4.7 • 643 Ratings
🗓️ 17 August 2023
⏱️ 22 minutes
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0:00.0 | Doctors who have given a second opinion diagnosis, what is the worst first opinion you've ever |
0:05.5 | encountered? I'm a surgeon. Most patients come to me after having seen another physician who has |
0:10.6 | diagnosed them with something and told the patient to see a surgeon. I've been called to see more |
0:14.9 | than one patient for appendicitis, who has already had an appendectomy. I've also been called |
0:20.8 | in multiple cases for patients who very obviously have an appendectomy. I've also been called in multiple cases for patients who |
0:22.4 | very obviously have previously undiscovered very advanced cancer. It's always too far advanced |
0:28.5 | for me to be of help, so I have to wonder, am I being called so I can be the bad guy and explain |
0:34.0 | everything? Yes. The answer is yes. This is the opposite answer, but the best |
0:40.5 | request for a second opinion came from a CVS Minute Clinic. Young healthy law student goes to |
0:46.2 | Minute Clinic. Has the flu? This was a few years ago, no rona, feels awful. They check him out. |
0:52.4 | Yup, he has a fever. Aaks, sore throat. It's the flu. Flu |
0:56.5 | Swab positive. His clinic vitals were notable for a heart rate of 140. A bit high, but not crazy |
1:02.6 | high. Reassuring numbers are under 100. The guy otherwise walks into the CVS and is a healthy |
1:08.6 | young guy. Would have been pretty easy to dismiss it. |
1:11.7 | Anyway, the minute clinic says go to the ER, you need an EKG. |
1:15.8 | So the guy follows orders. |
1:17.7 | ER chief complaint is, I have the flu and CVS told me to come here. |
1:22.3 | ER gets an EKG and he's in slow VT, which is a life-threatening arrhythmia that you have to be shocked out of. |
1:29.3 | They take a look at his heart, and it was giant and barely moving. He had an insane myocarditis. |
1:35.2 | Dude ended up getting cannulated for ECMO within hours, cardiac bypass machines as life support. |
1:41.6 | I can't say all minutes clinics are the same, but holy crap, |
1:45.0 | that was a great save. I'm a gynecologist. The number of times I've seen patients pregnant and |
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