Commentary

‘If this is an emergency, call 911’


 

This is the mantra that the world hears when they call most, if not all, hospitals and medical clinics for the symptomatic relief of a myriad of health care complaints. Exactly what is the definition of an emergency is uncertain. We all could include severe chest pain, shortness of breath or sudden collapse or loss of consciousness.

To a patient, an emergency might just include the pressing need to speak to their doctor about the occurrence of symptoms and or anxieties that suddenly have occurred. In the past, before the telephone was invented, a friend or family member was sent by horseback or a Ford V8 to find the local doctor. With the advent of the telephone, doctors actually listed their number in a phone directory to facilitate contact with their patient.

Dr. Sidney Goldstein, professor of medicine at Wayne State University and division head emeritus of cardiovascular medicine at Henry Ford Hospital, both in Detroit.

Dr. Sidney Goldstein

But at the dawn of the 21st century land phones were replaced by cell phones, and doctors became increasingly merged into groups of physicians, and the individual practitioner disappeared. At the same time doctors became aware of the need to have some family time. The middle of the night and weekend telephone calls became an abhorrent incursion into their busy and overstressed lives.

Enter the current situation. Many patients still perceive the need to call their doctor for everything from a mild cough or headache or an actual fever to just not feeling well. This perceived patient need to seek expert medical help short of an ambulance ride to the emergency room leads the patient into the frustrating downward spiral associated with this bizarre need to communicate with their doctor.

Pages

Recommended Reading

Mild cognitive impairment rises in heart patients with comorbidities
MDedge Cardiology
ACC Day 2: Late-Breaking Clinical Trial highlights
MDedge Cardiology
Postmenopausal women: Walk farther and faster to reduce heart failure risk
MDedge Cardiology
VEST: Closer tailoring might boost wearable cardioverter defibrillator’s benefit
MDedge Cardiology
Wearable defibrillator cuts mortality in post-MI patients
MDedge Cardiology
CECCY: Carvedilol didn’t curb cardiotoxicity in breast cancer patients
MDedge Cardiology
MOMENTUM 3 HeartMate 3 LVAD ‘practice changing’
MDedge Cardiology
VIDEO: Dabigatran effective for myocardial injury after noncardiac surgery
MDedge Cardiology
Takotsubo cardiomyopathy incidence, mortality on the rise
MDedge Cardiology
Top hospital heart failure performance translates to longer survival
MDedge Cardiology