Sunday, November 17, 2024

Google Doc

 

Han stopped by the ED few weeks ago and tapped on my shoulder and said” you are deity of medicine, you save one of my patient…” (deity of medicine in Chinese doesn’t mean god but just another way of saying that your had good medical skill)

I was confused and asked him about which patient…

He given me a medical chart number and I looked up the chart on the spot.

The patient came to ED 2 months ago complaining about generalized discomfort. I noticed that he had tremor and it was not typical of intentional tremor. I did a workup including a brain CT. The image was something that I had never seen before. There was unusual calcification over white matter and I had googled over the net and found a match --- FAHR syndrome.

It was not a spot diagnosis for someone like me that was not neurology trained. However it was an acceptable match, a good correlation between imaging and history. I had discharged the patient and written down the diagnosis in the medical chart.

Patient had later come back to our ED and admitted for renal problem with conscious disturbance and later admitted to Han service.

He saw my note and ordered a calcium profile and corrected the problem and patient had regained conscious…

Well, I told him that I gotten the diagnosis from Google, he however told me he could get the diagnosis even if he had googled. I grinned and told Han that  Google save the patient not me….

Googling was all about keyword and patience. You hit the correct keyword and explored as many pages of result as possible. The Chatgpt and sometimes Google function in a similar way where it found the most relevant info for you. The manual way of course took more time but yet it is more effective but no efficient.  

I did not claim the credit but yet I am glad the patient become better.

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