Cost-benefit analysis and the patient’s best interests
Me: She’s all skew-whiff in the collar. My lateral is garbage. CT her.
Ortho: OK, but find out who’s on call because if it’s Dr. Doo then I’ll not.
Me: Dr. Doo’s on call.
I ended up X-raying her too much, wasting time, hurting her and although most of my pictures were diagnostic, in the end I would have been better off recommending a radiological discussion and whole body CT. Or at the very least c-spine CT in the first instance.
I’ve learned from this. If I know that CT is better (because I cannot get adequate C-spine views) I need to stop sooner and involve a radiologist.
She did get CT in the end, but a different doctor asked a different radiologist for it and it was hours later than it should have been.
I wasn’t my fault: The ortho didn’t want to ask his grown-up to ask my grown-up and there’s nothing I could have done about that. I need to remember that and get over it.