Word: patiently
(lookup in dictionary)
(lookup stats)
Dates: all
Sort By: most recent first
(reverse)
...Scott Haig is an Assistant Clinical Professor of Orthopedic Surgery at Columbia University College of Physicians and Surgeons. He has a private practice in the New York City area. Some patient names have been changed to protect privacy...
...your x-rays) and then discuss your case in a sophisticated conference and decide on the best course of treatment - all for $45 ($175 if you live outside of the "neighborhood" - what used to be called Spanish Harlem.) I learned a good deal of what I know about treating patients there as a resident, and I've taught there ever since. A few have been there longer, but after twenty years I'm an old-timer. This is a story about another old-timer - a patient named Rosa - who taught me about the perverse incentives of our mixed up health...
...Patching the Safety Net A series of clinic visits by one patient made me realize just how broken the current health care system is ? and what can be done...
...Rosa was a Medicaid mother of three with a painful wrist. In her early twenties, with no husband, on child-support, she was a typical patient from "the neighborhood". Rosa was pretty saucy though; she let you know she didn't like waiting, she was snappy during her interview, she made sure I wrote her out prescriptions for all the medication I recommended, even the over-the-counter ones. This way they would all be paid-for. She spoke no English, and she even poked fun at my clinic Spanish. I made a note of it in her chart...
...Moving ahead about five years, I was now clinic Attending - in other words, the boss. "We found your old note on this patient. I think she has DeQuervains (the same wrist problem) again. And could you look at the patient in the next room with me too? I think she has the same thing" The resident was a good one. His report on their histories and physical exams was perfect. He was thinking about operating on both women...