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- July 8, 2018 at 12:50 am
thank you so much for your expedient replies. you helped to ease my mind. I just needed to hear someone else say it. yes, I was going to insist on the excisional biopsy.
thanks!
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- July 7, 2018 at 9:04 pm
thank you Celeste. I know it wasn't there yesterday. I notice every tiny detail that is out of place, always. I was teased over this tendency in my residency, to notice that an infant had a hypospadias even as we were resuscitating him. this nevus is so dark it looks like a bug on my face and I would have seen it yesterday if it was there. this rapid onset is the only reason for my concern. if I didn't know how rapidly it was changing I would be fine with waiting til next week. even so, I do appreciate your reassurance and I am sure you are correct.
FYI, I was never a doc who would be complacent with my patients' waiting to receive proper medical attention from specialists. If I had a reasonable concern for cancer I would be on the phone insisting my patients were seen within 24 hours if not the same day. I have been shocked by other doctors' complacency, and I am sorry for all people who have had to be subjected to this. I once had to get on the phone to insist a friend be seen by oncology same day after he faxed his CBC to me which his doctor had been sitting on for over a week, despite the fact he was having fevers. it obviously showed leukemia and by the time he was admitted the same day I saw the CBC, he was almost in renal failure. just because medical delays happen, does not mean they are appropriate.
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