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Reply to "Primary care who doesn’t see sick pts"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.[/quote] Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. [b]For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. [/b]Lots of different things present with "flu like symptoms," but are not flu. Why are you so quick to dismiss the patient and give the practice so much grace?[/quote] With respect, no. This is exactly wrong. Sinus infection is not diagnosed by nasal exam. Not at all. In fact, the diagnosis is mostly based on symptoms and history, so it's ideal for telehealth. The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) has specific guidelines for this. Acute bacterial sinusitis is diagnosed when symptoms (specifically purulent nasal drainage, nasal obstruction, and/or facial pain/pressure) persist for 10+ days without improvement, or when they improve then worsen again within 10 days after initial improvement. [quote]HOW CAN I TELL IF I HAVE ACUTE SINUSITIS? You have acute sinusitis when there has been up to 4 weeks of cloudy or colored (not clear) drainage from the nose plus one or both of the following: a. A stuffy, congested, or blocked nose or b. Pain, pressure or fullness in the face, head, or around the eyes. HOW CAN I TELL IF MY SINUSITIS IS CAUSED BY VIRUSES OR BACTERIA? - Acute viral sinusitis is likely if you have been sick less than 10 days and are not getting worse. - Acute bacterial sinusitis is likely when you do not improve at all within 10 days of getting sick or when you get worse within 10 days after beginning to get better https://www.entnet.org/wp-content/uploads/2025/07/CPG-AdultSinusitisUpdate_Diagnosis_V5.pdf[/quote] [/quote] Where in your rant does it state that they do not observe the sinus cavity? Because OF COURSE THEY DO. Stop spreading lies. [/quote]
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