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If you need to be referred to another practitioner.
Occasionally, you may have a problem that is beyond the
expertise of your regular practitioner, and he will have to
refer you to a specialist.
It is part of your practitioner's job to brief the new
practitioner on the information she needs to do her job. If
he hasn't been able to do that, or if he left out important
information, you can simply give the new practitioner
whatever information she needs.
You: "Hi, Dr. Gutz. Dr. Kool sent me over because
I'm having some problems with my bowels."
Dr. Gutz: "Yes, I've been expecting you. Dr. Kool
tells me that you have been doing anal fisting, and
that you've been noticing some blood in your bowel
movements. Is that correct?"
You: "Yes."
Dr. Gutz: "Is there a chance that you could have
been injured by your partner's fingernail?"
You: "No, he keeps his nails filed very short and
we use latex gloves"... and so on.
It's important to remember that it is not your job to
educate the specialist; your regular physician should do
that. You can act as an example your regular doctor can
use for this educational process, while he ensures that
you are getting the care you need. You will probably be
unaware of these efforts.
It may be that you will need to be referred to a
physician who may not be sympathetic to your sexual
behaviors or lifestyle, but whose expertise is nevertheless