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Not the ER Mailbag

I've worked in the ER for nearly thirty years.  There have been lots of efforts to shorten the wait. Still, it bugs many of you enough to be a major factor in your decision to go or not to go to the ER and - if you actually get there - your decision to stay.  Last week on White Coat Black Art, we did a show about what we call 'ER-avoidance'.  I visited Halifax to check out a pilot project that has paramedics helping frail seniors avoid a trip to the ER by making house calls to local nursing homes. 

There are patients who avoid ER in the first place.  Then again, there are patients who put the effort and time into going but leave the ER before the doctor sees them.   Veteran ER physician and White Coat, Black art contributor Dr. Bruce Campana talked about patients who "leave without being seen".  After that, we heard from you.

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Not the ER Show

That we go to the ER expecting to wait a long time has become part of the culture of medicine.  It's almost a cliché.  I've worked in the ER for nearly thirty years.  There have been lots of efforts to shorten the wait.  Still, it bugs many of you enough to be a major factor in your decision to go or not to go to the ER and - if you actually get there - your decision to stay.  And that's a problem if your health is on the line. 

This week:  a bit of what we call 'ER-avoidance'.  I visit Halifax to check out a pilot project that has paramedics helping frail seniors avoid a trip to the ER by making house calls to local nursing homes.   There are patients who avoid ER in the first place.  Then again, there are patients who put the effort and time into going but leave the ER before the doctor sees them.  Veteran ER physician and White Coat, Black art contributor Dr. Bruce Campana helps me get inside the heads of these ambivalent patients.  And, we have reaction to Generation Rx, our town hall earlier this month about the epidemic of prescription painkiller abuse. 

Click on the audio link below to listen now or download the podcast.  And tune in Saturday December 17 at 11:30 am (noon NT) and again on Monday December 19 at 11:30 am (3:30 pm NT) on CBC Radio One.

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Park Your Frustration: Update

On October 29, 2011, WCBA devoted an entire show to the trials and tribulations Canadians face with hospital parking.  On our blog, we posted a lengthy letter sent by Pamela Leeb to Dr. Robert Bell, CEO of University Health Network.  In it, she described receiving a $450 parking ticket when she parked her car across the street from Princess Margaret Hospital in Toronto, where she was undergoing cancer treatment.  Leeb received some good news.  Click below to read Ms. Leeb's letter and its impact.

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