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Do you get a lot of patients needing to see allergists? If you do, do you let this go on for years (receiving allergy shots etc)?
No one likes when I cite those reccs haha. But we are fracked through Epic and it is a metric for us next year, silly patients.If a patient isn't interested in allergy shots, there's nothing (literally, nothing) that an allergist will offer them that I can't (and probably haven't already). Allergy testing...? If you don't want shots, what's the point? "OK, you're allergic to such-and-such, so you should avoid such-and-such." Duh.
Oh, and "sinus infections...?" Here ya' go...
https://www.idsociety.org/uploadedFiles/IDSA/Guidelines-Patient_Care/PDF_Library/IDSA Clinical Practice Guideline for Acute Bacterial Rhinosinusitis in Children and Adults.pdf
No one likes when I cite those reccs haha. But we are fracked through Epic and it is a metric for us next year, silly patients.
IMHO patients who insist on a referral to allergy testing are also who come up with weird compliants and sometimes c/o fibromylagia
on a handful of occasions I have referred but that was when it was significantly impacting their work