I saw the patient this morning. He received 2 injections of SOLU-CORTEF yesterday afternoon; 1 intravenous and the other given subcutaneous near the bite wound. I was horrified when I saw him. The hand was darker; more bloated. The fingers are more pale than yesterday. In other words, the steroid was not working. But the patient insisted that the swelling has diminished in size. The pain has subsided and there was no numbness on the tips of the fingers signifying CARPAL TUNNEL SYNDROME or the impingement of the nerve passing thru the wrist. The treatment was working but the doctor cannot see the difference or the effect of his management.
In here, you can see the importance of communication and rapport between the patient and the doctor. If I did not believe my patient, I would insist surgery; open up the hand to release the pressure. But I believed him and he believed in what I was doing.
In here, you can see the importance of communication and rapport between the patient and the doctor. If I did not believe my patient, I would insist surgery; open up the hand to release the pressure. But I believed him and he believed in what I was doing.
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