[quote]Professor X wrote:
What kind of results? If someone is coughing and there are no other signs of a deeper disease process, you watch and see if it will resolve. That is not “incompetent” and if this is an example of massive incompetence among doctors, I am wondering exactly what you expected to happen.[/quote]
Reread my post. My point was, whether the symptoms have lasted four weeks or six weeks, either way they tell you to come back in two weeks. I’m not sure what they would do two weeks after the four weeks, but whatever it is, they should do it immediately after six weeks. I highly suspect that if I said I’d had a cough for ten weeks, they’d also tell me to come back in two weeks if it doesn’t get better.
An ENT will at least stick a tube up my nose and take a serious look. Also, he’ll have a much better idea what he’s looking for. This in fact happened about a month ago, and the ENT immediately told me my throat was irritated from (otherwise symptomless) acid reflux. More to the point, just from my description of how the cough felt, he highly suspected it before looking. It seems I get some reflux from coughing hard from a cold/flu, which causes more coughing and continued reflux. The exact same thing happened to me about ten years ago, and the doctor (a well regarded internist), shrugged his shoulders through a few visits, then prescribed some antihistamines for the post-nasal drip (caused by the irritation, but not the root problem). Finally I just waited a few months and the problem resolved itself, but a correct diagnosis and treatment would have saved me a lot of annoyance and sleepless nights.
The truth is, given the huge numbers of diseases and medical problems, you have a much better chance of getting a quick and accurate diagnosis from a specialist, especially an experienced one. Of course, there are exceptions.