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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/03/canadian-heart-patient-in-need-of.html/comment-page-1#comment-52277</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 21 Mar 2005 17:06:00 +0000</pubDate>
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		<description>I&#039;m quite skeptical about this story&#039;s accuracy. In most canadian cities, if you&#039;ve had an EKG ordered as an outpatient, the procedure is you go to a lab (there are usually a number of them available throughout a city), give the techs the requisition, and they do it on the spot. You don&#039;t need to make an appointment at all. I&#039;ve been to Moncton (though I haven&#039;t worked there since med school), and I don&#039;t see any indication things would be different there.&lt;br/&gt;&lt;br/&gt;I suspect this guy actually had an echocardiogram ordered, and the press doesn&#039;t know the difference. Echo can sometimes be hard to get, and Moncton isn&#039;t a teeming metropolis-what&#039;s more, it&#039;s a couple of hours away from the largest tertiary-care centre in the province, which tends to suck away cardiologists and echo techs. Moncton&#039;s also a little harder to staff sometimes because there is such a large french population that being bilingual is pretty much a job requirement there.&lt;br/&gt;&lt;br/&gt;Three months is awhile to wait, but since we&#039;re not immune to the ordering of &quot;medically nonindicated&quot; echos (&quot;sounds like a clearly innocent murmur to me, better check it out&quot;/patient has stable aortic stenosis for years, no symptoms-better get regular echo done to watch for progression), I can imagine many situations where 3 months isn&#039;t really a hardship.</description>
		<content:encoded><![CDATA[<p>I&#8217;m quite skeptical about this story&#8217;s accuracy. In most canadian cities, if you&#8217;ve had an EKG ordered as an outpatient, the procedure is you go to a lab (there are usually a number of them available throughout a city), give the techs the requisition, and they do it on the spot. You don&#8217;t need to make an appointment at all. I&#8217;ve been to Moncton (though I haven&#8217;t worked there since med school), and I don&#8217;t see any indication things would be different there.</p>
<p>I suspect this guy actually had an echocardiogram ordered, and the press doesn&#8217;t know the difference. Echo can sometimes be hard to get, and Moncton isn&#8217;t a teeming metropolis-what&#8217;s more, it&#8217;s a couple of hours away from the largest tertiary-care centre in the province, which tends to suck away cardiologists and echo techs. Moncton&#8217;s also a little harder to staff sometimes because there is such a large french population that being bilingual is pretty much a job requirement there.</p>
<p>Three months is awhile to wait, but since we&#8217;re not immune to the ordering of &#8220;medically nonindicated&#8221; echos (&#8221;sounds like a clearly innocent murmur to me, better check it out&#8221;/patient has stable aortic stenosis for years, no symptoms-better get regular echo done to watch for progression), I can imagine many situations where 3 months isn&#8217;t really a hardship.</p>
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