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Going To The Doctor Can Cost A Lot. Not Going May Cost Even More

机译:去看医生会花很多钱。不去可能会花费更多

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I started in mid-july. I was a resident here, so i'm not entirelyrnnew to the system, but I'm new as an attending physician. You feel like you're at the front lines in emergency medicine. It's both rewarding and very painful at the same time. I feel like I've seen more people coming in in the past half-year telling me they can't afford their blood-pressure medicines. They haven't been able to see a doctor for a while. They used to have a doctor, but they're not covered anymore.rnThey come in when they've reached a point of desperation. They could be having a stroke or a heart attack or kidney failure. But more commonly what we see is people who are coming in with recurrent headaches. They feel lethargy. They feel like they're having blurred vision, headaches. Sometimes they have some mild chest pain or difficulty breathing. They come in, and they say, 'I know my blood pressure's high. These are the kind of symptoms I get.' It's frustrating, because you know you can remedy it temporarily, but in the long run, how can I be sure that these people are going to be seen by a physician after they leave?rnThere are times when people will come in and they'll need a chest X-ray, but they'll ask, "Well, how much is this going to cost me? How much is a CT scan going to cost me?" Oftentimes I don't see these people again. I don't get to see what happens after they leave the ER.
机译:我从七月中旬开始。我是这里的居民,所以我对系统不是很陌生,但是作为主治医师我是新来的。您会觉得自己在急诊医学领域处于前线。同时既有益又痛苦。我觉得过去半年来有更多的人来告诉我他们买不起血压药物。他们有一段时间没去看医生了。他们曾经有医生,但现在不再承保。rn他们在绝望的时候进来。他们可能患有中风,心脏病发作或肾功能衰竭。但更常见的是,我们经常遇到头痛的人。他们感到困倦。他们觉得自己的视力模糊,头痛。有时他们会有轻微的胸痛或呼吸困难。他们进来,他们说:“我知道我的血压很高。这些就是我得到的症状。”这很令人沮丧,因为您知道您可以暂时采取补救措施,但从长远来看,我如何确定这些人离开后会被医生看护?rn有时人们会进来并且他们会需要胸部X光检查,但他们会问:“嗯,这要花多少钱?CT扫描要花多少钱?”通常我再也不会见到这些人。他们离开急诊室后,我看不到会发生什么。

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    《Time》 |2009年第16期|29-29|共1页
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