"You don't smoke," the doctor said after he had looked at my ECG.
"No," I said.
"I can see that," he said.


And I suppose by this the doctor meant that your ECG was perfectly normal(?) - well, that's good news then.

My thinking was rather along the lines: Good doctor! Have a bone.


Which reminds me: I actually remember you smoking in the past. So it should really be congrats to you.

"Good doctor! Have a bone." I think that's funny, dieter, but unfortunately, here in the US, (and please understand that this in in no way an exaggeration but, unfortunately, more of an understatement), it would be more like, "Bad doctor! I've been your patient for three years and you have no idea what my diagnoses are. Even though you order refills for the five medications I take, you don't even know why I take these drugs! You have no idea what these medications are, no idea what the actions, indications, proper dosages, side effects, contraindications, and interactions are. You frequently get them confused with other drugs. And what's worse, you have no "Physicians' Desk Reference" nor other way of obtaining drug information in your office. A person might wonder if you bought your medical license on the internet. And it seems likely that you depend totally on the drug company salesmen for drug information."

I speak from experience, as a registered nurse for more than 30 years, a healthcare consumer, and patient advocate. The problems of healthcare in America are much deeper, and vastly more complicated and intractable than anybody who hasn't experienced them firsthand could possibly understand, or maybe even believe.

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