Not a surprise. Quite brave/stupid for them to do this in public, though. And what's the point of wearing hijab but not fasting during Ramadan?
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Not in emergency ward .Average work intensity in Iran is lower than in the west. 12 hours of work in Iran is like 18 or so over here.
For sure you didn't experienced the Karaj and Tehran metro at begging of work time and end of it ...
Not in emergency ward .
There an emergency specialist don't have to all patients who come to hospitals . He choose how many he can handle and take them and it's not strange that less severe cases wait several hours in waiting room to be visited.
It's not the case here .I had to visit all patients no matter how many I'm managing right now.
On the first day of farvardin I had more than 60 patient and that is a disaster for patients and doctors.specially that around 2/3rd of them were complicated multiple trauma patients thanks to our roads and police who gave responsibility of issuing driver license to driving schools and they are private so you can guess what is the results.
Do you work in one fixed hospital in Tehran, or rotate around different hospitals in different cities?Not in emergency ward .
There an emergency specialist don't have to all patients who come to hospitals . He choose how many he can handle and take them and it's not strange that less severe cases wait several hours in waiting room to be visited.
It's not the case here .I had to visit all patients no matter how many I'm managing right now.
On the first day of farvardin I had more than 60 patient and that is a disaster for patients and doctors.specially that around 2/3rd of them were complicated multiple trauma patients thanks to our roads and police who gave responsibility of issuing driver license to driving schools and they are private so you can guess what is the results.
Till last year I was resident in a fixed hospital in Tehran from winter I work in a fixed hospital in a small city as emergency medicine specialist.Do you work in one fixed hospital in Tehran, or rotate around different hospitals in different cities?
Who says patient benefit from it. We have no time to evaluate patients throughly . It's a disaster for patients and many time many problem get missed. There will be miscommunication between personal and patients get wrong dose of drugs even wrong drug. I knew even cases that patients died because the physician didn't had time to evaluate patient a second or third time after 1 or 2 hoursSo what you're saying is that there's pressure on the medical personnel but that patients are benefiting from it. Not a lose-lose situation, thus (although I empathize with the physicians burdened as a result).
Great. People working in hospitals and emergency wards are heroes, especially in small cities and rural areas. Nobody becomes a doctor for money (maybe in the USA), in the UK junior doctors have to work crazy shifts and hours and their pay per hour is even below minimum wage sometimes. A very commendable profession.Till last year I was resident in a fixed hospital in Tehran from winter I work in a fixed hospital in a small city as emergency medicine specialist.
Who says patient benefit from it. We have no time to evaluate patients throughly . It's a disaster for patients and many time many problem get missed. There will be miscommunication between personal and patients get wrong dose of drugs even wrong drug.
I knew even cases that patients died because the physician didn't had time to evaluate patient a second or third time after 1 or 2 hours
Quality of the care is important not how long a level 3 or 4 or even 5 patients had to wait.You stated they have to wait less, which is an advantage. Either way, my point was that work intensity in Iran on average is lower and that's a fact. I'm not interested in dwelling on exceptions to the rule.
Quality of the care is important not how long a level 3 or 4 or even 5 patients had to wait.
When you had to admit all of them because there is no alternative place to go and if they are not visited at once they learned to raise hell to being seen sooner the quality of care for level 1 or 2 patient get reduced dramatically and as result the underlying life threatening situation get missed until it's too late.
As you always say don't pick on cases better focus on procedural problems and deal with them and here we have a procedural problem1) Average work intensity in Iran is lower than it is in the west.
2) In the west the question of good or bad treatment does not arise for significant numbers of level 1 and 2 patients who do not receive any treatment at all: they're left to die in waiting rooms.
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Opinion | Patients Are Dying in Emergency Department Waiting Rooms
We call on HHS and CMS to help address the issue of ED boardingwww.medpagetoday.com
And your article is about another problem of emergency wards it's about the patients that have been admitted and got their diagnosis and primary treatment then they are transfered to a service for example orthopedy or surgery but because there is no empty bed in those wards or because they want to keep their beds empty for elective patients they stay in emergency ward .
But I suggest you go to imam khomeyni medical complex in Tehran and you see patients who are at emergency wards for more than a week .
Honestly if you want to post example of patient who are dying in waiting rooms post the correct article there is no lack of it the must interesting one is a video of a patient who dying after more than 11 hour of waiting in triage and it show all of the waiting time. But that is a triage failure on a case but here I talk about a procedural failure.