For years our 'family' of martial arts schools have used a certain person for the medical official we're required to keep in case of injuries. This guy is a Jr. Master, taekwondo instructor, and Dr. But he's a chiropractor doctor, not a medical or emergency care doctor.
I co-run a tournament, and the other directors agree that we want to get someone with emergency care expertise, but we're afraid of offending him.
How do I politely ask Dr. Master Chiropractor to step aside for a paramedic or better experienced doctor?|||First off,
Getting a paramedic team on standby is a must. This can be done with minor coordination and expense with a local hospital.
I would keep the Chiro on hand just as I would additional trainer staff. You don't want to yell the paramedics over for simple things that can be fixed on the spot.
Another GREAT idea is if you have a local university handy, especially one with a sports team as they all have trainer programs. People who are accustomed to and are training to handle sport specific injuries. Having a few students from a local sports trainer program can also make things easier.
I think it is easy to just be an adult with the Chiro, I am sure he won't mind for a tournament if there are emergency medical staff, and sports injury training staff. I would ask him to fulfill an advisory capacity in helping you get qualified people for these roles. Let him be the medical advisor, safety or medical coordinator. In fact, if you are afraid offending him, then by placing him in charge of safety and having him coordinate to get the right medical staff, you are moving him up.
This helps put the pressure off him in regards to having to run out on the mat, and puts his medical training to best use as basically a head doctor of the tournament. Allowing EMTs, and training staff to do the real medical work as needed and allowing him to oversee it.
That is a great way to present it to him, by simply asking him to have a "bigger role" and being the advisor/coordinator for medical purposes.
Of course, you could just talk to him and see how he feels about the whole thing and how involved he feels.|||Why ask him to step aside? Having both would be excellent. You'd find that an MD will likely not have the experience of a chiro, who specializes in spinal injuries as well as tissue damage to the body.|||I agree with the two other posters. First, I don't understand why there isn't an EMT/paramedic on standby to begin with. Second, having that person and a chiropractor on staff is not a bad idea. I don't think you will be able to get a doctor outside of your school (you mention chiro. guy is is a practitioner) without it costing you a lot of money. Plus, the main legal difference between chiro. and M.D. is that the M.D. can write a prescription, which is business you want a hospital worrying about, not you. Your chief medical concern is that if there is an accident, you have a person who can treat the injuries and if needed send them off to a hospital. That's what an EMT does. Your chiro. guy is a health care professional- he shouldn't get miffed working with someone else since their jobs are both helping people. If he gets pissed, that's his problem and replace him accordingly.|||Dr. Master Chiropractor would be a much better choice than a paramedic by a long shot. So unless you want to pay an emergency physician $500+ to stand around then I suggest you stick with the doctor you have.|||I don't know how large your tournaments are but I would bet that having a paramedic there would probably lower your insurance costs... So you can be honest with him and tell him that for insurance reasons you've got a paramedic to replace/help him watch the tournament...
Saturday, November 19, 2011
What is the difference between a family practice doctor and an internal medicine doctor?
I have lower back pain recently and i would prefer to go to a women doctor to get it checked. But the only women doctor at the clinic i go to is a family practice doctor. Is a internal medicine doctor better than family practice doctor? Whats the difference?|||The first answer is totally wrong. Once you get out of medical school, you can specialize in many different things. 2 of them are internal medicine and family practice. Not all doctors have a "degree" in internal medicine.
Internal medicine is an adult-centered specialty, which concentrates on an understanding of how the body works as a whole and all of the physiologic processes that go on inside it. A general internist can work in either a hospital or community setting and treats many common diseases such as diabetes, hypertension, pain, etc, and refers to others as needed.
A family practice doctor is trained in pediatric and adult medicine. They are more well versed in general care of all ages and sexes. Family practice docs are often more community based, but there are many that work in hospitals too. A family practice doctor is more qualified to be a "jack-of-all-trades", doing general gynecologic, medical , and minor surgical needs, which makes them ideal for a rural doctor where there are few other docs around.
The short answer is, you'll be fine going to the family practice doctor for your pain. An internal med or family practice doc will know when to refer you if necessary. Good luck!|||All doctors have either an MD (medical doctor) or OD (doctor of osteopathy. The difference between a family practitioner and an internist is the residency they have completed.
