It's been over a week since I posted last. Will try to get here more often. Sorry. Last week was full of patient care (of course) and finishing the application for a grant to help build a digital library of family medicine resources. While I'vebeen involved in grants before, this was my first experience as the primary author of a grant.
Today's medical interest:
Saw a 40ish man who runs a lot … looks like he may have a fibular stres fracture. How to diagnose this? Well … there's a guideline on appropriate work-up of stress fractures, and clearly the recommendation is that after at least one .. but perhaps two negative x-rays … MRI is the best modaility. I ordered x-ray #2 yessterday, and tried to set up MRI, but the patient's insurance refuses to let a primary care physician order and MRI. Wow. Will refer to ortho.