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A lost message: why are doctors so resistant to change?
  1. J O M Plumb
  1. Dr J O M Plumb, Department of Emergency Medicine, Nottingham University Hospitals Trust, Queen’s Medical Centre, Nottingham NG7 2UH, UK; jamieplumb{at}doctors.org.uk

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As a medical student I received little teaching on how to manage acute pulmonary oedema. Faced with two patients with dyspnoea within 30 min on medical nights, I was soon well versed—or so I thought … The mantra of sit up, give oxygen and furosemide seemed to work. However, the relief of dyspnoea seemed to occur quickly. Too quickly, surely? …

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