“The guest will be in the room at six o’clock and would
like to see you then,” announced the concierge at two o’clock.
Tactfully, I suggested that she not make appointments
without consulting me. The Torrance Marriott is eighteen miles away, and I
didn't want to drive across town during the rush hour to see someone who wasn’t
sick enough to leave work. I phoned to tell the guest that I could come
immediately or at nine p.m. She chose nine.
Arriving ten minutes early, I knocked, and no one
responded. Reached by cell phone, the guest reminded me that the visit was
scheduled for nine. She was dining nearby, she added, and would hurry back.
Twenty minutes passed before she arrived, but during that time another hotel
phoned with a visit on my way home, so it looked like a good evening.
The guest arrived, apologized, and described her
problem, a minor eye irritation. After I finished she mentioned that her
husband felt under the weather. This is usually pleasant news because this
couple had travel insurance. My routine is to ask the patient to phone the
insurance to obtain approval, so I could care for him and be paid. But
obtaining authorization takes time. It was late, and I was anxious to see the
next patient who seemed genuinely ill, so I treated the husband’s cold gratis
and hurried off.