Guest guest Posted July 7, 2012 Report Share Posted July 7, 2012 Read and take to all who see you my article on the evolution of PA. THAT will get your team up to speed. And u as well. Need thumbnail. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 7, 2012, at 8:22, Francis Bill SUSPECTED PA <georgewbill@...> wrote: My current PCP is a resident in DO. I have seen him 3 times As far as I can tell not much different treatment from any other PCP I have had. Doesn't seem to have much knowledge of PA. This seems to the case for all the PCP I have had as well any of the Drs I have seen in ED or immediate care Drs I have seen. > > Anyone out there ever had a DO as a primary? > On the surface I like the idea of this approach esp. since all the heavy lifting has been done where Conn's is concerened. > Now it is just monitoring. > > My codes are. > 585.3 Chronic kidney disease, Stage III (moderate) > 425.4 Other primary cardiomyopathies, Cardiomyopathy: NOS, congestive, constrictive, familial, hypertrophic, idiopathic, nonobstructive, obstructive, restrictive, Cardiovascular collagenosis > 255.8 Other specified disorders of adrenal glands, Abnormality of cortisol-binding globulin > 250.0 Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9 > > A doctor of osteopathic medicine (DO) is a physician with training that differs slightly from that of a physician with an M.D. The DO is equally educated with four years of undergraduate training, four years of medical schools, and additional years if the DO chooses to specialize. However, the DO has a slightly different approach to treating the patient than the MD. > > The DO is trained to evaluate the person in a holistic way. The goal of the DO is not simply to treat problems as they arise, but as well to prevent problems by evaluating the total health and health risks of the person. This evaluation may include not only looking at quantifiable risk factors for disease but also evaluation of the person in terms of their home life, their stress level and their work life. As well, disease is evaluated in terms of how it affects the entire body, not simply a few parts of the body. > > Additionally, the DO is trained specifically in understanding the muscular and skeletal system and how this may relate to disease or pain management. Sometimes a DO will practice manipulation of the spine, similar to the work done by chiropractors, in addition to other more traditional medical treatments. > > A DO may practice any field of medicine: psychiatry, surgery, pediatrics, or obstetrics, for example. However, most train to become general practitioners. The DO will also pass examinations that are almost identical to those taken by an MD, so their ability to practice medicine competently is equal to that of the MD. > > Some argue that the holistic approach of the DO is better since it tends to mean the doctor takes more time with patients and may have a slightly improved bedside manner. However, most doctors trained in either field vary greatly in their ability to listen and to be watchful over a patient's total health. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2012 Report Share Posted July 7, 2012 Recognition of PA Has been a part of training for every MD AND DO. they just never think of it. Because they were taught it was so rare they would. Ever see a case. Even tho Dr Conn suggested it was responsible for as much as 20% of HTN in ~64. Would be interesting to ask what the learned about Conn's. Or maybe they did not go to class that day. And certainly have never read a JNC HYPERTENSION recommendation. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 7, 2012, at 9:51, msmith_1928 <janeray1940@...> wrote: Not quite the same, but similar - my primary isn't a DO, but is an internist with certification in medical acupuncture and a big advocate of holistic treatment. And, I should add, he is the only doctor (out of a dozen or so in 10 years) to know within five minutes of meeting me that I had something wrong other than garden-variety hypertension. He had my referral to a HTN specialist written up before I was able to finish telling him my medical history! Every doctor is different, but this experience has given me a lot of faith in MD's who take on additional training in less-conventional approaches to medicine. -msmith1928 Left laparoscopic adrenalectomy 10/13/11 > > Anyone out there ever had a DO as a primary? > On the surface I like the idea of this approach esp. since all the heavy lifting has been done where Conn's is concerened. > Now it is just monitoring. > > My codes are. > 585.3 Chronic kidney disease, Stage III (moderate) > 425.4 Other primary cardiomyopathies, Cardiomyopathy: NOS, congestive, constrictive, familial, hypertrophic, idiopathic, nonobstructive, obstructive, restrictive, Cardiovascular collagenosis > 255.8 Other specified disorders of adrenal glands, Abnormality of cortisol-binding globulin > 250.0 Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9 > > A doctor of osteopathic medicine (DO) is a physician with training that differs slightly from that of a physician with an M.D. The DO is equally educated with four years of undergraduate training, four years of medical schools, and additional years if the DO chooses to specialize. However, the DO has a slightly different approach to treating the patient than the MD. > > The DO is trained to evaluate the person in a holistic way. The goal of the DO is not simply to treat problems as they arise, but as well to prevent problems by evaluating the total health and health risks of the person. This evaluation may include not only looking at quantifiable risk factors for disease but also evaluation of the person in terms of their home life, their stress level and their work life. As well, disease is evaluated in terms of how it affects the entire body, not simply a few parts of the body. > > Additionally, the DO is trained specifically in understanding the muscular and skeletal system and how this may relate to disease or pain management. Sometimes a DO will practice manipulation of the spine, similar to the work done by chiropractors, in addition to other more traditional medical treatments. > > A DO may practice any field of medicine: psychiatry, surgery, pediatrics, or obstetrics, for example. However, most train to become general practitioners. The DO will also pass examinations that are almost identical to those taken by an MD, so their ability to practice medicine competently is equal to that of the MD. > > Some argue that the holistic approach of the DO is better since it tends to mean the doctor takes more time with patients and may have a slightly improved bedside manner. However, most doctors trained in either field vary greatly in their ability to listen and to be watchful over a patient's total health. