Diplomate, Board Certification of Emergency Medicine
Two issues I must deal with. You must understand that the
emergency department is designed for the stabilization of
patients and the identification of those who need admission.
We are often beset by patients asking, "Then what do I have
that caused it?" The appropriate response is indeed, "I do
not know, but I can assure you it isn't anything
dangerous."
It is the purpose of the Kupat Cholim to do that
investigation to find out the cause. Nowadays, the Kupot send
less and less for expert opinion and more for real treatment.
That means that most investigations can be and should be done
via the Kupah. To request a CT because "it takes a year to
get one in Kupat Cholim" is a separate problem, but it is an
unfair request of the emergency department.
Unrelated to the above, never ask a physician why he says one
thing and some other doctor says differently. Sometimes the
answer to that question is because medicine is an art and not
a science. Other times, it is because the doctor is just not
updated enough. There is no impetus to be updated when you
need to work so hard as a doctor in a socialized system. And
let me make this clear: I have been screamed at and
physically attacked in Israel in the emergency department by
irate patients and no one in any other job must settle for
this abuse. When there are no men, strive to be one . . .
In Bnei Brak we had a rash of major injuries presenting to
Tel HaShomer. These cases are of children running across the
street in front of cars or from between parked cars. Children
need guidance at an early age about this. Also, you never
know what people are driving on the road. Some also have a
habit of pushing baby carriages in the street for
convenience. I think that it is self evident that this is
dangerous.
More on psychiatric help. Help is now available in most
communities in a way that preserves dignity and privacy. As I
said before, treated depression should not be a deterrent to
a shidduch. As HaRav Michel Yehuda Lefkowitz says
about seeking treatment, "Instead of worrying about the
impact of mental health problems on shidduchim, worry
about the way people will regard you if you neglect your
child's mental health needs."
I do believe there are many things which with a psychiatrist
can help. I have more doubts about psychologists. I often
have seen that a good rebbe was more helpful.
Finally, ways to reduce tension in the home? I am not the one
to ask, as this is not a medical problem. But I will say
this. Love your G-d. Love your spouse. Love your children.
You will be blessed with a peaceful home.
Write me in care of the Yated.
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