I linked it, Kitt :)
Post Edited By Moderator (stkitt) : 1/25/2008 11:37:02 AM (GMT-7)
Great article and I love the lady with the index cards as it never fails on the drive home you will remember.........oops I forgot to ask________? Thanks Sarita.
HI, My take on the phone call dx was patients that call and expect an antibiotic to be ordered over the phone as they have a really bad sore throat. Years ago physicians used to do this if they knew you and 90 % of the time you had a viral infection but it was easier to keep you happy and not make you come to the clinic. After all you had a hx of nasty sore throats but strep tests were not done then. You got your antibiotic, you got better as you probably would have anyhow and everyone was happy, until the superinfections hit.
You are an established Crohn's patient and you and your GI physician are working together, that is different from the cold calls ER physicians receive wanting a med prescribed over the phone because their MD is not available at 11:00PM at night.
Just my 2 cents for what it is worth............ :)
Hmmmm. So lets stick to a chronic disease such as Crohn's disease, and a busy specialty profession like gastroenterology. You are starting into a Crohn's flare. You've waited long enough to be pretty sure it is a flare and not just an immediate and short reaction to eating the wrong thing or getting over stressed. You call your gastro, explain as best you can to the desk dragon and you can have an appointment w/the gastro 2 months out, or you can have an appointment w/the NP or PA - in two weeks. No chance one or the other could return your call and suggest a tweaking of your current meds dose(s)? Nope. They won't script over the phone.
So off we go to our family doctor. Who, thank heavens, will see us that very day or the next at the latest. And who will go over what meds you are on and the two of you decide what dose changes might help.
Or we accept that appointment 2 weeks away w/the NP or PA - and suffer for two weeks so the flare gets a good foothold. Or you get into such bad shape you end up going into ER for IV fluids, nausea and pain treatment.
And the antibiotic script over the phone problem? Understandable - to a degree. The thing is the BIGGEST contributor to antibiotic resistant strains is the amount of unused antibiotics being flushed down the drain daily by hospitals, pharmacies and patients instructed to do so. By agribusiness pumping them into our meat animals.