Full Body Eval

[flypod]

Does a podiatrist evaluate the heart and lungs during a visit? I would assume that a pod doing an eval of a pt. with suspected PVD would evaluate radial and pedal pulses, check for JVD, and listen to the heart.

This the case?

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[Dr_Feelgood]

I worked up a patients w/ a complete H and P (heart, lungs, bowel, cranial nerves, ect) so yes pods can do it. But again it is up to you. Many pods send the patient back to the PCP for a H and P before surgery b/c if any meds need to be altered while the pod can do it; it is easier to send them to the PCP. You also build a strong relationship w/ the doc therefore more patients.

Also, some hospitals do not having admitting rights for pods so you would need a H and P from a PCP.

 

[flypod]

Cool. My only comment is how can a foot doctor do a full work up? Dentist dont do them? Is it taught in podiatry school?

 

[dpmgrad]

Cool. My only comment is how can a foot doctor do a full work up? Dentist dont do them? Is it taught in podiatry school?

To my knowledge, students at all podiatry school are taught a full body work up as part of their H&P courses.

As for DPMs doing full H&P, it will depend on the hospital privileges. As Dr. Feelgood mentioned, if the hospital gives the DPM full admitting privileges, they will be allowed to perform a full H&P. If they don't have full admitting privileges, DPMs will rely on MD/DO to do the H&Ps. However, most of the DPMs will defer full H&Ps to their primary care physicians due to liability issues.

 

[flypod]

To my knowledge, students at all podiatry school are taught a full body work up as part of their H&P courses.

As for DPMs doing full H&P, it will depend on the hospital privileges. As Dr. Feelgood mentioned, if the hospital gives the DPM full admitting privileges, they will be allowed to perform a full H&P. If they don't have full admitting privileges, DPMs will rely on MD/DO to do the H&Ps. However, most of the DPMs will defer full H&Ps to their primary care physicians due to liability issues.

Uhh.. it doesnt make sense to me that a foot doctor would understand the dynamics of the heart, lungs, and bowels enough to do a full eval. But what do I know. I just fly jets.

 

[dpmgrad]

Uhh.. it doesnt make sense to me that a foot doctor would understand the dynamics of the heart, lungs, and bowels enough to do a full eval. But what do I know. I just fly jets.

In the Podiatry school curriculum, Podiatry students are taught physiology, pathophysiology, and other basic science courses that MD / DO students take in the first and second year. Most schools require students to do Internal medicine rotation as part of their 3rd / 4th year curriculum. I do not mean to imply that the education that we get from our DPM curriculum would qualify us to be Internal Medicine physicians. However, most of the DPM graduates today have a much better understanding of the body mechanics and dynamics.

 

[jonwill]

Uhh.. it doesnt make sense to me that a foot doctor would understand the dynamics of the heart, lungs, and bowels enough to do a full eval. But what do I know. I just fly jets.

Just did some full body H&P's today for patients that we are doing surgery on this week. We also have to do them on patients that we admit to the hospital.

 

[flypod]

Most residencies I've seen put DPMs through 1 mo. of IM. It all makes sense though. Thanks for the help.

 

[dpmgrad]

Most residencies I've seen put DPMs through 1 mo. of IM. It all makes sense though. Thanks for the help.

In many of the residencies, the DPM resident rotating through IM service usually function like any other resident or intern on the IM service. Again, this does NOT imply that we are Internal Medicine physicians or that we should be treating systemic diseases. It only further enhances our understanding of the body physiology and pathophysiology.

 

[capo]

Uhh.. it doesnt make sense to me that a foot doctor would understand the dynamics of the heart, lungs, and bowels enough to do a full eval. But what do I know. I just fly jets.

It does take alot of discipline for many here (who in case you're not aware sir, are onto your game) to not comment, on what YOU know to be bogus posts done to inflame people on here. I do admire your tenacity though, for reincarnating as flypod. Ingenious my friend, indeed. It may work for high school intellects, though you've stepped into the majors here. But by all means, keep up the front.

 

[cool_vkb]

It does take alot of discipline for many here (who in case you're not aware sir, are onto your game) to not comment, on what YOU know to be bogus posts done to inflame people on here. I do admire your tenacity though, for reincarnating as flypod. Ingenious my friend, indeed. It may work for high school intellects, though you've stepped into the majors here. But by all means, keep up the front.

Hey big bro Capo, how are u. havent seen u much on this forum from few days. u never said me what school u attend.

 

[flypod]

am i missing something?

