I don’t make housecalls
for certain symptoms: shortness of breath, chest pain, loss of consciousness,
and severe abdominal pain.
Treating asthma, the
leading cause of breathlessness in the young, takes hours. Giving a shot and
then leaving before the guest improves is risky.
Breathless in older
people usually means heart or lung disease. No doctor in his right mind treats
this with a prescription, but possessing a mind is not a legal requirement for
practicing medicine.
No one ignores an
elderly person who faints, but this doesn’t happen often. The young seem to
faint regularly. They collapse, wake up, and call me, frightened. I’m happy to
make a housecall, check blood pressure, do an exam, and ask questions. By this
time he or she has recovered, and I’ve never discovered something alarming in
otherwise healthy young people. “Everyone is entitled to one faint,” a wise old
doctor told me. If it keeps happening, a doctor should investigate.
Chest pain is a serious
sign, but serious chest pain is not subtle. Niggling discomfort does not qualify.
Textbooks warn that heart attacks can occur with no symptoms although these are
usually in people with other problems, especially diabetes. Since a doctor
cannot diagnose a heart attack by listening with a stethoscope, a housecall
isn’t helpful. If you phone because you’re worried, it’s unlikely the doctor
will tell you not to worry because if he’s wrong, you’ll sue him.
As I’ve written before,
when a guest suffers abdominal pain, I feel reassured when there’s diarrhea or
vomiting. That usually indicates a stomach virus, miserable but short-lived,
and I get the credit when he guest recovers. Pain alone can also be a stomach
virus but plenty of serious conditions (gallstones, kidney stones, blood clots)
come to mind.
Medical science has no
cure for drunkenness, but hope springs eternal, so hotel staff continue to
call.