A Sore Throat, a President and a CT Scan


I am torn on this one.  If you haven’t heard, here is what happened:

“This morning, an ear, nose and throat specialist from Fort Belvoir Medical Center conducted a fiber optic exam, under my supervision, of the President’s throat based on symptoms of sore throat over the past couple weeks. The exam revealed soft tissue swelling in the posterior throat and I, in consultation with the specialist, determined that further evaluation with a routine CT scan was prudent. The CT scan was conducted this afternoon purely as a matter of convenience for the President’s schedule. The CT scan was normal. The President’s symptoms are consistent with soft tissue inflammation related to acid reflux and will be treated accordingly,” Jackson’s statement reads.

I get it.  He’s the President and leader of the free world so he should get carte blanche on anything.  That being said, did they really have to do this in the midst of the ACA debacle?   What they should have said is that the President’s deductible had not been met and he paid for it out of pocket.   I would of had to do that and hell, I am still the King of Medicine.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  8 comments for “A Sore Throat, a President and a CT Scan

  1. Richard Bell
    December 19, 2014 at 10:12 am

    Yes, you will always be the king of medicine. A good sense of humor is a treasure!

  2. Sir Tenthumbs
    December 17, 2014 at 11:42 pm

    Sort of reminds me when, in 1973, Senator Ted Kennedy’s son Ted, Jr, developed a sarcoma. The family assembled a team of experts from all around the country to decide upon a course of care. Certainly a luxury not available to my patients.

  3. fredlave
    December 17, 2014 at 12:33 pm

    What I wouldn’t give to do an enema on him.

  4. tom walsh
    December 13, 2014 at 7:49 pm

    I read somewhere on Facebook that the sore throat was caused by his head being so far up his butt that the swelling was actually discovered to be his nose.

  5. Huetdoc
    December 13, 2014 at 2:06 pm

    How many hours on the phone did the attending spend getting a Peer to Peer prior authorization for this CT scan ??????

  6. Pat
    December 13, 2014 at 10:36 am

    Where the hell was HIPPA on this one? Even with the patient’s concurrence, I’m certain the treating physicians violated the Dear Leader’s privacy…somehow.

    I’ve thought since Reagan that it is unnecessary, and beyond unseemly to broadcast the president’s personal health issues. Beyond an ongoing assurances that he is physically and mentally (the latter usually a tougher call) fit for the office, the rest is none of our business.

  7. Randy
    December 13, 2014 at 8:47 am

    What I heard is his doctors want him on omeprazole but couldn’t get a prior auth until they tried ranitidine.

    It’s always tough to make any judgments based on the limited information that is released publicly, but I can count the number of patients I’ve had who had a fiber-optic exam and CT for a 2 week sore throat on well, zero hands. I’ve read articles about how celebrities often get substandard medical care since physicians will aggressively order tests and procedures they otherwise wouldn’t, while avoiding exams and history that might make the celebrity uncomfortable. That may or may not be the case here, but it’s unusual to make a diagnosis of GERD in a patient whose sole symptom is a sore throat. You have to wonder if a careful history might have revealed the diagnosis.

  8. drhockey
    December 13, 2014 at 8:28 am

    When President Reagan had his right colectomy for cancer, there were 4 (four!) surgeons and 2 (two) anesthesiologists in the room. This information was from a colleague who was one of the scrubbed-in surgeons. I wondered if he was at all concerned that with so many people in the room, if that might increase the infection risk.
    Shortly after that Medicare turned down my request for a 2nd assistant on a low anterior resection for a low rectal cancer in a very obese male patient at about the same time. The good news was my letter of appeal using the above information (and a subtle suggestion of a letter to the newspaper) resulted in Medicare paying for the second assistant.

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