 

[AZPOD Rocks]

I think CAPO was referring to your previous question. There have been others on SDN in the past who ask similar questions but with a slight twist attempting to place a negative association on the podiatric profession. Yours was either a sincere lack of knowledge about the field or a sophomoric challenge looking to stir the pot a little.

If I may answer in my own way... why would I let a surgical team put me under when the commander of that team didn't understand the entire body? I wouldn't. I wouldn't trust such an individual to operate on me.

Some people equate podiatry with "dentistry of the foot" so to speak. We are not that similar to dentists (other than business similarities). We are very similar to foot and ankle orthopedic surgeons and are currently held to similar standards in the OR. Modern podiatric medical and surgical education teaches us to be knowledgeable about the whole body and even ethical and cultural considerations of patients. So, H&P are learned by every podiatric medical student.

AZPOD Rocks

 

[oncogene]

Is it common for hospitals to allow pods to admit patients?

Oncogene

 

[Podman]

Is it common for hospitals to allow pods to admit patients?

Oncogene

i believe you can do so as a resident. However, I would perceive limitations by some hospitals for practicing pods.

 

[flypod]

Is it common for hospitals to allow pods to admit patients?

Oncogene

At the VA I worked at, pods had full admission and surgical privelages. At the ER I worked at they co-admitted with an internist.

 

[dpmgrad]

Is it common for hospitals to allow pods to admit patients?

Oncogene

Admitting privileges for DPMs do vary between hospitals. I think that majority of the DPMs usually co-admits with an internal medicine or famiily practice physician. There are some DPMs that admit primary onto their own service. There are some DPMs that do not admit patients at all to the hospitals (whether it is by choice or based on hospital by laws). For these DPMs that do not admit into the hospital, they usually have arrangementw with other DPMs, internal medicine docs, family physicians, or orthopods.

 

[capo]

Does a podiatrist evaluate the heart and lungs during a visit? I would assume that a pod doing an eval of a pt. with suspected PVD would evaluate radial and pedal pulses, check for JVD, and listen to the heart.

This the case?

By the way Einstein, aka flypod, a PA can do this eval and is not even trained as well as a pod in length of training. Hell, a PhD has more training than an MD. so why not let him do this eval too? Hey while we're at it, I'm sure a cab driver has had an MI occur in his cab at sometime or other. But did you go onto the Cabbie.com and ask around at that forum too if they can eval or, better yet -- stabilize a pt. while they're on the cab meter running? What to heck dude, are you blatantly insane or just good at faking it?

 

[AZPOD Rocks]

By the way Einstein, aka flypod, a PA can do this eval and is not even trained as well as a pod in length of training. Hell, a PhD has more training than an MD. so why not let him do this eval too? Hey while we're at it, I'm sure a cab driver has had an MI occur in his cab at sometime or other. But did you go onto the Cabbie.com and ask around at that forum too if they can eval or, better yet -- stabilize a pt. while they're on the cab meter running? What to heck dude, are you blatantly insane or just good at faking it?

Capo, now you are just being disgruntled!

 

[capo]

Capo, now you are just being disgruntled!

Yes well it's no more ridiculous than his posts, you agree?

 

[IlizaRob]

Yes well it's no more ridiculous than his posts, you agree?

Although I agree that he tends to play the devil's advocate quite a bit, I think flypods question was legit. There are many people that dont know the extent of a pod's training. Assuming they know nothing about the heart and lungs is common in today's society. Just educate.

 

[cool_vkb]

Although I agree that he tends to play the devil's advocate quite a bit, I think flypods question was legit. There are many people that dont know the extent of a pod's training. Assuming they know nothing about the heart and lungs is common in today's society. Just educate.

I dont agree with u and i support Capo here. Bcoz, when this great FLYPOD claims in his other posts "YOU DONT KNOW ABT MY EXPERIENCE, I HAVE SHADOWED 3 Podiatrists at different setups and i have a close friend who is a Pod". So how come he doesnt know basic questions. i wud have agreed with u if he hasnt done any shadowing . but he has done everything , he is just here for fun and incite anger.

 

[flypod]

By the way Einstein, aka flypod, a PA can do this eval and is not even trained as well as a pod in length of training. Hell, a PhD has more training than an MD. so why not let him do this eval too? Hey while we're at it

A PA is trained in whole body medicine and usually works in FP. Its part of the whole wellness exam. Get over it. DPMs dont listen to hearts or lungs once outside of residency. You're not a whole body doctor like it or not.

Why do people want pods in the same class with the same privelages as MDs. They arent MDs. Do oral surgeons do a full work up prior to an elective jaw surgery? NO! They're dentists with a 4 year residency (most pod is 3?). Its outside their scope of practice. DPMs work on feet I thought.

