Do you believe rank and file is necessary? Yup, no doubt about it. Before any case is passed to higher authority the case should be taken seriously first by the one in charge of the task. Let the nurses feel the void of doing the task first before the doctors in the Hospitals and clinics. Funny? Low budget?
Most of the necessary procedure, before any face to face appointment at the doctor's office, a patient must be administered and interviewed first by the attending nurse on case per case only basis. The patient should be checked first on BP or Blood Pressure, weight, height and other medical precautionary symptoms and diagnosis of any ailment the patient is experiencing and the nurse should make a record of the patient's interview and the findings should be relayed to the doctor who follow up the case. The attending doctor will have to ask the same questions if what the nurse had recorded in his health record is correct and then the doctor will have to examine the patient's breathing with stethoscope, find out if his reflex is normal or not, inspection on the patient's ears, nose, mouth, eyes (vision) and check pulses. Only then the doctor determines whether the patient needs other exams such as pelvic, urine test, stool and X-ray test. If the diagnosis is correct it's time to prescribe medication. Only eligible registered doctors are allowed to prescribe with their signature on the Rx paper that you are allowed to purchase such drugs in the drugstore or pharmacy.
No one is sure right exactly whether the diagnosis is correct right at first instance that you see the patient unless if you happened to be a specialist or had so many hundreds of patient with the same ailment. On skin diseases, dermatologists had probably been experts in seeing many patients with those suffering from dermatitis as they can separate one patient with eczema from a patient with psoriasis. Or patients with plantar warts and another patient with acne and for every infected skin different generic or brand name topical solution are available.
Whatever! I should not stress or pressure myself into this kind of thing. It's just that there are too many information out there that you can avail and maybe would help you find the peace of mind that you are looking for.
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