No. of Recommendations: 1
Nagging Fool - I can see a family doc doing so. Or one in a multi-specialty practice like Kaiser. But many PCPs are internists or pediatricians, and don't do that stuff in the office. Or don't want the liability of reading XRays (ups the malpractice risk). On some doctoring boards I visit, peds debate whether or not to have suture available. My kids see a solo peds doc. I know for a fact that even if DD was injured during office hours (she wasn't, it was after 6 pm), she wouldn't have been able to deal with a broken bone. The bad sprain it turned out to be - yes. Doable within the office.

As to alchook - yes, I can order XRays. But if the bone is broken - to UC/ER you would go to get it casted or wait until the next day for me to refer you to ortho - diagnosis is but half of the battle. You also have to add in the hassle factor. You call in am. I have lunchtime slots open. You go get labs/XR/whatever. It takes time to be resulted and for me to see the results. This will be a minimum of 90 minutes after the test is done (most labs/stat XR reads take about an hour...and you need to give time for transcription, faxing to office, and then me to see it. Meanwhile, I'm seeing other patients). I then have to decide what to do and get ahold of you again (easier said than done). If by now it's 2-3 pm, you would likely have to wait until the next day to get an urgent appt with the specialist.

And further back...I can personally vouch that there is a metric #$%#^^#-ton of "colds" who call in to get seen. Especially this time of year. Any time off, employers want a note. I'm not giving a note to anyone based on a phone call (too many people lie). Hence, an OV, my spiel, and an off-work note. I'm lucky, I'm OB, only pregnant folks use me as a PCP. It's still a royal pain. I rarely hand out antibiotic scripts.

And don't even get me started on the ER giving antibiotics for every little sniffle. I might go nuts. ;) My latest favorite is diagnosing pneumonia based on a cough x2 days and giving her a Z-pack.

Kristi
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