1997 16:02, Mark Anderson wrote to Jim Jeffcoat:
 
 JJ>> Kind of makes you wonder what they did before they were invented!
 JJ>>
 MA>         That's easy. They used common sense and sound clinical 
udgement!
 CE> 
 CE> What's scary about that is that your sentence is in the past
 CE> tense.  Common sense and sound clinical judgement should never be
 CE> replaced by machines which  report numbers whose accuracy is never
 CE> certain.  Pulse oximiters are no more  than a tool to be used to
        As is a monitor or glucometer etc......
 
 
 CE> enhance your common sense and sound clinical  judgement.  Never forget
 CE> that they may lie to you though.  Treat the patient -  not the monitor
        As will a monitor or glucometer etc.....
        I've said for years that all the widgets in the world won't replace
        common sense. Really all they're good for is to complicate your life.
        I don't need a pulse ox to tell me my patient is having trouble
        perfusing. A monitor will only tell you ancillary information anyway.
        V fib isn't necessarily the problem, it is just as much a symptom. 
After
        all SOMETHING has got to cause it, right? About 23 yrs ago a wise old 
medic
        once told me, we don't diagnose a thing. We treat symptomatically. A 
bit
        oversimplified yes, none the less true.
 
 
        Mark
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 CE> (the monitor isn't sick). ;) 
 CE> Chris
 CE> 
 CE> -!-
 CE>  ! Origin: Softstone Systems Corporation (Fidonet 1:249/113)
 
 
 
... "Don't mince words, Chris ... what do you *REALLY* think?"
 
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