6/26/2019 1 Comment Once in a Career CasesDr. Theodore Woodward is famous for the aphorism he coined in the late 1940s at the University of Maryland School of Medicine. He told his medical interns, "When you hear hoofbeats, think of horses, not zebras." When asked to describe his upcoming lecture at the 2019 VisionAmerica Summer Conference titled, "Once in a Career Cases," Dr. Matthew Katz took the old adage one step further and said, "These cases aren't zebras, they are my unicorns." If you have practiced medicine long enough, you know the feeling of coming across a patient who presents with uncommon pathology.
As human beings, we have an innate fear of not knowing the answer and these situations prey upon our human nature. This feeling is amplified as a doctor. We don't have the luxury of relying on our smartphones in the exam room when we come across something we have never seen before, but what starts out as a true mystery often develops into a great case study. Speaking on how to address these situations, Katz states that a doctor's primary responsibility is "to do right by your patient. It's inevitable that we will find ourselves outside of our depth and it is important that we master uncertainty." So how do you solve the mysteries that present themselves in your practice? "You have to hit the books first," said Katz. "That's the only thing to do. You will see that 85% of the time, common pathology is presenting commonly, 10% of the time, it is something common presenting uncommonly, 4% of the time, it is something uncommon presenting commonly, and the remaining 1% of the time, something uncommon presents uncommonly." But according to Katz, it isn't just the ground-breaking cases that should spark learning. "If you pay close enough attention, you will find something unique about every single patient," he continued. "If you approach the science and body of knowledge with humility, you will recognize just how much there is yet to be learned, not least of all from our patients themselves." So, what will be covered during the lecture? "The cases we will be discussing are all cases I have seen and treated first-hand," said Katz. "They include bizarre and unusual cancers, rare hereditary disorders, and maybe even some surgical nightmares." His lecture on "Once in a Career Cases" will be his second lecture at the 2019 VisionAmerica Summer Conference. We previewed his other lecture on Proteomics in a recent email. If you missed that piece, click here to read it now!
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11/6/2023 12:32:06 am
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