Internists diagnose and treat medical disorders of the adult patient's internal organs; heart (hypertension and high cholesterol), liver, kidneys, pancreas (diabetes), lungs, and gall bladder. They will also refer to surgeons of all kinds and other medical specialties.
A family practitioner's emphasis is on preventative medicine within the context of the family. They have extra training in obstetrics, pediatrics, and geriatrics, which most internists don't. They are trained to refer patients to specialists for problems which are complicated and actually send patients to an internist if the patient has multiple medical problems.
Internal medicine is an adult-centered specialty, which concentrates on an understanding of how the body works as a whole and all of the physiologic processes that go on inside it. A general internist can work in either a hospital or community setting and treats many common diseases such as diabetes, hypertension, pain, etc, and refers to others as needed.
A family practice doctor is trained in pediatric and adult medicine. They are more well versed in general care of all ages and sexes. Family practice docs are often more community based, but there are many that work in hospitals too. A family practice doctor is more qualified to be a "jack-of-all-trades", doing general gynecologic, medical , and minor surgical needs, which makes them ideal for a rural doctor where there are few other docs around.
The short answer is, you'll be fine going to the family practice doctor for your pain. An internal med or family practice doc will know when to refer you if necessary. Good luck!|||All doctors have either an MD (medical doctor) or OD (doctor of osteopathy. The difference between a family practitioner and an internist is the residency they have completed.
Internists diagnose and treat medical disorders of the adult patient's internal organs; heart (hypertension and high cholesterol), liver, kidneys, pancreas (diabetes), lungs, and gall bladder. They will also refer to surgeons of all kinds and other medical specialties.
A family practitioner's emphasis is on preventative medicine within the context of the family. They have extra training in obstetrics, pediatrics, and geriatrics, which most internists don't. They are trained to refer patients to specialists for problems which are complicated and actually send patients to an internist if the patient has multiple medical problems.
What kind of doctor should my mom see for leg pain?
It's not an immobilizing or severe pain; it's just strong enough for her to complain about it.
The pain is throughout the whole of both legs; she says it's in her knees, behind the knee, her ankle, her toes, the arch, the instep, her calves, etc.
The thing is, we don't know exactly what kind of doctor to make an appointment with.
Should it be her regular every day doctor? An orthopedic doctor? A rheumatologist?
The pain is through such a wide area we're not sure which one to go for.|||Richard C is right. Your family doctor is still the "gatekeeper" to the specialists. Conversely, if your mom goes to a Chiropractor and he/she is honest, they can send you to a specialist also, but don't go to a chiro out of the phone book or they will tell you they can fix it. Your mom might respond to chiropractic, but get a referral to one from your family doc if you don't know one personally.|||If I were your mom, I would see her regular doctor. He/she would be able to give her a good look and then (if need be) send her to a specialist. Her doctor should have a better idea about what the problem might be (bones, joints, veins, muscles, etc.) Another reason I say this is because sometimes health insurance companies will not cover a visit to a specialist without a referral from a regular doctor.
Good luck and I hope your mother gets to feeling better soon!|||Anthony, start with the regular doctor and hopefully he will give you at least a working diagnosis. With that at least you should have an idea if she will need any specialized medical intervention.
The pain is throughout the whole of both legs; she says it's in her knees, behind the knee, her ankle, her toes, the arch, the instep, her calves, etc.
The thing is, we don't know exactly what kind of doctor to make an appointment with.
Should it be her regular every day doctor? An orthopedic doctor? A rheumatologist?
The pain is through such a wide area we're not sure which one to go for.|||Richard C is right. Your family doctor is still the "gatekeeper" to the specialists. Conversely, if your mom goes to a Chiropractor and he/she is honest, they can send you to a specialist also, but don't go to a chiro out of the phone book or they will tell you they can fix it. Your mom might respond to chiropractic, but get a referral to one from your family doc if you don't know one personally.|||If I were your mom, I would see her regular doctor. He/she would be able to give her a good look and then (if need be) send her to a specialist. Her doctor should have a better idea about what the problem might be (bones, joints, veins, muscles, etc.) Another reason I say this is because sometimes health insurance companies will not cover a visit to a specialist without a referral from a regular doctor.
