Rectal Bleed, Head Trauma: Another Day in Bellevue's E.R.

102808er.jpgIn today's Times there's a bracing look at a day in the life of Dr. William Goldberg, the man calling the shots at the Bellevue Hospital E.R. on Mondays. "The E.R. is a window on society," said Dr. Goldberg. "Whatever troubles the city has, the underlying problems, we always see them here." By that measure, New York has some issues: "[His team] had a fairly average caseload for a Monday: a rectal bleed, a vaginal bleed, chest pains with anxiety and a forehead laceration...The chest pains case would refuse his medication. The rectal bleed would angrily demand that he be discharged...Three more stretchers would appear outside the door. Then the phone would ring: A head case was arriving. Seven minutes out. Dr. Goldberg would, at this point, permit himself a grin. 'O.K.,' he said — and the irony was deserved — 'at least it’s picking up.'"

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