General

When Doctors Disagree

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20 Mar 2017 - General
 

Doctors frequently have different opinions regarding disease management. This is one of the common problems that is being encountered in practice. I saw this facebook post of a hematologist who cleared a patient for surgery despite having prolonged bleeding time. The attending surgeon refused to operate unless the bleeding time is corrected and insists on having transfusion. The hematologist claims that there is no indication to transfuse. Do you commonly see this in practice? If you were the hematologist, how would you have reacted to the surgeon's decision?

Picture credit: http://www.medscape.com/viewarticle/845790

Priscilla Mae Gobuyan I share the same insight. I think that the hematologist is keen on following evidence-based clinical practice guidelines regarding blood transfusion. I am certain that everybody here is aware that blood transfusion also carries complications. The benefit to risk ratio should always be considered. Perhaps these are the parameters that the hematologist considered prior to deciding to clear the...
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Thank you for sharing your thoughts on this topic. Jemelyn Mae Sodusta this kind of disagreement is actually not evident physically. Usually, these kinds of differences in medical opinion are documented in charts wherein another doctor overrides the decision of the specialist. In regards to the plight of the hematologist, because it is her specialty, I think that the surgeon should have spoken to her personally i...
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This kind of scenario can't be avoided in the real world wherein every doctor has their own area of expertise. If this thing arise, the doctors should talk within theirselves and weigh each point of view. Doing an operation is really critical and we need to stabilize bleeding, clotting, electrolytes and other parameters as it may affect the success of the operation. However in some instances especially for light and death situation, some may pursue depending on the advantages of the procedur...
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