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Re: Going into medicineFrom: Anna Meenan, MD (annam@uic.edu)Fri Jan 28 19:32:40 2005
None of my kids is headed for a career in medicine ( Graphic design, IT, and, well, I have no idea what my oldest will be doing). My problem is that I spend all day, every day with med students because I am an academic clinician. I am under orders from the higher-ups to avoid souring my students on primary care, because our school is well-known for steering students into primary care. The problem is that as a family physician, I am beginning to feel more like a traffic director than a doc. Stuff I used to do myself now gets referred, either due to patient demand, or just plain inability to keep up with everything well enough to do what I used to be able to. Anyone who doesn't get better within a week wants to see a specialist, and they want me to arrange all the paperwork, for which I don't get paid. Case in point: Wednesday I saw a lady who needs two total knees. She decided she wanted them done by an orthopod back in the suburbs, about 70 miles from here. The orthopod told her that her PCP (me) could coordinate her home care and physical therapy after the surgery and adjust her coumadin. I gave her the phone number of her nearest home care agency and told her to have her orthopod communicate directly with them, period, and if she developed any complications at home after the surgery, she would need to call the orthopod, and go back to his office if there were problems, but I know that, because our office is 32 miles from even our local specialists, it is not unusual for pts with post-op problems to show up at our office with the story that the specialist told them to have us take a look and decide if it is necessary for the pt. to drive to their office. I am about to give up on trying to put a happy face on family medicine.
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Anna Meenan, MD, FAAFP
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