Why in the hell would they do a full eval? Its outside of their scope, NOT TRAINING, I said SCOPE.

 

[IlizaRob]

A PA is trained in whole body medicine and usually works in FP. Its part of the whole wellness exam. Get over it. DPMs dont listen to hearts or lungs once outside of residency. You're not a whole body doctor like it or not.

Why do people want pods in the same class with the same privelages as MDs. They arent MDs. Do oral surgeons do a full work up prior to an elective jaw surgery? NO! They're dentists with a 4 year residency (most pod is 3?). Its outside their scope of practice. DPMs work on feet I thought.

Why in the hell would they do a full eval? Its outside of their scope, NOT TRAINING, I said SCOPE.

Flypod, Im trying to defend you here but your ignorance is making it difficult. A full history and physical is within the scope of practice for pods set by the state. It is the hospital that decides whether or not they can admit. Pods have an unlimited scope to diagnose. They can order any lab they want as well as complete a full history and physical (Im not talking about paps here). It is important that they know how to do this so that they can refer to proper specialists. They are limited in what they can treat. Im not sure what you are trying to accomplish here but it is clear you are no expert.

 

[cool_vkb]

A PA is trained in whole body medicine and usually works in FP. Its part of the whole wellness exam. Get over it. DPMs dont listen to hearts or lungs once outside of residency. You're not a whole body doctor like it or not.

Why do people want pods in the same class with the same privelages as MDs. They arent MDs. Do oral surgeons do a full work up prior to an elective jaw surgery? NO! They're dentists with a 4 year residency (most pod is 3?). Its outside their scope of practice. DPMs work on feet I thought.

Why in the hell would they do a full eval? Its outside of their scope, NOT TRAINING, I said SCOPE.

Jeez! man i havent seen a stubborn person like u. honestly u r confused, u dont know wat the f...k you are saying. When u know the answer why the hell do u ask that question man. ur problem is u have already arrived on a conclusion on podiatry. not even our answers, even god cant also change it. Just say honestly, wat kind of pleasure or satisfaction r u getting by asking stupid questions when u already know the answers. u just want to insult people.

AND WHAT THE HELL IS WRONG WITH YOU PEOPLE, WHY ARE YOU CONTINUING IN THIS DEBATE WITH THIS SHMUCK!

 

[JEWmongous]

hey cool, you were the one who said to flypod "i agree with you 100% on asking questions etc." Now we are stuck with this guy until he gets banned! It sucks because threads aren't getting legit answers, just stupid ass comments from this twink.

 

[cool_vkb]

hey cool, you were the one who said to flypod "i agree with you 100% on asking questions etc." Now we are stuck with this guy until he gets banned! It sucks because threads aren't getting legit answers, just stupid ass comments from this twink.

yes sir, i did agreed with him 100% when he was asking questions and at that time he didnt said he had already shadowed DPMs and has a friend who is a DPM. i thought this guy was really looking for answers.but now he is revealing himself slowly.so iam getting pissed off.

 

[funfeet]

Flypod, I dont want to get in a dispute. I have an honest question with you...if you have no interest in podiatry why are you still on this forum? If you do have an interest, thats fine. I'm just curious. Do you want to be a podiatrist or no? If you can honestly say no, then instead of getting everyone upset for whatever reason, just leave the forum. If you do, however, want to be a podiatrist, then best of luck.

 

[molldoll2010dpm]

A PA is trained in whole body medicine and usually works in FP. Its part of the whole wellness exam. Get over it. DPMs dont listen to hearts or lungs once outside of residency. You're not a whole body doctor like it or not.

Why do people want pods in the same class with the same privelages as MDs. They arent MDs. Do oral surgeons do a full work up prior to an elective jaw surgery? NO! They're dentists with a 4 year residency (most pod is 3?). Its outside their scope of practice. DPMs work on feet I thought.

Why in the hell would they do a full eval? Its outside of their scope, NOT TRAINING, I said SCOPE.

Why keep asking questions? You seem to know all the answers. In fact one of the Podiatry schools should just send you a diploma.

 

[JEWmongous]

Don't even bother moll, this guy is an idiot and just makes comments to piss people off. He has not even taken any pre-rec classes yet but he thinks he knows everything about the profession.

 

[molldoll2010dpm]

Don't even bother moll, this guy is an idiot and just makes comments to piss people off. He has not even taken any pre-rec classes yet but he thinks he knows everything about the profession.

Oh I know, I just had to put my two cents in