 Re: Ping:Hawki
OG I know that it is meant for Hawki, however I just wanted
to say I have not seen ya post recently and miss ya.
An internist is totally internal medicine, 5 years of residency.
A family practitioner (there really is no such thing as a board
certified General Practitioner and now you have to get board
eligible in something or at least complete a 3 year residency),
take a 3 year minimum residency in family practice, usually some
more pediatrics involved.
All in all an internist would be who you would want to treat
any medical issues like diabetes, hypertension, several different
disorders that are not bad enough to have to see a more detailed
specialist like a nephrologist or endocrinologist.. my dad is an internist.
An internist is supposed to be a diagnostician above all else, he is the
guy that determines that you have heart disease sufficient to see are
cardio, or your kidney function has gotten bad enough now to see a
nephrologist, or your arthritis has gotten too bad for him to treat any
more so he sends you to a rheumatologist.
Any internist that tells you to see someone else because he is not the
right doctor to see, and you have no diagnosis yet, is a total quack
in my unhumble opinion (just feeling arrogant and pissed tonight I guess),
run like hell from this guy, an internist is the guy you would expect to be
able to take the time to diagnose the difficult stuff and treat it if he
can,
refer you if he can not. Most specialists don't diagnose, they have you
referred to them by a good internist who has already given them the
diagnosis and the lab work, films and examinations to back it up.
My old man's greatest claim to fame was that he was the internist
in a town of about 50K with a metro area of about 120K that all the
other doctors in the area were patients of. My dad had more docs
as patients than either four others combined. He came home one night
when I was a kid (am 41 now) and was nearly in tears because he had
a patient that he diagnosed as having rocky mountain spotted fever. The
patient died, dad had no warning signs, there was no tick bite they could
find, no outing, no time in the outdoors, he missed it, he finally figured
it
out, but is was too late... this was before rocky mountain spotted fever
was even a big thing, most docs were just seeing journal articles on it.
That is what an internist is, he is the medical detective and if you have
one
that is not willing to be a medical detective find another one man, you
deserve better.
Just my $.02, I am on a roll of arrogance and posting lately, good hearing
from you and take care OG.
--
Patrick
Patrick H. Mason MS, OHST, EMT-I
A delusion shared by many is a culture; shared by some is a cult;
shared by 2 is love; but a delusion held by one is psychosis.
"OldGoat" <oldgoatmail@ERdocsuckyahoo.com> wrote in message
news:7lOif.1100$to5.794@trnddc04..
> Dear Hawki,
>
> How you doing? Good I hope. I feel guilty writing you always with some
> questions, but at least I know you're not going to feed me a load of crap.
> What is the job of an internist and what's the difference between one and
a
> General Practitioner? I had to call my high dollar concierge (I feel like
I
> know where the con part comes from) all access, all the time, (this is
only
> the 3rd time I bugged him for anything and two were RX refills, innocent
> stuff like IBS meds) and I know we are all only human which means we can
all
> have a shitty hour/day/week, but he was coming off like a major XXXXXXX.
> I'm having balancing, tripping, falling issues and some worsening
> neurological stuff (can't feel feet, legs and when the bottom wont stay
> solid over the top- KerPlop!), I didn't say neurological or any
medico-speak
> that he might feel I'm self diagnosing, and next thing I know, he's
bitching
> at me he's an internist and maybe not the right kind of doctor. I'm
starting
> to thinking that last part is right. But what's he supposed to do or is so
> different that he does that the insurance companies make them seem
> interchangeable.
> Internists can treat me for a gall bladder problem, but can't do crap for
a
> rash, cause I need an"externist"? If I just generally feel like crap I
need
> a general practitioner?
> I don't mean to make light of the medical profession (but it's sometimes
> just made too easy!), but if I don't get some answers pretty soon, I'm
going
> to be looking for a General Executioner.
> And one more thought that I didn't take in to consideration when doing
this
> concierge medical program. It great, no clock watching, pending as much
time
> as you need etc, etc. Which is great for you and your doctor. But when you
> need a referral to a specialist, be prepared to reenter that BigMac Zone
of
> medicine. Two minutes on each side and yank the fries two minutes later.
And
> there's plenty of cups for every patient, they can fill them on the way
out.
> Next? Welcome to McDoctor's can we take your order?
>
> TIA and hope you had a great turkey day--og
>
> <and please don't take offense at my lame attempts at humor. There's
usually
> one person at every business that keeps sure the place runs inspite of
> itself. I'd bet it's you>
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