Good luck and I hope your mother gets to feeling better soon!|||Anthony, start with the regular doctor and hopefully he will give you at least a working diagnosis. With that at least you should have an idea if she will need any specialized medical intervention.
What doctor do you think is most important?
I am wondering what doctor I want to be. I have narrowed it down to Pediatrician,family doctor,and Obstruction. What one should I pick and why?|||An obstruction?? What is that? Maybe you need to do some more research before you become a doctor.
Can a doctor start a medical practice with someone who is not a doctor?
Can a non doctor be an owner of a medical practice with a doctor? Is there an ethical issue here? Are there any applicable Medical Board policies that regulate this?|||Sure. Some doctors will open a practice an have a receptionist, a staff nurse or nursing assistant who can practice within the scope of their practice as defined by state law, or even a nurse practitioner who can see patients or a physician's assistant. No ethical issues as long as everyone stays within the scope of practice for their profession.|||It depends what part of the world you live in.
Yes, in some parts of the world, a private clinic can be owned and managed by non-clinicians.
Yes, there could be ethical dilemmas if the clinic is run contrary to the clinicians' principles.
In Victoria, Australia, the medical practitioner takes all responsibility for clinical undertakings in the eyes of the Medical Board.
Yes, in some parts of the world, a private clinic can be owned and managed by non-clinicians.
Yes, there could be ethical dilemmas if the clinic is run contrary to the clinicians' principles.
In Victoria, Australia, the medical practitioner takes all responsibility for clinical undertakings in the eyes of the Medical Board.
How many different medications does a doctor need to know?
I know being a doctor must be very difficult. I have always wandered just as an estimate how much names of medication can a doctor remember, considering there are hundreds if not more.
Also, does a doctor forget medication names, or make spelling mistakes and do they need to know the dosage and interactions.
I have always respected my doctors but, I am just really curious to know the answer.
Does anyone know the real answer and are you a doctor or a doctor in training ?|||Doctors are familiar with the most frequently prescribed medications and their dosages. All doctors have a PDR (Physicians Desk Reference) if they need to check on the best medication to prescribe, and it's interactions. A large percentage of doctors do their prescribing electronically and can just enter the name of a drug and get a rundown on everything he would need to know about the drug.
Doctors generally are pretty good at spelling.....medical terminology is generally spelled the way it sounds. Their handwriting can be pretty bad because of how much they have to write everyday.|||He should know as many of them as he can because if he were to prescribe you meds that dont mix well with each other then that could kill you. So it is very important that a doctor know as many of them as he can.|||all of them
Also, does a doctor forget medication names, or make spelling mistakes and do they need to know the dosage and interactions.
I have always respected my doctors but, I am just really curious to know the answer.
Does anyone know the real answer and are you a doctor or a doctor in training ?|||Doctors are familiar with the most frequently prescribed medications and their dosages. All doctors have a PDR (Physicians Desk Reference) if they need to check on the best medication to prescribe, and it's interactions. A large percentage of doctors do their prescribing electronically and can just enter the name of a drug and get a rundown on everything he would need to know about the drug.
Doctors generally are pretty good at spelling.....medical terminology is generally spelled the way it sounds. Their handwriting can be pretty bad because of how much they have to write everyday.|||He should know as many of them as he can because if he were to prescribe you meds that dont mix well with each other then that could kill you. So it is very important that a doctor know as many of them as he can.|||all of them
A doctor knows that a patient has an infection. The doctor orders a differential white blood cell count to be?
A doctor knows that a patient has an infection. The doctor orders a differential white blood cell count to determine what type of infection is likely. What leukocyte would you expect to be above normal in a parasitic infection?|||Eosinophils
Eosinophils primarily deal with parasitic infections and an increase in them may indicate such.
I typed "abnormal leukocyte parasitic infection" into Google. It was the 4th link.
Eosinophils primarily deal with parasitic infections and an increase in them may indicate such.
I typed "abnormal leukocyte parasitic infection" into Google. It was the 4th link.
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