I agree with you Julian. Its a Catch 22, and thats the best way of
On Tue, 20 Jan 1998, JulianBO wrote:
> This is a question that may not affect a lot of you, but what do you do when
> you see a kid who is on antibiotics for a cold? Where I work, suburbia, I see
> a lot of children who have been placed (often the same day) on an antibiotic
> for 'otitis' -- with normal ears -- or sometimes no discernible reason.
> I hate to have a child continue a broad spectrum antibiotic unnecessarily, but
> I also have to respect the fact that a private patient is in my care for only
> a brief period of time. You can only spend so much time 'educating' the
> private docs about judicious use of antibiotics, and as for educating the
> patients -- 'nuff said.
> Here's the dilemma: these docs are our referral source. If I tell their
> patients over and over again that their doctor is wrong, they won't send us
> their patients, and one day, they may not send us the sick one who could
> benefit from our expertise.
> In general, I try to insist that parents stick to the course set by their
> pediatrician, even if that sometimes means continuing an antibiotic for a
> condition that I don't see.
> Any comments? Similar experiences?
> Julian Orenstein
> Fairfax Hospital, VA
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