In message <[log in to unmask]
>, Andrew Oakford <[log in to unmask]> writes
>>>I agree. Another example: men with prostate symptoms. I don't do a
>>>PR. I do PSA and refer. If I am going to refer anyway, why do PR?
>
>>I couldn't let this throw away line go unchallenged!
>
>I'm afraid I have to add a "me too" here :-)
>Our reputation amoung surgeons is often one of "refered without thought"
>(I know, been there, done that.)
>
>The Pr findings may be the only information the hospital has on which to
>base the priority of the referal.
I do a PR before referal for a prostate problem - but I'm not sure how
useful it is. How many smooth prostates turn out to be cancers after
all? And are prostate referals graded on the GP examination or the
history? Any lurking urologists? :-)
I don't do PRs for abdominal pain before referal unless it would
influence my decision to refer - why put a patint in pain through it
twice?
Why should we allow an inexperienced SHO to dictate our referals? ;-)
>
>To be honest I think I'd just be too embarressed about refering without
>first examining the prostate :-)
I can remember filling all the boxes as well... a while back! :-)
Mary
>
>Andrew Oakford
>GP Registrar
>S.Yorkshire
>
--
Mary Hawking
Kingsbury Court Surgery
Church Street
Dunstable
Beds LU5 4RS
tel:01582 601289 (home)
01582 663218 (surgery)
fax:01582 476488 (surgery)
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