Word: wristing
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Dates: during 2000-2009
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...medical fashions, like those of the Paris runways, do change, albeit with a far greater press of reality. But certain classics, like DTs and blue blazers remain. Of course, that just adds another worry for our docs-in-training; they all want to be specialists - retinal doctors, infertility specialists, wrist surgeons - but will they be able to recognize the classics? And will they realize that their medical education started with something they smelled in fourth grade...
...gotten a job. She spoke English decently. She had gotten her kids into a Catholic school. Some magic combination of seeking out a 'better life for my kids' and Welfare reform had helped her make it - though barely. I tried to show off some improved Spanish while explaining the wrist problem. "Give it up doc" was her response. "Just tell me what is the problem and what...
...DeQuervains is the most common cause of pain on the thumb-side of the wrist. It's a tendon irritation caused by friction. If it continues to be a problem despite pills, therapy, splints and shots there is a small and simple surgical procedure that cures it. I do the operation under local anesthesia, and because there's a tourniquet with a timer on during the case I can tell you how long it takes: about ten minutes. She understood the explanation and opted for the surgery. Then we went next door...
...Rosa would have to pay over five thousand dollars to have her wrist fixed. The lady behind door number two would get it for free. There were no "doctor's bills" in these prices; the residents are salaried by the hospital, I work the clinic for free and operated on clinic patients gratis. The hospital did, however, accept Medicaid payments. Rosa was now employed - no longer Medicaid eligible - and she had paid $45 for the clinic visit that day. And because she wasn't in any health plan that could strong arm down the hospital bill - they got about...
...group at any time, anywhere in the world. Rosa made me realize what a copout I accept; how cowardly it is to throw up hands and and complain about the "system". But don't feel too bad for her. We actually did get her in to have her wrist fixed - for free - eventually. It took a few tricks that I'm not about to reveal. But the fact that we had to go to such questionable lengths to make sure Rosa could be rewarded, rather than punished, for improving her lot in life, shows that our current health care system...