That’s my medical advice. Take it, or leave it:
I was seeing a colleague’s patient in the After-Hours Clinic. He had a concern that requires an urgent ultrasound.
It was late in the evening. He was well and stable. Naturally, he didn’t want to have to go through the busy ER and wait hours for an ultrasound.
Fortunately, our local hospital has a protocol by which patients can get an urgent ultrasound in these situations. I advised him of the plan. I will order the urgent ultrasound, and he is to go to the hospital the next morning where he can get her ultrasound.
He was hesitant and noncommittal. Lots of reasons why this was inconvenient. He had already planned things to do the next day. He didn’t like the parking at the hospital. And so forth.
To be clear, this was a medical urgency. Maybe not an emergency, but definitely merits an urgent ultrasound. I advised her of such.
The next morning, my staff called him to reiterate the plan and coordinate the urgent ultrasound. Still the same hesitations. He preferred a different time than being offered. This required my staff even more back and forth phone calls and discussions, including involving me in the messages.
I ended up having to close off the time-consuming discussions. “This is my clear medical advice. Get your ultrasound this morning as we’ve arranged. Take it, or leave it.”
Look, I appreciate our crumbling medical system is not perfect. But please. If you come to me for medical advice, please accept it or not. Let’s not waste each other’s time haggling over non-options. I promise you, I’m not withholding the ‘magic, perfect solution’, only to be offered after you re-ask ten times…