The Night Shift: Real Life In The Heart Of The E.R. by Brian GoldmanDr. Brian Goldman is both an emergency room physician at Mount Sinai and a prominent medical journalist. Never one to shy away from controversy, Goldman specializes in kicking open the doors to the medical establishment, revealing what really goes on behind the scenes -- and in the minds of doctors and nurses. In The Night Shift, Goldman shares his experiences in the witching hours at Mount Sinai Hospital in downtown Toronto. We meet the kinds of patients who walk into an ER after midnight: late-night revellers injured on their way home after last call, teens assaulted in the streets by other teens and a woman who punches another woman out of jealousy over a man. But Goldman also reveals the emotional, heartbreaking side of everyday ER visits: adult children forced to make life and death decisions about critically ill parents, victims of sexual assault, and mentally ill and homeless patients looking for understanding and a quick fix in the twenty-four-hour waiting room. Written with Goldman’s trademark honesty and with surprising humour, The Night Shift is also a frank look at many issues facing the medical profession today, and offers a highly compelling inside view into an often shrouded world.
Wait times in Ontario
For emergency department and urgent care physicians, part of the daily stress is not knowing who or what will walk through the door each shift. That's one of the promises made by scheduling technology that allows patients with less-than-acute ailments to make appointments online for their local EDs or urgent care facilities. These systems let patients avoid long wait times, while physicians and staff get to prep for some of the conditions they know will be coming in that day. For more than two years, they looked for a fix, considering solutions such as adding more staff, more space and more hours. Loma Linda sees about three patients blocked a day, administrators say.
Whenever an illness or injury occurs, you need to decide how serious it is and how soon to get medical care. This will help you choose whether it is best to:. It pays to think about the right place to go. Treatment in an emergency department can cost 2 to 3 times more than the same care in your provider's office. Think about this and the other issues listed below when deciding.
People are seen at triage and registration on a first-come, first-serve basis. Once you are assessed by a triage nurse and register, you will move into a wait.
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Those Indecipherable Medical Bills? They’re One Reason Health Care Costs So Much
The subject who is truly loyal to the Chief Magistrate will neither advise nor submit to arbitrary measures. Rob Martin has an infection in his leg and the standard-issue antibiotics his family doctor prescribed can't beat it back. So Mr. Martin must brave the harried nurses and doctors, and long waits in one of Toronto's notoriously busy emergency rooms five days in a row to get what he needs: daily intravenous doses of hospital-grade antibiotics. In the process, he will become a veteran of the city's ERs, an emergency-room warrior.