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2012 Report Share Posted July 7, 2012 There's no real difference anymore. The original philosophy was more homeopathic, but now DO's have the same curriculum with one exception - they learn spinal manipulation. But I have worked with and seen bad DO's and good MD's, good DO's and bad MD's. They are both modeled on the same med school outline with identical internships and residency. One caveat is that in AZ - I don't know about other states - they are not under the state medical board, only PA's and MD's are, DO's have their own state board, and NP's and midwives are considered nurses and under the nursing board. The issue has been disciplinary and monitoring of bad DO's and addicted DO's. There were some articles out here a while back that felt they weren't watching them, the DO's, well. Having myself been in the nightmare of working with the medical board over my own issues I'd say the MD medical board goes WAY overboard and is so expensive that I personally can't get my issues squared up until I pony up to the tune some day of about $50,000 - and they won't let me work to earn it. Alot of PA's who do the honest right thing thinking they are doing the right thing get caught just giving up because it is so expensive to meet all the boards demands (usually if one self reports they have an addiction issue, or illness issue). So one may be way too much the other board not enough. As to practice - if they listen and treat you good you'll get the same care from either one. I have alot of colleagues - from my paramedic days - who went to the OSU DO program in Tulsa and they are great competent docs. Other friends went to OU allopathic med school and likewise they are good docs. So it's all on the individual. From: msmith_1928 <janeray1940@...>Subject: Re: A DO as a primaryhyperaldosteronism Date: Saturday, July 7, 2012, 11:51 AM Not quite the same, but similar - my primary isn't a DO, but is an internist with certification in medical acupuncture and a big advocate of holistic treatment.And, I should add, he is the only doctor (out of a dozen or so in 10 years) to know within five minutes of meeting me that I had something wrong other than garden-variety hypertension. He had my referral to a HTN specialist written up before I was able to finish telling him my medical history!Every doctor is different, but this experience has given me a lot of faith in MD's who take on additional training in less-conventional approaches to medicine.-msmith1928Left laparoscopic adrenalectomy 10/13/11>> Anyone out there ever had a DO as a primary?> On the surface I like the idea of this approach esp. since all the heavy lifting has been done where Conn's is concerened.> Now it is just monitoring.> > My codes are.> 585.3 Chronic kidney disease, Stage III (moderate)> 425.4 Other primary cardiomyopathies, Cardiomyopathy: NOS, congestive, constrictive, familial, hypertrophic, idiopathic, nonobstructive, obstructive, restrictive, Cardiovascular collagenosis> 255.8 Other specified disorders of adrenal glands, Abnormality of cortisol-binding globulin> 250.0 Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9> > A doctor of osteopathic medicine (DO) is a physician with training that differs slightly from that of a physician with an M.D. The DO is equally educated with four years of undergraduate training, four years of medical schools, and additional years if the DO chooses to specialize. However, the DO has a slightly different approach to treating the patient than the MD.> > The DO is trained to evaluate the person in a holistic way. The goal of the DO is not simply to treat problems as they arise, but as well to prevent problems by evaluating the total health and health risks of the person. This evaluation may include not only looking at quantifiable risk factors for disease but also evaluation of the person in terms of their home life, their stress level and their work life. As well, disease is evaluated in terms of how it affects the entire body, not simply a few parts of the body.> > Additionally, the DO is trained specifically in understanding the muscular and skeletal system and how this may relate to disease or pain management. Sometimes a DO will practice manipulation of the spine, similar to the work done by chiropractors, in addition to other more traditional medical treatments. > > A DO may practice any field of medicine: psychiatry, surgery, pediatrics, or obstetrics, for example. However, most train to become general practitioners. The DO will also pass examinations that are almost identical to those taken by an MD, so their ability to practice medicine competently is equal to that of the MD.> > Some argue that the holistic approach of the DO is better since it tends to mean the doctor takes more time with patients and may have a slightly improved bedside manner. However, most doctors trained in either field vary greatly in their ability to listen and to be watchful over a patient's total health.> Quote Link to comment Share on other sites More sharing options...
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