A Letter from His Doctor

A VIP had forgotten his medication. Would I prescribe it, asked the manager of a Sunset Strip hotel.

“He brought a letter from his doctor,” she added helpfully.

That was bad news. About twenty percent of guests with letters have complex medical problems that require an explanation. The rest are drug abusers under the impression that an official document will persuade us to prescribe something we ordinarily wouldn’t.

Sure enough, it was a popular narcotic. This guaranteed tedious consequences. The most critical was that, after my refusal, he might ask the manager to suggest another doctor, explaining that I had heartlessly rejected his appeal.

I listened as he described the complex pain disorder he and his doctor were wrestling with. Perhaps I could examine him, he added. While this sounds reasonable, such visits involve an unspoken agreement that if I came and took his money, I would give the prescription. That felt too much like selling drugs. I countered that I would call in a prescription for a good non-narcotic while he contacted his doctor who would phone me to discuss matters.

His doctor wouldn’t call, and I suspected the guest wouldn’t care for my prescription, so I could expect to hear from him in a day or two. But the clock was running. He might check out and return home or move to another hotel and bother another doctor.

A Mysterious Seizure

Airport security confiscated a tourist’s glaucoma eye drops, so he called his insurance who called me. 

The drops come in a tiny 2½ cc bottle, so the seizure seemed puzzling. On the other hand, ten years ago the examiner took my tweezers, a beautiful needle-nosed instrument perfect for removing slivers. It cost $20. Later, I checked the Transportation Security Authority web site and learned that tweezers are permitted. I’m still fuming.

Usually, I offer to phone a refill to a pharmacy when a traveler needs a legitimate prescription, but business has been slow, and the insurance had already told the guest I would come. Ironically, medical experts unanimously frown on giving prescriptions to an unfamiliar patient without an examination. They never explain how an examination in a hotel room can prove that a patient has, for example, glaucoma, osteoporosis, emphysema, acid reflux, or epilepsy. If he takes high blood pressure medication, and I find a normal pressure, must I refuse the refill?

"The Crab Tasted Funny...."

“No one but my wife had crab cakes in the hotel restaurant last night, and about 4 a.m……”

A miserable problem for the guest’s wife but also a difficulty for me. The caller had no doubt that his wife was suffering food poisoning although no one can make that diagnosis unless more than one person gets sick. In developed countries, viral infections cause most upset stomachs.

“She says the crab tasted funny…” That was not helpful because common food-borne toxins are tasteless.

I expressed sympathy, quizzed the husband for details, assured him that these illnesses were usually short-lived, and gave suggestions for relieving her symptoms. I would have made a housecall if asked, but on calls like this I hope the caller doesn’t ask.

If he asks, I mention the fee. My worry is that the guest, certain the restaurant poisoned his wife, will insist that the hotel pay. News that I am not a hotel employee never changes matters. Suggesting that the guest take this up with the manager never helps. Sometimes management refuses responsibility, so I’m confronted with an angry guest who suspects, despite my disclaimer, that I’m in cahoots with the hotel. I hate accepting money from a resentful guest, so I don’t.

Sometimes the manager tries to mollify the guest by agreeing to pay. A hotel manager is an exalted figure. I rarely meet one, and I want the first encounter to leave a good impression, so I wave off the money. They always appreciate it, but don’t assume I earn their undying gratitude. I did this in July of 2015 to the manager of the huge Doubletree in downtown Los Angeles. The hotel hasn’t called since.

Free Services

A few years ago, Quantas abruptly cancelled flights after an engine exploded. Other airlines followed.

Passengers were stuck in hotels. Within days calls began arriving from guests running out of heart or blood pressure or diabetes medication. They had brought only enough for their trip or the bottles were packed in luggage which the airlines refused to release.

Aware of horror stories about America’s medical system, they were counting their money, hoping to have enough for the necessary king’s ransom. The lucky ones (those in my hotels) were pleased to hear that I don’t charge for replacing legitimate prescriptions.

Most drugs are available worldwide but in different formulations and with different names. Rather than try to figure things out, I tell guests to go to a drug store where the pharmacist will research the matter and phone for my approval.

Guests regularly forget to pack medication, so I do this routinely. My record occurred after 9/11 when all flights stopped, and hotels were packed. Some travelers also fell ill, so my paying business jumped for several weeks. Then everyone returned home, and tourism plunged for a year. That was a bad time for hotel doctors, too. 

Crushing My Hopes

I didn’t recognize the number on caller ID, and when I heard “This is Adele from L’Hermitage” I nearly dropped the phone in my excitement.

L’Hermitage never calls. I serve many luxury hotels (the Langham in Pasadena is the most luxurious of all), but the celebrity Beverly-Hills-area establishments (Bel Air, Four Seasons, Beverly Hills Hotel, W, Beverly Wilshire….) as well as L’Hermitage pay me no mind. I don’t market myself, and plenty of doctors are eager to serve them.

The Beverly Hills Hotel is a borderline exception. I’ve been its doctor four times since the 1980s, making about 150 visits. Each period lasted a few years before a more entrepreneurial physician snatched it away. It’s been ten years since the last call, but I remain hopeful.

The L’Hermitage guest needed to speak a doctor, Adele informed me. Was I available? I was.

“I need help,” said the guest.

I listened, and my heart sank as I realized that L’Hermitage had not seen the light.

You can guess what had happened. His request rejected by L’Hermitage’s regular doctor, the guest was demanding that the staff find someone else. 

Recovering from my dashed hopes, I explained that I could not accommodate him. Going beyond the call of duty, I discussed his options, emphasizing that harassing the staff would not solve the problem. This was stretching a point because there are always a few doctors who would not resist.

Do You Go To Ontario?

“Do you go to Ontario?” asked the dispatcher for Expressdoc, a national housecall agency.

Ontario is in San Bernardino County, fifty miles distant, but this is small potatoes. My record drive is ninety miles to Santa Barbara.

The call arrived at 12:20, so I was not optimistic about missing rush hour traffic on the way back. But it worked out fine; the hour’s drive passed with no significant slowing. I listened to Slaughterhouse Five on my CD; highly recommended.

The patient was a Brazilian lady visiting her son; her upset stomach presented no problem.

The son and I chatted as he accompanied me to the elevator. He told me he was reevaluating his decision to remain in the US because the political atmosphere had grown so shrill.

Did you ever think there’d come a time when Latin Americans considered their governments more stable?

  

A Dangerous Occupation

As I entered the room, half a dozen family members stood and bowed. When Japanese bow, it means no one speaks English, so I phoned the Japanese insurance agency that sent me.

Passing my cell phone back and forth to the patient, I asked the usual questions and listened to the dispatcher’s interpretation. After the exam, I phoned the agency again to deliver my conclusions.

The guest had the flu. 

Everyone gathered and bowed as I left. Even as the door closed, I was worrying.

Doctors are casual about washing their hands. If your doctor skips it, his hands carry whatever infection they picked up from previous patients. Remind him.

I usually come directly from home where I don’t handle sick people, but I always wash my hands before seeing a guest; afterwards I do the same. I do this partly though habit but also to protect myself.

As I walked down the hall, I was aware that I couldn’t disinfect my phone which the guest had handled repeatedly. Over the coming week, I’ll learn whether or not I’ll catch her flu.