Diagnostician

[albe]

I'm curious about what specialty does things similar to what House does on House, MD. What specialty is considered a "Diagnostician?"

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[dynx]

I'm curious about what specialty does things similar to what House does on House, MD. What specialty is considered a "Diagnostician?"

you have to do a residency in fantasy followed by a fellowship in jackassery.

 

[JackBauERfan]

I'm curious about what specialty does things similar to what House does on House, MD. What specialty is considered a "Diagnostician?"

haha seriously though I think it is internal medicine. Any fellowship you do after that would make you a 'diagnostician' in that particular speciality I guess.

 

[Shah_Patel_PT]

I'm curious about what specialty does things similar to what House does on House, MD. What specialty is considered a "Diagnostician?"

IM docs are the ultimate diagnosticians!

Although in House...they do stuff like brain and heart surgery as well....(not IM docs domain of practice)

 

[colbgw02]

you have to do a residency in fantasy followed by a fellowship in jackassery.

hahahaha

best post i've seen this year

 

[MirrorTodd]

D.n.e.

 

[Nerdoscience]

No specialty has just that diagnostic challenge and nothing else. Neuro and infectious disease are fun ones for putting together weird symptoms and coming up with a diagnosis.

And I think what people are saying, and that you hopefully already know is that House is full of $h!t.

 

[fistulitis]

I'd say it's Emergency Medicine. I'm surprised none of the EMs have spoken up. Basically, by the time the patient is sent up to the floor, there is an admitting diagnosis, the results of first-line tests are back, and often the second-line tests have already been ordered.

 

[deleted87716]

I'd say it's Emergency Medicine. I'm surprised none of the EMs have spoken up. Basically, by the time the patient is sent up to the floor, there is an admitting diagnosis.

Nothing against EM, but they're just about the furthest thing from a "House, M.D."-style diagnostician there is, unless you count "sick" and "not sick" as diagnoses. 😉

Personally, I'd vote for renal...those guys know freakin' everything.

 

[Mumpu]

Both internal medicine and pediatrics have "diagnostician" practices that specialize in working up patients with "I don't know what's going on" diagnoses. The pathway is general IM/peds.

ER docs are not very good at actual diagnoses beyond the obvious (sick-not sick, GI bleed, acute STEMI, giant freakin' boil-o-pus) which is fine (chill people, chill!) because their job is triage and acute management.

 

[mikecwru]

Nothing against EM, but they're just about the furthest thing from a "House, M.D."-style diagnostician there is, unless you count "sick" and "not sick" as diagnoses. 😉

Personally, I'd vote for renal...those guys know freakin' everything.

Well, we don't cover the fibromyalgia tenderness points like FP does, but . . .

Let's not let this devolve into a specialty bashing thread.

I think my diagnostic skills are just fine and I rarely send someone without a decent clue of what's going on.

I can tell as many stories about the FPs or internists who sent "sick" patients to the ED, the transfer papers still wet from their sweat and tears.

I've had more than one patient call me "House." It's my pleasing disposition.

mike

 

[JackBauERfan]

Well, we don't cover the fibromyalgia tenderness points like FP does, but . . .

Let's not let this devolve into a specialty bashing thread.

I think my diagnostic skills are just fine and I rarely send someone without a decent clue of what's going on.

I can tell as many stories about the FPs or internists who sent "sick" patients to the ED, the transfer papers still wet from their sweat and tears.

I've had more than one patient call me "House." It's my pleasing disposition.

mike

maybe you walk with a limp?

 

[Apollyon]

I've used this example before. Medicine is like a golf course. EM docs tee off and drive. Our job is to get it on the green. Sometimes, we're on the fairway. Sometimes, we're in the rough. Rarely, we're off the course. Occasionally, we'll hole out.

However, generally, specialist-putters come in. Sometimes, the IM/FM/Surgery putters are snipers, and need one shot. Sometimes, the specialist-putters will, well, putter around, and 3-, 4-, 5-putt or more.

Medicine is not a "zero-sum" game - I'm not good because you suck.

And most cases aren't "Pebble Beach" quality - most cases are the most-straightforward, boring, not-challenging holes that have 1 sand trap, no dog leg, no water hazard, and are par-3. I make "actual diagnoses" all the time.

 

[JackBauERfan]

I've used this example before. Medicine is like a golf course. EM docs tee off and drive. Our job is to get it on the green. Sometimes, we're on the fairway. Sometimes, we're in the rough. Rarely, we're off the course. Occasionally, we'll hole out.

However, generally, specialist-putters come in. Sometimes, the IM/FM/Surgery putters are snipers, and need one shot. Sometimes, the specialist-putters will, well, putter around, and 3-, 4-, 5-putt or more.

Medicine is not a "zero-sum" game - I'm not good because you suck.

And most cases aren't "Pebble Beach" quality - most cases are the most-straightforward, boring, not-challenging holes that have 1 sand trap, no dog leg, no water hazard, and are par-3. I make "actual diagnoses" all the time.

haha never thought of it that way, but makes a good bit of sense, especially those tough cases where we hit out of the same sand trap 3 times!

 

[cytoborg]

Pathology and radiology are the ultimate diagnostic specialties.

As for "House," ditto the jackassery comment.

 

[DrHeartMD]

i think rheum, neuro and ID get some of the props though...those guys often get some of the wierdest diagnoses and get to put things together than u might not remember are a symptom complex...

 

[Daiphon]

I've used this example before. Medicine is like a golf course. EM docs tee off and drive. Our job is to get it on the green. Sometimes, we're on the fairway. Sometimes, we're in the rough. Rarely, we're off the course. Occasionally, we'll hole out.

However, generally, specialist-putters come in. Sometimes, the IM/FM/Surgery putters are snipers, and need one shot. Sometimes, the specialist-putters will, well, putter around, and 3-, 4-, 5-putt or more.

Medicine is not a "zero-sum" game - I'm not good because you suck.

And most cases aren't "Pebble Beach" quality - most cases are the most-straightforward, boring, not-challenging holes that have 1 sand trap, no dog leg, no water hazard, and are par-3. I make "actual diagnoses" all the time.

excellent analogy. d=) may i shamelessly hijack it for a talk i have to give to a bunch o' MS-III's?

-t