Dr. Sashikanth.J

Commenting based on my vague remembrance of your case. I guess your diagnosis was that of otosclerosis and based on your audio gram of CHL ct temporal bone was suggested. It is standard of care to get Ct temporal bone to find out cause of conductive hearing loss with intact tympanic membrane . You need to understand why Ct of temporal bone was done before writing it as unnecessary. Coming to the referral done it was to a colleague who is a surgeon interested and well trained in stapedectomy needed for otosclerosis. Though we could have done the surgery here we thought it would be more in your benefit to refer to a colleague who does it frequently. Our area of focus is Rhinology and Head and neck cancers. It is patients like you who prevent doctors from referring to colleague who can do best in that petticoat area. If you think just because we referred one particular case we do not know any thing in ENT shows how naive your are in understanding the complex sub specialities available in every branch of your. It has become a fashion now a days to post online reviews of any thing you think is correct without giving a thought to what long term consequences of these actions would be. People like you would prevent doctors from referring to a colleague with subspeciality interest and sub speciality practices would never be developed like the western countries. Hope this clarification helps you and would help you understand why Refferal are sometimes for your benefit only