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Most doctors would have ordered the CT Scan if for nothing else as a CYA move on their part, so when 7 years from now the patient sues them, hoping to hit the lottery, the doc will have all the necessary ammo for the lawyer who is going to have perfect 20/20 hindsight on his every move. My wife is an ER & Rape nurse, and it's not at all unusual to be called into court many years and thousands of patients later to attempt to perfectly recount every single move made to treat a patient. It's one of the reasons people get so many tests and procedures for what may be a simple injury, because the doctor & his team will have to be able to make answer for any number of Monday Morning Quarterbacks who will 2nd, 3rd & 4th guess them in court.
The lazy ones practice defensive medicine. The good ones practice evidence based medicine.
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--Some of us look for The Way in opium and some in God, some of us in whiskey and some in love. It is all the same Way and it leads nowhither.