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Damn PCP's

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Old Jan 17, 2007 | 07:32 PM
  #1  
Sugardaddy's Avatar
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Default Damn PCP's

Not that this is the place to gripe about this particlar topic, but since you're all my bro's and sis's, I'd figured you'd listen. Patient presents todaywith scapular pain that radiates into the upper extremity to the C6 dermatome, (thumb and index finger) and the primary care doc send this guy to PT for rotator cuff rehab. What a bozo!! It's clearly a true ridic, as oppossed to a pseudoridic facet imbrication. Only one thing causes that. space occ lesion!!. So we MR the dude and low a behold it's a C5/C6 cervical HNP!! Sorry to vent but this lack of diagnostic skill just ticks me off.[:@] P.S. If there are and family med doc's here. Sorry.
 
Old Jan 17, 2007 | 07:40 PM
  #2  
blackstangs281's Avatar
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Default RE: Damn PCP's

Why would someone with pain in their fingers need to go to rehab for their RC?

Was this guy just trying to get more money? Or is he clearly just a dumb **** making everyone's health care go up?

I bet the person is very happy they came to you.
 
Old Jan 17, 2007 | 07:45 PM
  #3  
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Default RE: Damn PCP's

He may be thinking shoulder impingement/costoclavicular syndrome. But basic ortho tests are all one really needs to differentially dx this. Probably a dumbsheat.
 
Old Jan 17, 2007 | 08:54 PM
  #4  
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Default RE: Damn PCP's

yea I hear ya....after reading your post halfway through I came to the same diagnosis as you....LMAO.....yea right I had to use the dictionary like 4 times just to figure out what the hell you were saying!!!
 
Old Jan 17, 2007 | 09:05 PM
  #5  
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I had to look the words up too at one time. See but now you know what they are. I do that with patient's also. Most people truely are not stupid. So I use the medical words, but then explain to them what it means. I respect my patient's and I take the time to explain WTF is going on, but I don't belittle them with 5th grade english. So I use the correct terminolgy, but explain to them what it means. This empowers them, they understand more, I get better complience, and subsequently the get better results.
 
Old Jan 17, 2007 | 09:12 PM
  #6  
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Default RE: Damn PCP's

I took a percoset at 5:00...I'll forget what they mean by 8:30

My doc does the same as you btw...I respect him more for not talking down to me by feeling he has to dummy down his vocabulary.
 
Old Jan 18, 2007 | 12:19 AM
  #7  
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Default RE: Damn PCP's

Thanks for reminding me I should be studying for boards rather than hanging out here!!! Sugardaddy, what field of medicine are you in?
 
Old Jan 18, 2007 | 01:51 PM
  #8  
JM's Avatar
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Default RE: Damn PCP's

I understood that he has developped a huge client base including (but not limited to):
[ol][*]models[*]models below 25 yo[*]models below 25 yo with big b...s[*]everyone related to the above[/ol].

(Hey, Of course I'am just joking SD.)
 
Old Jan 18, 2007 | 01:59 PM
  #9  
ZYNE's Avatar
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Joined: Oct 2006
Posts: 2,453
From: Cincinnati, OH
Default RE: Damn PCP's

ORIGINAL: Sugardaddy

Not that this is the place to gripe about this particlar topic, but since you're all my bro's and sis's, I'd figured you'd listen. Patient presents todaywith scapular pain that radiates into the upper extremity to the C6 dermatome, (thumb and index finger) and the primary care doc send this guy to PT for rotator cuff rehab. What a bozo!! It's clearly a true ridic, as oppossed to a pseudoridic facet imbrication. Only one thing causes that. space occ lesion!!. So we MR the dude and low a behold it's a C5/C6 cervical HNP!! Sorry to vent but this lack of diagnostic skill just ticks me off.[:@] P.S. If there are and family med doc's here. Sorry.
PCP/Family Med Doc = Licensed drug dealer ... That's about my take on em!
 
Old Jan 18, 2007 | 02:21 PM
  #10  
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Default RE: Damn PCP's

Yup,,and all the ever want to do, is stick a damn finger up your ***[sm=insomnia.gif]
 



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