Letters

Experience is paramount for successful management of disease

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7147.1828 (Published 13 June 1998) Cite this as: BMJ 1998;316:1828
  1. Martin Dumskyj, Specialist registrar in general medicine, diabetes, and endocrinology
  1. Kingston Hospital, Kingston upon Thames KT2 7QB

    EDITORőEarlier this week the medical firm on which I am registrar was on general medical intake. After a quiet day things began to get busy around 11 pm. Two patients with suspected oesophageal varices and haematemesis arrived almost simultaneously. Both had signs of cardiovascular compromise. Around midnight a woman with an anterior myocardial infarct was given thrombolysis. At 2 30 am the same patient developed transient complete heart block and pulmonary oedema, …

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