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How do P.A.'s fit in?From: AMD (anonymous@obgyn.net)Thu, 13 Jan 2000 18:26:06 -0600 (CST)
I took my cough and sore ribs to see my new PCP. Actually, I got to see his Physician's Assistant. Don't know if that was good or bad. Without even examining them, he informed me that my ribs were sore from coughing (well, DUH!!). He listened to my lungs from the back only and confirmed that there was no wheezing or anything. Gave me a prescription for a different cough syrup (Phenergan DM) because he doesn't like codeine for coughs. Added a couple of editorial comments about my OB and PED telling me it was okay to take the phenergan with codeine while nursing. Told me to come back in 4-5 days if things aren't getting better. So I'm going to take my cough syrups and motrin fairly aggressively for the next few days and see if things improve. I was very frustrated when I left because it seems like he completely ignored the fact I am in pain. He zeroed in on the cough and ignored the rest. He couldn't give me an explanation for why the pain has gotten worse while the cough is pretty much gone. The cough isn't bothering me now. Its the excruciating pain with every movement and breath that is driving me nuts. I am also a little bothered by the fact that my blood pressure has gone up 10 points since Saturday. I'm now running about 20 points above normal for me. So, just what is a PA? What kind of training have they had and what kind of supervision should they have when treating patients? In the future, is it suitable to see a P.A. for this type of problem , or should I insist on an appointment with the MD? Andrea
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