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I was working in the pediatric ER today. There was a mother who was super adamant about having plastic surgery fix the laceration on her daughter.

"I don't want no emergency medicine doctor touching her." Which might be a good idea if you are a private hospital where the plastic surgeon attendings actually show up in the ER when called. You are a teaching hospital... meaning the person on the bottom of the food chain goes to evaluate you. So she will likely get an intern or second year resident who is spending the month on plastic surgery.
Should have taken the 4th year ER doc who does this daily.

But more importantly I diagnosed hand-foot-mouth disease in a kid. I was telling my resident "so this kid has small erythemic lesions on his feet and hands, I wonder what... oh snap, let me check his mouth." That is seriously how the conversation went.


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