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Re: Anger: Dr Glauser and primary care

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From Drain, Oregon

Boy, I sure had my primary care ears burning when I read that article about how incompetent our primary care doctors appear to the eyes of one ER doctor. They must have stirred a real hornets nest with that one. I hope they can mange the deluge of emails from the angry primary care physicians.

What I really want to write about is the lost art of Professional Courtesy. One terrible thing about the dying state of our medical system is that it is exhausting physicians until they lose a sense of balance and begin, like angry dogs chained and teased, to turn on one another. These problems are usually the result of good physicians caught in a bad system. We need to develop ways to help each other and when wanting to flare up at another physician, learn to think again.

Joanne Holland, DVM/MD Drain, Oregon.

Incidentally. for those behaviorists amoung us, the dog analogy is precise. It is a normal mammalian behavior, nearly universal, that a trapped, tired, hurt animal will attack the closest animal rather than the distant animal that is causing the pain. That is the theory of cock fighting, dog fighting, and other blood sports. This behavior is really our monkey coming out....

Joanne

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I am happy that here in central NY there is moderately good communication between me, the PCP, and any specialist. I frequently will get calls from Urgent Care or ER for info on a patient, or someone admitted to the hospitalist service. There is even a GI guy and a cardiologist that pick up the phone to call me to discuss cases that need discussion! And I can reach out to any specialist in town who knows me to pick their brain, and they are quite civil about it. Differences in location, but it is quite the Dead Zone.\

To: Sent: Friday, December 26, 2008 5:17:06 PMSubject: Re: Anger: Dr Glauser and primary care

From Drain, Oregon

Boy, I sure had my primary care ears burning when I read that article about how incompetent our primary care doctors appear to the eyes of one ER doctor. They must have stirred a real hornets nest with that one. I hope they can mange the deluge of emails from the angry primary care physicians.

What I really want to write about is the lost art of Professional Courtesy. One terrible thing about the dying state of our medical system is that it is exhausting physicians until they lose a sense of balance and begin, like angry dogs chained and teased, to turn on one another. These problems are usually the result of good physicians caught in a bad system. We need to develop ways to help each other and when wanting to flare up at another physician, learn to think again.

Joanne Holland, DVM/MD Drain, Oregon.

Incidentally. for those behaviorists amoung us, the dog analogy is precise. It is a normal mammalian behavior, nearly universal, that a trapped, tired, hurt animal will attack the closest animal rather than the distant animal that is causing the pain. That is the theory of cock fighting, dog fighting, and other blood sports. This behavior is really our monkey coming out....

Joanne

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I think they call this a misidentification problem in semantics.

The ER guy thinks everywhere is the same as his n of 1 sample.

The journal that published that is clearly not worth the paper it's printed on.

> quite civil about it. Differences in location, but it is quite the Dead

> Zone.\

--

Graham Chiu

http://www.synapsedirect.com

Synapse - the use from anywhere EMR.

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