very hopeful.â Jacob was smiling at the patient and her husband.
âThank you, doctor. Thank you so much, to you and the whole team. Youâve been so wonderful. Thank you,â said the woman. The couple were overwhelmed with gratitude. They had received a get-out-of-jail-free card. The fundamental happiness at being released from an almost-certain death sentence brings with it an afterglow of altered perception of the whole hospital system, and this couple were visibly going through these emotions now:cancer cured; the miracle of modern medicine; the nurses were lovely; the hospital was magical; itâs amazing what they can do these days. This woman had indeed been cured by the system, and she may well have received great treatment, so it was heartening to stand by as Jacob gave her the good news. Unfortunately, I knew that her positive experience of the health system was not universal.
7
Jonathan got himself to work early and answered his messages. All the while, he was looking up at the clock. At 9.01, he rang the urologistâs rooms, which he had established were located not too far from his office.
âOur opening hours are eight-thirty to five oâclock, Monday to Friday. If you have an emergency, then please go to your nearest â¦â The voice changed from a recording to a real person, a young woman. âHello? Hello? How can I help you?â
âHi, I need to make an appointment,â said Jonathan.
âCan you hold for a moment?â the receptionist said and was gone before Jonathan could say, âWell, Iâm in a bit of a hurry.â He was left listening to Big Ben-type chimes: four notes played in a variety of sequences, over and over again. Jonathan heard several renditions, and each time he got more agitated, more upset.
âHello, have you been attended to?â It was a different voice this time.
âNo. Iâm trying to make an appointment. I have blood ââ
âJust hold the line. Shouldnât be much longer.â Big Ben played its tune again. Several minutes passed.
âHello. Were you waiting to make an appointment?â The first receptionist was back.
âYes, please .â Jonathan sounded exasperated.
âWhen would you like to see the doctor?â she said.
Jonathan consulted his diary. âLook, I have a spot between three and four this afternoon. I also have an opportunity around six this evening. Any of those times suit?â
There was silence. The girl tittered. Jonathan was confused.
âI meant do you prefer a morning appointment or an afternoon appointment? The first available slot is in three monthsâ time. I can give you mornings or afternoons from then on.â
The girl waited.
âAre you serious? Surely I can get an appointment sooner. Itâs pretty urgent. Iâve had blood ââ
âWhat do you want to do? I have other patients waiting,â she said.
âWell, what choice do I have? Iâll take the earliest available afternoon slot, I suppose, but itâs not exactly ⦠well â¦â
âNot a problem. Iâll post you an appointment card with the details. Please bring with you all the X-rays, blood-test results and any other tests youâve had. Make sure you also bring the referral. There will be a charge of a hundred and fifty dollars, payable on the day. Thank you.â
It was well rehearsed. Jonathan hung up the phone with resignation. The rest of the day, he dodged comments from his colleagues.
âAre you OK, mate?â
âYou look fine.â
âIâm sure this is nothing.â
âA friend of mine had blood in his urine â turned out to be nothing more than an infection. These days, they can cure anything.â
With each reassurance, Jonathan became more worried. He rang his wife. âTrace, the specialist canât see me for three months.â
âOh, babes, thatâs crazy. I thought going private
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