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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...

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The Doctor’s Lounge Podcast

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27,018 просмотров • 3 месяцев назад •via X (Twitter)

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Комментарии: 6

Фото профиля Apu Akkad
Apu Akkad3 месяцев назад

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

Фото профиля Lisa Hamill
Lisa Hamill3 месяцев назад

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

Фото профиля James D. Haddad, MD, FACP
James D. Haddad, MD, FACP3 месяцев назад

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.

Фото профиля Mustafa
Mustafa3 месяцев назад

Horrendous take.

Фото профиля Patrick White
Patrick White3 месяцев назад

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

Фото профиля Vk
Vk3 месяцев назад

Just see the consult bro

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