Guest Family Physician Commentaries

The Journal of the American Board of Family Medicine

Robert P. Jackman¹ 

[1] From Cascade East Family Practice, Klamath Falls, OR

关键词: Risk;    Alcohol Drinking;    Energy Drinks;    Drug Abuse;    Adolescence;    Behavioral Science;    Research Letter;   

DOI  :  10.3122/jabfm.2010.05.100163

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

The study by Wilkins et al¹ clearly demonstrates the utility of performing nasolaryngoscopy (NLG) in the family medicine clinic. As detailed in their article, one can find an alarming rate of abnormalities (1.1% laryngeal cancer) and thus expedite any referrals to ear, nose, and throat (ENT) specialists. It is important that family medicine training include training for NLG, if possible, especially when residents plan on practicing in rural areas. In my town of Klamath Falls, OR, we have one ENT specialist; by performing NLG we can assist in ruling out non–life-threatening and easily treatable conditions without unduly burdening him with referrals. The cost analysis table is especially helpful in deciding if it is economically feasible to purchase a nasolaryngoscope and to determine the justification if one plans on asking for financial support to purchase the device.

We, as family medicine specialists, hope to serve our patients in as broad a capacity as possible, and by providing an easy-to-master procedure we can further aid our patients and provide a convenience to them. In my clinic, if I see a patient with an ENT “red flag”^2,3 (unilateral otalgia without otitis media, hoarseness, globus, etc) I can provide this service and potentially offer immediate reassurance or suggest further testing.

【 授权许可】

Unknown   

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