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Subspecialists write guidelines for diseases they've never really seen. Not the full disease — just the tip of the iceberg. The sickest. The most complicated. The referral cases. The hospitalist sees the whole denominator. Every COPD admit. Every run-of-the-mill heart failure. The frail, the comorbid, the ones who will... show more

The Doctor’s Lounge Podcast

3,216 subscribers

27,018 次观看 • 3 个月前 •via X (Twitter)

Anya Rossi• Live Now

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6 条评论

Apu Akkad 的头像

Apu Akkad3 个月前

Love anil but disagree here. Subspecialists see most of these pts outpt and follow them regularly. If you’re saying hospitalists see more COPD than pulm, that’s not true. Pulm sees lots of COPD both inpt and longitudinally outpt, which most hospitalists don’t do

Lisa Hamill 的头像

Lisa Hamill3 个月前

Absolutely. Specialists have a narrow focus of the “didease state”, whereas primary care (or hospitalist) has the broad view. I’ve definitely observed this phenomenon - which makes complete sense. The narrower focus has its role, as does the broad view. It’s good to recognize that

James D. Haddad, MD, FACP 的头像

James D. Haddad, MD, FACP3 个月前

Not a very good take, which can be disproven with a single condition - cirrhosis. GIs/Hepatologists address everything from acute inpatient hemorrhaging, to preventive care, cancer, frailty, cardiopulmonary/renal problems, nutrition, and more while becoming the de facto PCP.

Mustafa 的头像

Mustafa3 个月前

Horrendous take.

Patrick White 的头像

Patrick White3 个月前

And when we don't fit the guideline? Must be non-compliant. Or just need to 'be more positive.' ...Exhausting.

Vk 的头像

Vk3 个月前

Just see the consult bro

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