My distance record is a 94 mile drive to care for a
man with a sore throat.
I’ve found it good business not to refuse inconvenient
visits. It’s hard arrange a housecall on short notice, so agencies
and travel insurers keep a list of doctors for every area. But humans are
creatures of habit, and once a dispatcher learns that calling me always gets
the housecall, they continue to call. Ignored, other doctors drift away, and I
become the only one available. As long as I don’t refuse too often, they don’t
bestir themselves to refresh the list.
I quoted a fee that took into account the long drive,
pointing out that it would be cheaper to send the patient to a local clinic.
This sometimes gets me off the hook, but it didn’t in this case, so I drove to
Santa Barbara. That’s where I served my internship long ago in 1972-73, and the
hotel turned out to be three blocks from my former apartment. The hotel was not
there forty years ago, and the area had become unrecognizable, so I felt no
nostalgia. I saw the patient, stretched my legs, and drove home.
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