Friday, February 16, 2007
Bedside manner? What bedside manner?
Thursday afternoon I still wasn't feeling all that well.  Although my fever seemed to have abated for the moment, I still had a horrible headache, cough, sore throat, and my head hurt like crazy.  Since I was supposed to fly to Vietnam the next day, I thought It prudent to get myself checked out in a country with significantly better medical care.  I went to the outpatient clinic at St. Paul's hospital, just a few blocks from my hostel.  Everything was very efficient with the nurses recording everyones' information and assigning them to a specific exam room where they would see that doctor.  Anyone with respiratory signs, such as I had, had to wear a surgical mask.  I figured I would have to wait to see the doctor.  It turned out I had to wait 2 hours, which is not unreasonable for a walk-in clinic.  My encounter with the doctor, however, was nothing short of ludicrous.  He called me in, asked me what hurt.  I told him and he did a cursory look of my throat with a tongue depressor and briefly listened to my lungs.  I told him I had been coughing up some nasty green phlegm (sorry) and would like antibiotics for a secondary bacterial infection and pain medication for my sinuses.  He said, no, you don't have a fever, it's just a viral infection, please wait at the pharmacy, thank you, and had the nurse usher me out of the room.  The entire encounter could not have taken more than a minute.  He never looked at my nose, my ears, felt my throat, or let me get a word in edgewise.  I might have stayed there and argued with him, but I think I was too stunned that anyone would find this an acceptable interaction with their doctor.  Absolutely unbelievable.
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