Chelation clinics. An abuse of the physician's freedom of choice.
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Biomedical subjects
Publications and source records attributed to A Soffer.
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This study contrasts the treatment of diabetic ketoacidosis in a teaching hospital by internists and family physicians. Parameters studied included laboratory use and length of stay. The period of hospitalization was longer in the internal medicine program compared with the family practice group, 5.09 days and 4.60 days, respectively, a 10.65 percent increase. In addition, the total number of laboratory tests and x-ray procedures per patient and per hospital day were notably increased in the internal medicine group compared with the family practice group; 49.20 and 29.68, and 9.67 and 6.45, respectively, the former being a 65.77 percent increase and the latter being 49.92 percent higher. There were no deaths in either group. Serum glucose and urine spillage were comparable in both groups upon discharge.
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We report a study contrasting the treatment of diabetic ketoacidosis in a teaching hospital by physicians trained in endocrinology as compared to those internists who have not been trained specifically in that specialty. Parameters studied included patterns of laboratory usage and length of hospital stay. The period of hospitalization was similar in the two groups: 5.17 days in the group treated by endocrinologists, as compared to 5.00 days for those treated by nonendocrinologists. However, the total number, as well as the average number per patient per hospital day, of laboratory tests and x-ray procedures was notably increased in the endocrinologists group as compared to the nonendocrinologist group: 52.99 to 45.28 and 10.25 to 9.06, respectively.
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