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James Hamilton, M. D.
House Calls
It is a very cold day here and, for some reason, it brings back some strange memories.
Dr. McCall had an office on a road somewhere off High Street in the northern part of downtown Columbus. He was my sister's and my pediatrician until each of us hit that teenage year of 13. I think Mom chose him as he also admitted patients to Grant Hospital from where Mom had once graduated nursing school.
I recall as a child sitting in his waiting room, looking through Highlights magazine and fearful that I might need a shot of some kind. But I was most scared when I might be sick in bed at home and need a "house call" . Those almost surely would be worthy of a penicillin shot in the gluteal muscle.
I suspect that many of us were subjected to such house calls during our childhood years. Such in-home doctor contact has essentially disappeared in our modern society as getting to a docs office, ER or an Urgent Care building is more and quickly available. The old house call is now made by ambulance crews with paramedics and EMT's and maybe even mobile radiological equipment.
I know I am getting old since I do remember making house calls, not only early in my training but also - although rarely - when in private practice before my transition to Ft. Carson.
There was actually very little a lone physician could do in a patient's home but it always seemed to be comforting and appreciated by the patient and the family.
A couple of these I recall:
It was a cold and snowy night ( how's that for an intro 😁) and an elderly lady lay in her bed in her south Colorado Springs home. She was in chronic congestive heart failure, beginning to retain more fluid and refused to come to our office or call for an ambulance to take to the hospital. My partner was busy but I had some time as a new doc my schedule was not yet full. I drove over to her house took out my "little black bag" that I always kept in the trunk of my car, and went to her bedside. She did have swollen ankles and some fluid in her lungs. Again, she refused to go to the hospital. I opened my bag, took out a syringe and a vial of IV Lasix (diuretic) but found the med to be totally frozen! O.K., time for practicing by the seat of my pants - or, at least the warming effect of my armpit - and successfully administered the med.
Another cold night I was called by a local nursing home that a patient was very uncomfortable due to severe constipation, not responsive to usual therapy. The poor elderly man was in pain and just couldn't "go". The solution here required the gentle touch of a gloved index finger which was able to open things up to where nature could finish the job. Fortunately, I have long fingers.
During my career I helped train many first responders but I don't recall that procedure being a part of such training.
Remember, when emergency care is needed, and needed quickly, call 911.
Jim
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