Comments on: Can specialists do primary care? http://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html Tue, 14 Feb 2012 19:56:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75939 Anonymous Fri, 08 Jun 2007 02:14:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75939 how about gynecologists that DON'T like to think of themselves as providers of primary care? how about gynecologists that DON’T like to think of themselves as providers of primary care?

]]> By: Happymanhttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75918 Happyman Thu, 07 Jun 2007 13:13:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75918 once somebody has advanced cancer of almost ANY type, her/his primary care should be taken over by an oncologist, and internists/fps generally recognize this. once somebody has advanced cancer of almost ANY type, her/his primary care should be taken over by an oncologist, and internists/fps generally recognize this.

]]> By: KoKohttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75910 KoKo Thu, 07 Jun 2007 08:27:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75910 "gynecologists, who like to think of themselves as providing Primary Care for women".<br/><br/>The true is that many women do thik of their GYNs are providers of primary care.<br/><br/>I know one woman with advanced breast cancer, whose care was ignored by her internist (!) but was readily addressed by her GYYN. “gynecologists, who like to think of themselves as providing Primary Care for women”.

The true is that many women do thik of their GYNs are providers of primary care.

I know one woman with advanced breast cancer, whose care was ignored by her internist (!) but was readily addressed by her GYYN.

]]> By: boarded in ob/gynhttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75895 boarded in ob/gyn Wed, 06 Jun 2007 21:54:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75895 I agree. I agree.

]]> By: DDx:dxhttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75890 DDx:dx Wed, 06 Jun 2007 20:10:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75890 Dr. Michael Balint described the "collusion of the consultants" in the 1950's in England when their NHS took over. Very interesting reading, "The Doctor, His patient and the illness." Sexist, I know.<br/>The solution is to always have an answer for the question,"Who is responsible for the care of this patient."<br/>KIR mentioned Family docs doing c-sections... If you want to get territorial...let's look at outcomes. Rates, complications, and compare. Or are we just a guild with lined off limits to practice?<br/>You know the place is a mess when bright people look at a situation and see opposite causes to a"problem".<br/>The hormone clinic and lasers is just a guy playing the market, which is what docs like Kevin think will solve this mess. The market. And probably trying to make a buck to keep up with the lake house payments... Dr. Michael Balint described the “collusion of the consultants” in the 1950′s in England when their NHS took over. Very interesting reading, “The Doctor, His patient and the illness.” Sexist, I know.
The solution is to always have an answer for the question,”Who is responsible for the care of this patient.”
KIR mentioned Family docs doing c-sections… If you want to get territorial…let’s look at outcomes. Rates, complications, and compare. Or are we just a guild with lined off limits to practice?
You know the place is a mess when bright people look at a situation and see opposite causes to a”problem”.
The hormone clinic and lasers is just a guy playing the market, which is what docs like Kevin think will solve this mess. The market. And probably trying to make a buck to keep up with the lake house payments…

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75888 Anonymous Wed, 06 Jun 2007 19:51:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75888 I honestly think the problem is the exact opposite...that too many generalists are providing specialty care, or that too many practitioners are providing care in which they have no direct or inadequate training. <br/><br/>In my immediate 30 mile radius I can think of these examples:<br/>(1) family docs that do C-sections after doing a 1 year fellowship in "obstetrics" but yet have no idea how to do a hysterectomy if they run into trouble, <br/><br/>(2) Ob/Gyn's that offer anything from laser hair treatments to botox injections that deal with a body part as far away from the pelvis as you can get<br/><br/>(3) A plastic surgeon that joins a "hormone clinic" run by a local chiropractor. <br/><br/>Maybe these are singular to my locale. anyone else have similar or dissenting experiences? <br/><br/>-kir I honestly think the problem is the exact opposite…that too many generalists are providing specialty care, or that too many practitioners are providing care in which they have no direct or inadequate training.

In my immediate 30 mile radius I can think of these examples:
(1) family docs that do C-sections after doing a 1 year fellowship in “obstetrics” but yet have no idea how to do a hysterectomy if they run into trouble,

(2) Ob/Gyn’s that offer anything from laser hair treatments to botox injections that deal with a body part as far away from the pelvis as you can get

(3) A plastic surgeon that joins a “hormone clinic” run by a local chiropractor.

Maybe these are singular to my locale. anyone else have similar or dissenting experiences?

-kir

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/06/can-specialists-do-primary-care.html#comment-75877 Anonymous Wed, 06 Jun 2007 14:38:00 +0000 http://clients.emmense.com/kevinmd/2007/06/can-specialists-do-primary-care.html#comment-75877 Gotta to hand it to you Kevin, You are an agent provacateur par excellence! Gotta to hand it to you Kevin, You are an agent provacateur par excellence!

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