La incierta Fama Profesional
Este es un claro y doloroso ejemplo de que a pesar de los mejores esfuerzos que realices, siempre existe la posibilidad de que aparezca algún paciente o familiar de este, que te estropee el día y de que la ' fama ' de un profesional puede ser tirada por los suelos de una manera infame por personas que, aparentando ser educadas y normales, esconden malas actuaciones, malévolas, en contra de quienes les tratan con todo respeto y con ganas de ayudarles. Se trata de un caso de paciente femenina, adolescente , de 12 años de edad. Fui llamado para realizar eco-sonografia de Emergencia por dolores abdominales intensos, diarreas, nauseas y vómitos. Menarquia a los 10 años, ultima menstruación hacia 21dias. No había cuadro febril pero su hemograma mostraba una leucocitosis de 14,500 con desviación izquierda en el diferencial. Estando presente la madre, la paciente fue interrogada, le palpamos el abdomen y tranquilizando a la paciente y a la madre, explicamos nuestro parecer clínico y a continuación realizamos en examen sonografico. En la parte abdominal, todo esta normal, pero al llegar a la pelvis encontramos un quiste ovárico izquierdo que desplazaba al cuerpo uterino hacia la derecha, las medidas fueron de aprox 5,22 X 5,75 X 4,12 cm con volumen de aprox 64,70 ml, mostraba múltiples tabiques y aumento del flujo periférico al Doppler Color. Le explicamos con lujo de detalles la situación a la madre y respondimos todas sus preguntas, a continuación llego el padre y volvimos a explicar todo, respondiendo a todas sus preguntas, recomendamos que fuera consultado un ginecólogo y el padre preguntó si tenia alguno al cual recomendar, le dijimos que cualquier ginecólogo estaba en capacidad de manejar esa situación, le apunte que solo había dos caminos, uno el tratamiento quirúrgico y el otro el conservador y que seria el ginecólogo quien decidiría lo mejor para el caso de su hija. Se despidieron agradeciendo, con mucho cariño, las explicaciones y la forma en que les tratamos, sin embargo, al día siguiente, cuando indague que había pasado con la paciente, me informaron que la madre había pedido el alta clínica, alegando de manera muy airada, que el sonografista había inventado eso, que su hija no tenia ningún quiste, que yo era un mentiroso y fabulador...…hagan su juicio.....El trago fue muy doloroso para mi, ya que trato de dar lo mejor que se y puedo en cada caso, no esperando nada a cambio, …solo respeto. Me puedo equivocar, estoy muy consciente de eso, y trato de evitarlo a toda costa, pero nunca, nunca, he inventado un diagnostico, de eso pueden estar seguro. He aquí las imágenes del caso, juzguen por estas imágenes lo que me invente .
This is a clear and painful example that despite the best efforts you make, there is always the possibility that a patient or relative this, it spoils your day, and that the 'reputation' of a professional can be pulled displayed on the floor of an infamous manner by people who, pretending to be educated and normal hide wrongdoing, evil, against those who treat them with respect and eager to help. It a case of a female patient, teen, 12 years old. I was called to make eco-sonography Emergency by intense abdominal pain, diarrhea, nausea, and vomiting. Menarche at age 10, last period to 21days. There was no fever but his blood count showed leukocytosis of 14,500 with a left shift in the differential. Mother is present, the patient was questioned, you palpate the abdomen and reassuring the patient and mother, explain our view and then perform in clinical sonographic examination. In the abdominal part, everything is normal but when you reach the pelvis found a left ovarian cyst displacing the uterine body to the right, measures were approx 5.22 X 5.75 X 4.12 cm with a volume of approx 64.70 ml, showed multiple partitions and increased peripheral flow at Color Doppler. We explain in detail the situation for the mother and answered all your questions, then I get the parent and returned to explain everything, answering all your questions, we recommend that it be consulted a gynecologist and father asked if I had any to which recommend we told that any gynecologist was able to handle that situation, you point it had only two roads, one surgical treatment and other conservative and gynecologist who would decide the best for your daughter's case. They parted thanking, fondly, the explanations and the way we treat them, however, the next day, when inquiring what had happened to the patient, I was informed that the mother had asked the high clinical grounds very angrily that the sonographer had invented that, her daughter did not have any cyst, I was a liar and storyteller ...... make your judgment ..... the drink was very painful for me, and I try to give and the best you can in each case, not expecting anything in return, ......... just respect. I can be wrong, I'm well aware of that, and try to avoid it at all costs, but never, I've never invented a diagnosis, that they can be sure. Here are pictures of the case, judging by these images that make up me.
The Uncertain Fame Professional
This is a clear and painful example that despite the best efforts you make, there is always the possibility that a patient or relative this, it spoils your day, and that the 'reputation' of a professional can be pulled displayed on the floor of an infamous manner by people who, pretending to be educated and normal hide wrongdoing, evil, against those who treat them with respect and eager to help. It a case of a female patient, teen, 12 years old. I was called to make eco-sonography Emergency by intense abdominal pain, diarrhea, nausea, and vomiting. Menarche at age 10, last period to 21days. There was no fever but his blood count showed leukocytosis of 14,500 with a left shift in the differential. Mother is present, the patient was questioned, you palpate the abdomen and reassuring the patient and mother, explain our view and then perform in clinical sonographic examination. In the abdominal part, everything is normal but when you reach the pelvis found a left ovarian cyst displacing the uterine body to the right, measures were approx 5.22 X 5.75 X 4.12 cm with a volume of approx 64.70 ml, showed multiple partitions and increased peripheral flow at Color Doppler. We explain in detail the situation for the mother and answered all your questions, then I get the parent and returned to explain everything, answering all your questions, we recommend that it be consulted a gynecologist and father asked if I had any to which recommend we told that any gynecologist was able to handle that situation, you point it had only two roads, one surgical treatment and other conservative and gynecologist who would decide the best for your daughter's case. They parted thanking, fondly, the explanations and the way we treat them, however, the next day, when inquiring what had happened to the patient, I was informed that the mother had asked the high clinical grounds very angrily that the sonographer had invented that, her daughter did not have any cyst, I was a liar and storyteller ...... make your judgment ..... the drink was very painful for me, and I try to give and the best you can in each case, not expecting anything in return, ......... just respect. I can be wrong, I'm well aware of that, and try to avoid it at all costs, but never, I've never invented a diagnosis, that they can be sure. Here are pictures of the case, judging by these images that make up me.
