"Micro Managing Morons" Says The Dinosaur

That's what Dr Dinosaur called us folk after she rants about guidelines and  the reality of real life medicine.  The gist of the post is well taken.  It's difficult to manage all patients with guideline driven medicine all the time.  In fact, I would say its very difficult to manage most patients with guideline driven medicine all of the time.  Obviously this fictional patient she speaks of in exquisite detail doesn't exists.  Perhaps he never had diabetes.  Perhaps he never had cancer.  Maybe he never had a problem swallowing pills.  Perhaps the whole thing is made up.

Your make believe patient was managed in a way that other doctors, me included, would not have.  I suppose there is more than one way to skin a cat.  And that's all fine and dandy.  That goes along well with the point of the post.  That guidelines aren't always appropriate.  At least I presented my rational for my thought process.

I suppose you can consider those that question the rational of your fake management decisions "micro managing morons".  I wouldn't.  I would consider it communication.  If you are going to present a fake patient, be prepared for others to present their opinions on your fake management skills.   Or better yet, disable the comments far sooner that you did in this case so your management skills stand without discussion.