It sometimes puzzle me as to why some doctors are just plain ignorant. During my last few days of on call i have had a couple of referrals of which i thought could be easily handled by even the most junior doctor but... no...they had to be referred for a second opinion.
First case, a three year old girl who had sustained a perineal injury while playing on the slide. No child protection issue are of concern. Paeds registrar had wanted me to give an opinion of any possible laceration of the ? vagina. Firstly I wasn't impressed with the timing of referral as the child was admitted seven hours prior to this. Secondly, she had not even attempted to examine externally the child's perineum. How lazy can one get? We refer to the paeds when there are issues about ambiguous genitalia but they can't even tell whether there is any laceration on the labia??
Second case, a woman had just recently had a termination of pregnancy (which is entirely legal here in the UK under the Abortion Act) but subsequently passed out a piece of tissue which was said to be a fetus by the GP. Women was obviously distraught and came to the A&E for reassurance. Doctors in the A&E examined the product and inform me that it was definitely a fetus. So, i send the patient up to the ward for a review. The so called fetus? Well...it turned out that it was a piece of placenta tissue. i don't think it is at all hard to recognise a fetus. It should look like a very very small baby..with a head, upper and lower limbs! Poor lady was so convinced that she burst into tears and had to be persuaded to calm down and reassured..
I am not saying i am perfect but at least i try harder than these doctors...sigh...
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