With the horse-drawn carriage to the doctor | Medizynicus doctor blog

Little Thought Experiment:
It's a normal Monday morning, we're in some busy downtown area. In front of our eyes, a passerby suddenly collapses, gives a brief gasp and then he lies there ...
What do you do? Well taken care of during the last first aid training? A-B-C and so on, start resuscitation quickly, and ... of course, make an emergency call. How good that today almost everyone has a cell phone with them. Well, we called, passed everything through correctly, keep on reanimating and ... continue ... and on ... and on.
Meanwhile, we become impatient. Where is the rescue service? Resuscitation is well known as damn exhausting, soon we will run out of breath and then .... After half an hour, a red-and-white horse-drawn carriage with blue lights on the coachman's hat finally zoomed in.
What a nonsense!
Correct. Fortunately, it's just a thought experiment.
Horse-drawn carriages are damned slow and - at least for emergency patient transport - definitely not up-to-date anymore, because there are faster alternatives. An e-mail is also much faster to the recipient than a letter that was delivered by the landpostillon.
It is interesting, however, that in medical reports and other medical documents such. CD's with x-ray images (fortunately, the old films have since become obsolete almost everywhere) still rely on the Landpostillon today. Although much is done by fax these days, often enough the communication is reminiscent of the proverbial "silence post," the whispering communication from ear to ear, which ends up with something quite different from what was initially intended: becoming a patient hospitalized, then you spend a lot of time trying to figure out which medication to take. In the best case, he has a list printed by the family doctor, sometimes even just a plastic bag full of pill boxes, or even not that.
The admissions doctor then writes everything by hand in the intake sheet, which then - also by hand - on the The order form is copied and transferred by the nurses to the medical record (the "curve") ... and the same game before discharge: the list from the medical record is read and dictated to the doctor's letter, which is printed by a secretary and then read by three doctors will ... much slower the stagecoach is not really!

  • Deutsches Ärzteblatt International
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