So I was recently talking to an inpatient about his back pain management, and trying to make sure he had outpatient follow-up. I soon discovered that he was seeing THREE neurologists.
One neurologist was to monitor the size of a brain aneurysm.
One neurologist was for management of migraine headaches.
One neurologist was giving him his back pain medications.
Me: "Oh! So the neurologist you're seeing for your pain meds can take over the care for your back pain!"
Patient: "No. This neurologist only does sleep medicine, but just agreed to dispense the pain meds. But she can't manage them."
I feel like sub-specialization may have gone too far.