The Most Impatient Patient
I am a retired family physician. Before the days of computers, two patients arrived at the same time. [Patient #2] was scheduled ten minutes after [Patient #1]. [Patient #2] was having chest pain and was extremely short of breath — actually turning blue. The reception desk called for help.
My assistant got him in a room and started getting vital signs. I sent another assistant to get the crash cart and a third to start oxygen. I went into the hall and picked up the phone to call 911. I picked it up just before it had a chance to ring, and the reception desk was on the line.
[Patient #1] was upset and wanted to know when she would be seen.
Me: “We’re in the middle of a code blue.”
I hung up the phone and called 911. I gave the operator the information and went back to the patient. They were on oxygen and hooked up to an ECG, which showed they were having a heart attack.
By the time the paramedics arrived, we had given them aspirin and nitroglycerin. The paramedics took over, loaded [Patient #2] onto a gurney, and rolled them out through the waiting room to the aide car for transport to the hospital.
My assistant was busy putting away gear, so I went out to the waiting room and got [Patient #1]. I brought her back to an exam room, and she started complaining bitterly.
Patient #1: “I can’t believe I’m being seen out of order! I’ve been waiting for too long!”
Ten minutes had elapsed since she had arrived. I tossed her chart on the desk.
Me: “The reason you waited was that the patient seen before you was dying of a heart attack, and we had to save him! You waited all of ten minutes, and I brought you back myself. What clinic have you been used to going to where you wait less than ten minutes despite a medical emergency? I’d like to go there myself!”