To: Road Walker who wrote (26838 ) 8/2/2013 11:54:54 AM From: i-node 1 RecommendationRecommended By TimF
Read Replies (3) | Respond to of 42652 >> The whole thing offends my natural sense of efficiency. The good news is you walked in and weren't carried out. Glad to hear that. Of course, I know nothing about medicine or what the doc's concerns might have been. It seems to me a degree of cynicism is justifiable, but at the same time some of it is understandable. Imagine you're a doctor and a person shows up about whom you know nothing, a person you've never seen before, and you have no real knowledge of the person's medical history. If you make the wrong diagnosis, you're could be facing legal action or worse, the person could drop dead first. And you have a ten-minute encounter with the person during which to judge the seriousness of his problem. When you boil it down, all you really have are test results. It is like saying to a pilot, put on this IFR hood, but you can't use your instruments. Just go with it. After all, something was sufficiently wrong that it made you show up at the ER and not wait to schedule an appointment with your family practice doc; so he has to presume you have a reason for being there and it his job to figure out what it is. He doesn't want to miss anything. So, you get the $2,000 workup just to be sure. OTOH, there have been documented instances where ER docs were pressured to feed patients to the hospital. So, there are dual concerns. There is plenty wrong with the hospital business, I'm sure. But the ER is a tough example. Because it has to be staffed with physicians and nurses 24/7, whether there is work to do or not, it has to have access to everything from the lab to CT scanners for every patient who walks in the door, whether they're needed or not. And they've got to see you, pretty much, whether you can pay or not. So, some understanding is called for.