First visit
The therapist solves the problem of a “one-stop shop”: he treats simple conditions immediately, in case of systemic findings, he prescribes a targeted examination and transfers it to a specialized clinic specialist with a ready-made database of tests. Before operations, the functional status is assessed, and if necessary, antihypertensive, hypoglycemic and anticoagulant medications are adjusted according to withdrawal protocols - a conclusion is drawn up for the anesthesiologist. The patient leaves with a specific plan rather than a “observation” plan.
Indications
- ARVI, cough, fever, weakness - diagnosis and treatment;
- hypertension, shortness of breath, edema - examination of the cardiovascular system;
- preoperative examination with admission to elective surgery;
- chronic diseases - selection and correction of therapy;
- deciphering tests and examinations, “I don’t know who” is the starting point.
Therapist in a surgical clinic
The key role of the therapist here is perioperative: assess cardiopulmonary risks, compensate for blood pressure and sugar, adjust medications (anticoagulants!) and give reasonable admission to anesthesia - this makes the planned operation safe. At the same time, the therapist conducts the usual outpatient appointments: infections, hypertension, anemia, “analysis” of tests; if necessary, routes to specialized clinic specialists and prescribes IVs/injections in the treatment room.
