> >>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.)
Sticking fingers up bums is what our esteemed surgeons are there for.
Since I do not "manage" any prostate disease in the Practice, ie, I
am not interested, from a medical point of view(not patient care and
wellbeing) whether it is hypertrophy or cancer.
So, I will refer without embarassment. It is the fear of
embarassment that lands us in this oh, all mighty, tangled web of
trying to be everything to everybody all of the time.
If you want to do that sticking up the whatsit and appear to be
terribly good down the local dgh, good luck to you. I'll just carry
on with my distaste (and lack of convincing benefit of many intimate
processes) of poking and proding. I respect yours, do please respect mine!
BTW: I have a very low referral and investigation rates. I am one
of those old fashioned doctors who would snif a wound to decided if
it is infected.
I do, however, take Jon's point about PSA. Thanks, Jon, from
now, I won't do PSA, I'll just refer and join that select band of A
Midgley and..... me??
Ahmad
_________________________________________
Ahmad Risk MB BCh
home tel: +44(1293)782255 fax: +44(1737)244660
http://www.cybermedic.org/
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