Re: a truly amazing family practice physician

From: D. Ashley Hill (dahmd@cfl.rr.com)
Tue May 25 16:07:36 2004

As the director of the ob/gyn department for a family medicine residency program, I assure everyone we do NOT advocate "diagnosis" of STI's based on patient complaints! If that were the case, why bother screening for HIV; just wait for Kaposi's sarcoma or pneumonia and diagnose it then. Don't check for asymptomatic bacteriuria, instead wait for pyelonephritis.

One of the most important roles of physicians is to educate both patients and each other. I always appreciate an informative letter or note from another physician informingg me about the patient's non-gyn conditions. It's a shame that the other physician does not value Richard's attempt to educate him.

Ashley

At Tue, 25 May 2004, Richard Chudacoff, MD wrote: >
>Well, heeding your advice I called him. I'm here to inform you that the
>horse is an ass. "I don't treat based on exposure. If there are no symptoms,
>then it is not bothering my patient, so I have no reason to treat." And this
>guy is only about 40 years old. I'm not trying to get into an age war, but I
>would think someone trained near the cusp of evidence based medicine would
>be slightly more progressive.
>
>--
>Richard Chudacoff, MD
>
>Heaven grant that the burden you carry may have as easy an exit as it had an
>entrance.
>
>[Prayer To A Pregnant Woman]
>
> <http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html>
>Desiderius Erasmus
>
> _____
>
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of obgyndoc
>Sent: Monday, May 24, 2004 10:31 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: a truly amazing family practice physician
>
>Possibly one of the most cogent points of this entire thread. It could very
>well be that her partner is being less than completely honest with her. You
>need to hear it from 'the horse's' (or if it is true, the Jackass's) own
>mouth.
>
>Gordon M. Goldman, M.D., FACOG
>Private Practice, St. Louis, Missouri
>

>>>----- Original Message -----
>
>From: Stmidwife@aol.com
>
>To: Multiple <mailto:ob-gyn-l@dns.obgyn.net> recipients of list OB-GYN-L
>
>Sent: Monday, May 24, 2004 9:14 PM
>
>Subject: Re: a truly amazing family practice physician
>
>I find this really hard to believe, did you contact that physician and
>confirm that he really said this?
>
>Sue Turner, LM
>
>In a message dated 5/24/2004 6:44:20 PM Pacific Standard Time,
>ob-gyn-l@obgyn.net writes:
>
>When my patient came back
>for a test of cure she told me that her partner's primary care physician
>felt, based on history and absence of symptoms, said he had no reason to be
>treated; nor did he feel a diagnostic test was warranted
>

--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida



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