mark-plasterEveryone agrees that we need to lower the cost of healthcare. After all it represents upwards of 17% of GDP with some sectors still rising. But that’s about where the agreement ends. Immediately we begin to fight over what is making costs rise and what to do about it.

mark-plasterAs I walked into the room and gave a tired smile and introduction, I saw the mother of the small baby girl start to relax. “Yes, I believe you are right. She probably has croup,” I said after listening to the mother’s history while watching, then listening to the child breathe.

mark-plaster“I’m sorry but the image of a naked baby flying around shooting an arrow into the heart of someone just doesn’t really make me want to fall in love,” I said. It was Valentine’s Day and we had just been seated at Cafe’ Normandie, our favorite French restaurant.

mark-plasterThe night was bitter cold but so windless that if you stood still only your nose and finger tips felt it. The dry snow crunched and squealed as the ambulance drivers turned their wheels to back onto the bay to drop off the two patients inside. It was Christmas Eve and the only people working that night were those who got the short straw. But they were trying to make the best of it.

mark-plasterHave you ever asked a patient a question only to have them mumble into the blanket or to the wall so softly that you couldn’t understand a word they said? Or worse, I’ve had patients, for whatever reason – anger at the wait, a show of control – refuse to answer my questions or say anything at all. “I don’t care if you only have a few minutes with me,” they seem to say. “Don’t bother me, I’m napping.”

 

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