RICHARD GROSS, M.D.
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To the editor: As a primary care internist, I object to the tone and language of the editorial by Patterson and Fink (1), in which they tell us which patients we are "required" to refer to an allergist. For any specialist to tell internist colleagues what is "required" regarding referral is misleading, inaccurate, and harmful. Decisions to refer are based on the patient's welfare, and the threshold for referral depends on many factors, including the internist's experience, training, and skill; the patient's desires; costs; and a broad perspective toward the relative benefits of referral. In the editorials of an authoritative
GROSS R. Referrals to Allergists. Ann Intern Med. ;102:726. doi: 10.7326/0003-4819-102-5-726_1
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Published: Ann Intern Med. 1985;102(5):726.
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