In this video, Mikhail Varshavski, DO, who goes by "Dr. Mike," talks about medicine's darkest hours.
Following is a partial transcript of the video (note that errors are possible):
Varshavski: I had such a unique patient case to share with you. In fact, it's so unique that my residents and I are doing a full case write-up on it. I'm curious at which point you'll know what the diagnosis is. Leave a comment down below if you figure out before me. Let's get started. Peewoop!
A 45-year-old gentleman presents for a 1-day history of a 101 fever -- that's Fahrenheit -- and no other symptoms. He's evaluated by another member of my staff, is found to feel well otherwise, have no other symptoms. The doctor that was seeing him diagnosed him with likely a viral illness, unclear which one because it was so early in the course. We did a swab for COVID and flu, both which were negative. Explained that likely in the next few days symptoms would evolve and we would have a better understanding of what's going on. So, he was instructed to come back if symptoms were to worsen, change, or be prolonged.
Two days later, the same patient comes back and sees me. Now, the patient has a 3-day history of a fever with a Tmax (that's a temperature high) of 103.5° Fahrenheit, which is quite a significant fever.
