About Internal Medicine

When Should You See an Internist?

Once a person reaches the age of 18 years, this person already can seek for a medical aid of an internist, choosing a specific internal medicine subspecialty if needed. When an individual selects an internist, this individual may stay with this doctor for many decades to come. Due to this, the patient will have an opportunity to build the long-lasting patient-doctor relationship based on trust and full confidentiality. This is a key for the effective prevention and treatment of many medical conditions.

The patients should see the internists routinely. The frequency of the internist’s consultations depends on the medical condition the patient suffers from. These conditions may be related to a broad range of medical subspecialties such as nephrology, cardiology, rheumatology, pulmonology, and many others. That’s why you may visit your internist if you need to choose and take diet pills in order to combat the excessive weight and obesity issue as well as to cure arthritis, kidney disease, heart disease, chronic lung disorder, diabetes, hypertension, and so on.

Regardless of the medical problem, you should first of all see your internist, and then the internist can refer to the specialists in other medicine realms if your situation demands this. So, the internist may also treat you in the conjunction with the other medical professionals.

What Procedures Do Internists Do?

The internists may do a variety of medical procedures. But these procedures differ substantially depending on the specialty and institution. In particular, the internists do venipuncture needed for blood tests, arterial puncture required for blood gases, flexible sigmoidoscopy, and endotracheal intubation. The internists are also often responsible for the insertion of urinary catheters, nasogastric tubes, and IV lines.

To perform such procedures, the internists have to acquire special skills and apply them in practice frequently in order to bring to naught the risk of complications and discomfort in patients.

There are also some more therapeutic and diagnostic procedures which demand more invasion but are still performed by the internists. These procedures include paracentesis, lumbar puncture, and thoracentesis. The other, more complicated medical procedures require additional qualification and training. They are typically performed by the other specialists.

Geriatric Internal Medicine

Geriatric internal medicine is in fact a subspecialty of internal medicine engaged in the diagnosis and treatment of diseases in the elderly people. Geriatricians have to first of all get a certificate in internal medicine and then finish postgraduate training, lasting for two more years. This additional training is required to approve residency in geriatric medicine.

Geriatrics and general internal medicine indeed have much in common are closely interrelated. That’s because a very large percentage of the general internists’ patients are older adults, while the geriatricians are involved in resolving almost the entire variety of medical conditions which refer to internal medicine. The dissimilarities between geriatric medicine and general internal medicine lie within the fields of administration, research, and patient healthcare.

The elderly as a category of patients cared of by geriatric medicine is distinct from the young adult patients since the older people are much more predisposed to numerous chronic diseases. In addition, the elderly adults are often feeble, dependent on the other people’s care, and are reaching the end of their life. These peculiarities of older patients demand a specialized expertise and competence that goes beyond the qualification of an ordinary internist or general physician.

That’s why the general internal medicine can’t fully comply with all the special needs and requirements of the geriatric patients. But the general internists still can participate in providing the healthcare to the elderly. For example, the internists can manage the most common medical conditions, control the nutrition and body weight as well as recommend the natural fat burners to the older patients.

Internal Medicine and Adolescent Care

Within the period of last five decades, the evolution of adolescent medicine was leaded by the pediatricians which dominate this substantially. The pediatricians were the key medical professionals providing medical services to the adolescents. But throughout this period of time, the internists have also started taking an active part developing the realm of adolescent medical care and bringing the quality of teenager medicine to a much higher level. At the present moment, there are many internists in the Society that manages and regulates adolescent healthcare field.

A variety of adolescent healthcare post-graduate training programs is available under the direction and guidance of faculty that specializes in internal medicine. There is a large number of internists engaged in adolescent medical care who offer medical aid and help the teenagers successfully go through the adolescence and start a healthy young adulthood period of their life. Also, many general internists make their medical practice much broader by providing the medical care to people who are younger than 25 years old. The college health services are the one more place where it’s possible to see the internists focused on adolescent health care.

Internal Medicine Doctor Profile

Internal medicine doctors, also called internists, specialize in the adult medicine. It means that they undertake medical training and internship, studying how to prevent and cure a wide spectrum of medical conditions in adult patients. The internists get the expertise to establish a diagnosis and prescribe adequate treatment of infectious diseases, heart diseases, cancer, overweight, and obesity including the recommendation of proper non-prescription appetite suppressants. The internists also treat the medical conditions which affect vascular, gastrointestinal, respiratory, kidney, blood, and musculoskeletal systems.

The internists study the basics of primary care internal medicine that implies taking the appropriate measures to prevent a disease. For example, the internists can advise carb blockers, reverse of unhealthy habits, amend eating pattern for the prevention of overweight and obesity. The internal medicine doctors also focus on preventing medication abuse, helping relieve psychological issues, supporting overall well-being, and advising high-quality natural supplements like OTC testosterone boosters.

The internists not only are actively engaged in resolving the most widespread medical conditions which touch on skin, reproductive system, nervous system, ears, and eyes. They also frequently give a professional advice on tackling the complicated diagnostic issues to the other medical experts.

Internist Career Prospects

It’s possible to distinguish the following career prospects for the internal medicine doctors:

  • Traditional General Internist: These internists are not restricted with the kind of medical condition or organ function since they diagnose and determine appropriate treatment of all both acute and chronic diseases. They also help the adult patients to prevent any disease development.
  • Hospitalist: These internists work by providing medical care to the patients whose medical conditions demand hospital stay. The treatment in hospital setting has own specifics which determines the peculiarities of hospitalists’ activities.
  • Ambulist: This term is used to classify the internists who are focused on providing the outpatient care to the patients requiring no hospital admission. In other words, these internists diagnose and treat the patients outside the hospitals.

Inpatient vs Outpatient Internal Medicine Care

To put it simple, inpatient medical care refers to the hospital care, meaning that a certain patient should be in hospital even at night. This type of care engaged the patients who have to stay in the hospital for several weeks and months to be fully restored to health after a serious surgery. Outpatient care also involves the patients who require hospital care even for a couple of days. The doctors manage the treatment of such patients in the hospital conditions in order not to allow the exacerbation of a medical condition or perform the medical procedures which are impossible ensure in the non-hospital conditions.

Outpatient medical care, also known as ambulatory care, means that the patient doesn’t have to stay at night in the hospital. The yearly physical examination, headache diagnostics, and visit to a gastroenterologist are all different kinds of outpatient care. The outpatient care is also usually responsible for overweight management which, among others, includes the recommendation of appropriate low-carb diets, other body weight control methods or referral to the specialists focused on different internal medicine subspecialties. In addition, sports medicine issues such as the advice on the intake of the best HGH booster supplements also may belong to the sphere of expertise and practice of outpatient care.

It should be noted that the use of the emergency department services falls within the competence of outpatient care as well. If you don’t need to stay at the emergency department and go home the same day you come there, then you remain the receiver of ambulatory care. If you schedule the healthcare provider’s appointment in the medical service centers, clinics, and offices outside hospitals, you also receive outpatient care in this case.

Sometimes, the internists deem it necessary to admit the patient to an observation status when the decision with regard to the need for hospital stay has to be made. This status is used by the healthcare providers in order to precisely and attentively estimate the patient’s state of health and act completely for the patient’s benefit. There are the situations which require keeping a patient under observation status for the period that exceeds 24 hours. This will ensure the best possible prognosis for a disease and the patient’s access to the most adequate medical treatment.

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