Richard Hosking wrote: > I know we have become used to belt and braces in the city - > eg pt presents with scrotal lump. You examine and find the typical > clinical signs of epididymitis/hydrocele etc and tell the patient so. > He looks at you with a frown as if to say "hmm you are only a GP - can > I trust you to know on clinical signs alone?" (You worry and think - > yes I am sure it is xxx on clinical exam, but what if I am wrong? > Anyway pt doest seem convinced) > You explain the signs etc - pt remains unconvinced and worried - you > say - well why dont we do an ultrasound which will give us an image > and we all be reassured. Pts face relaxes - smiles all round. Everyone > is happy - you get to see pt again more money - radiologist continues > to print money (well HIC is the only one not happy) > When I went to Broome and couldnt do U/S easily I found it quite > unconfortable. > Refusing to do these things only brings grief IMO.
Oh this problem is easily fixed. Just follow the NZ model and restrict the tests GPs can order to x-ray. Specialists can order anything. If you want the definitive test you can have it in six months at their next routine appointment. A few people die but that's a small price to pay for the billions saved. This is what currently happens with MRI. The hard part for the Feds is to make it palatable for the hoi polloi. David -- SIP [EMAIL PROTECTED] NodePhone +61 7 31290168 Jabber [EMAIL PROTECTED]
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