Word: internists
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...professional courtesy. Dr. Allen Charles, a Chicago obstetrician and gynecologist, delivers from three to six doctors' wives each month without charge. "I guess I should take it as a personal compliment when a doctor sends his wife to me," he says. Dr. Hugh Miller, a Newton, Mass., internist, feels that caring for colleagues is one of the things that sets doctors apart from others. "If you're a tradesman, then act like one," he says. "If you're a professional, then you should offer professional courtesy...
Many doctors, reluctant to impose on other physicians, may avoid seeking treatment. "It leads to an uncomfortable sense of obligation," says an internist at North Shore Hospital in Manhasset, L.I. Others attempt to ease guilt feelings by sending expensive gifts to doctors who have treated them...
Whether in a big city or small town, the country's 69,000 private clinics are remarkably alike. In Tokyo, Dr. Takeshi Ito (not his real name), an internist who calls himself a child specialist, owns and runs a one-room clinic with a cubbyhole dispensary. Ito sees about 60 patients during each long clinic day, visiting a few bedridden patients at home in the afternoon. At night, relaxing with his hi-fi and a bottle of Scotch, Ito wonders aloud whether he can call himself "a true disciple of this noble science of medicine." He provides...
...When a patient's symptoms point to a definite, diagnosable disease, the treatment-surgery, drugs or other therapy-is often obvious. But what should a doctor do when the symptoms add up to no known ailment? Dr. Joseph Sapira, a Birmingham, Ala., internist, believes the physician definitely should not dismiss the complaint as imaginary. Instead, he should try "reassurance therapy," and in the Annals of Internal Medicine Sapira tells how to administer it. The first step, he says, is to elicit a detailed description of the symptoms; the next is to ascertain how they affect or concern the patient...
...Medical Association disagrees. Reporting in the A.M.A. Journal on the results of a yearlong study of medical manpower, Henry Mason of the association's department of undergraduate medical education concludes that the problem is not scarcity but uneven distribution. In South Dakota, for example, there is only one internist for every 12,813 people. In 18 states, there is only one pediatrician for each 20,000. Obstetrician-gynecologists are also unevenly distributed; while the national median is 1 to 11,915, the ratio in ten states is only 1 to 20,000. There is also some overabundance, for example...