Where have you Gone, Sherlock Holmes?John Fremont Fisher*
Professor of Medicine, Georgia Regents University, Augusta, GA, USA
- *Corresponding Author:
- John Fremont Fisher
MD, FACP, FIDSA
Professor of Medicine
Georgia Regents University, Augusta, GA, USA
E-mail: [email protected]
Received date: October 18, 2013; Accepted date: October 21, 2013; Published date: October 29, 2013
Citation: Fisher JF (2013) Where have you Gone, Sherlock Holmes? Clin Microbial 2:e114. doi: 10.4172/2327-5073.1000e114
Copyright: © 2013 Fisher JF. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Dr. Jack House is a fictitious infectious disease fellow who has been allowed to practice superficial and potentially harmful patient evaluations because attending physicians are too busy to adequately supervise him. His consultations on four critically ill patients have been performed in haste and recommendations have been based on faulty reasoning with inadequate data. He has failed to incorporate microscopy into his thought process and his clinical notes are overly brief, poorly written, and call for inappropriately broad-spectrum antimicrobial therapy. His consultation style is contrasted with real examples of patients who were evaluated by an infectious disease consultant who relied heavily on clinical exam and microscopic findings to arrive at an accurate diagnosis and to give recommendations for appropriate antimicrobial therapy. The article is a commentary on an increasingly pervasive type of infectious disease practice.