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Old 02-19-2010, 11:23 AM #1
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Originally Posted by daniella View Post
I have a ? about the teaching hospital. I went to one in MI because of the suggestions here. Actually my best pain doc was from there but he was not a student and I would never of allowed one to work on me. I guess my ? is why a teaching hospital is suggested as a place to look. Is it cause they have better doctors in general or more research expertise?
Thanks.
A good example is Johns Hopkins, affiliated with the JH Medical school.
Cornell-Weill is the same situation. The Jack Miller Center specifically treats patients with neuropathies.

A good teaching hospital doesn't let students take over your case.
It allows students to examine you, under the supervision of an experienced doc. That doc is the one who treats, diagnoses
and prescribes for you.
There
is the search - finding the right experienced doctor/neurologist.
(BTW-An intern is a licensed doctor, just starting his career- there is a difference between an intern and students)

If you
insist on a specialist, a doc with PN expertise, at a large hospital with a large neuro dept - it will most probably (not certainly, but possibly) have one PN specialist.... maybe more. If the dept is treating a large number of PN patients, they will have the specialists to treat you properly.

If they do research in PN, they will have PN specialists.
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Old 02-19-2010, 11:37 AM #2
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Thanks for explaining this to me. I thought sometimes they allowed the students to practice that is why. When I had a procedure there I even wrote something in where I did not want anyone but the doctor to do any part of it. Better safe then sorry.
I think it is a good idea about limiting the salespeople. At my one psychs office there were so many cause the psych was the head of the hospital psyh dept it was unreal.
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Old 02-19-2010, 12:22 PM #3
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I have been very fortunate. I have had the same academic neurologist for 6 years, and he ALWAYS sees me. Now, I only see him 2 to 3 times per year, unless something major is up, or testing is done, but he does return calls. At worst, his nurse does, but usually, the nurse ends up having my doc call me...because nurse can't answer my questions.

The same holds true for my rheum and my GI....no students, unless they are in the room watching my appointment. My GI has a physician assistant that sees me first, but my GI ALWAYS sees me too. It has been this way now for the entire time. I have no objection to students, interns or residents peeking in on my care, but I want consistent care from experts, and so far, I have gotten it.

The biggest problem I run into is that it takes sooo much time to get in to see them....4 to 6 months out for appointments....unless there is something huge going on...and that has happened and they have gotten me in. We just don't have enough specialists....come to think of it...it is like 2 months to get into see my internal med doc too.

What is scary about this condition is that it can exacerbate and one can see a loss of function. I am going thru an exacerbation right now, and am mortified....I don't know what else they can do, given I am on IVIG, and won't take major steroids. Just gutting it out I guess.
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