Pool_1

Blake had the vantage to notice. Clearing his throat after a spontaneous symbolic room of silence, "Really doesn't need discussion. Can't imagine any one wanting... pfwheeewwww ... " "Cases 104801, 802, 803 and 804." Four cases which were urinary tract infections following catheterizations were discussed as a group against the cumulative data regularly kept by QA, the quality assurance committee. Total urinary infections were way down as compared to years before. Measures to reduce this common complication were working, but the search for any commonality to those that remained was sought. The only thread in these cases was the obvious one. They were all very old patients with histories of chronic urinary problems complicated by preadmission dehydration. Someone was asking whether maybe every dry old gomer that hits the door might not just be assumed.. "Judgement call. Case 104805, metal failure." Milton Blake didn't want to rehash that urinary issue again, as half the room was nodding and half grimacing. It would remain every doc for himself. No general policy would be enforced. There were simply too many variables to impose a single blind binding policy. "Marcus?" Marcus Macaluso stood up and described a child with brittle bones disease. "Johnny, show the first x-ray. It was an oddly shaped and very thin fractured right femur. This seven year old male with osteogenesis imperfecta presented to us six months ago with this. We surgically straightened the femur by multiple osteotomy and rodded it and also rodded the opposite one and both tibias." Post surgical x-rays showing straight steel reinforced leg bones were seen. We made temporary splints in the O.R. to protect this and prescribed full control braces for which castings and measurements were taken