Tuesday, March 1, 2011

Tunnel Vision

During the ward rounds today, the Head of department of surgery said something that I thought was very interesting.

Mr. AR is a patient who has been in the wards for around 2 months. He has had extensive burns over his lower limbs after a seizure. We grew used to the sight of this frail looking man over the past few weeks and today, the consultant reminded us not to have a tunnel vision.
By tunnel vision, he meant that at times, doctors are so used to see a patient with a known diagnosis that they often forget to look at the other issues that the patient might have. In this case, he was actually worried that the patient might be suffering from malnutrition as the catabolism rate increases in patients with extensive burns.

Indeed, this is something I would not have thought of. And another lesson learnt!

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