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Re: like dirt under the carpet

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At 06:40 PM 10/22/97 -0500, Dogwood Ridge wrote:

>OK- here's a new thread:   Many times we have to use nonmedical terms and
>analogies to help a patient or a parent understand what we're talking
>about.  For example, when explaining why antidiarreal medications aren't a
>good idea I sometimes will say that giving an antidiarreal is like sweeping
>dirt under the carpet- the room might look cleaner but the dirt is still
>there.  Another one: when I am describing serous effusion after a purulent
>otitis media I'll often say it's like a puddle of water after the rain- if
>the sun comes out and the child is healthy it'll evaporate on its own.  If
>the child gets a new cold  and the right bacteria sets up housekeeping, a
>new infection  may set in and the puddle would get green and slimy.   So
>which ones work for you?  Kim Burlingham, MD
>

Credit a local peds dermatologist:

Trying to get rid of a wart is like trying to get rid of a bug on a tile
floor.  But instead of squashing it, you cut out a single tile and slide in
a new one.  In the process, sometimes the bug falls off the old tile onto
the new one.

I use this when someone questions why warts so commonly recur after treatment.



Michael Sachs, M.D.
General Pediatrician