Nobody is born an expert and we all make mistakes. True, in medicine such mistakes can have detrimental effects. But as humans, we also have the ability to learn from the mistakes and failures of others.
It can be pretty embarrassing if you miss a pathology or an important finding. But it is even worse if you have mistaken a pathologic finding for an entire organ. When I was new to abdominal ultrasound this is what almost happened to me.
While left ventricular hypertrophy is a common finding, its assessment can be quite difficult. I certainly had my learning’s here. Lets start with the 5 most important things you should NOT do when you are looking at the thickness of the myocardium...
Did you ever take the time to read an old cardiology journal - maybe, one from the late 80ies – early 90ies? In a way it is amazing how much we already knew about diastolic dysfunction 30-40 years ago.
Are you familiar with the following scenario? You are imaging a patient where the EF that you calculate makes a huge difference. Will the patient be referred to surgery? Is heart failure treatment needed? Should chemotherapy be discontinued?
As Albert Einstein put it: Success comes from curiosity, concentration, perseverance and self criticism. So lets jump right into some of the things that I learned by making mistakes. This time we will deal with the topic of aortic stenosis here are the top five:
She told me that early this morning she awoke with pain in her lower abdomen that was still here. Otherwise everything was fine, but she would feel more secure if I could perform an ultrasound to confirm everything is okay.