I wasn’t sure what to expect when I went to the ER this week. More than half of the hospital emergency services in this country are on strike, a movement that’s been building since March. They want more staff, more hospital beds and better conditions. Not so much for themselves as for their patients.
Of which I was one, however reluctantly. My belly-ache hardly seemed worthy of a trip to the ER. But the first available doctor’s appointment was over a month away. It was probably nothing but what if it wasn’t? So off I went.
Here in France profonde as we call it, ‘les Urgences’ are the first and last resort for both the seriously injured and the walking well. We live in an area with few doctors. Hardly surprising, given the proximity of Switzerland where medical professionals earn twice what they do here. We’re too far from the big hubs of Lyon and Paris, where medical care par excellence is readily available. Our local GPs are few and far between; they are over-worked and under-paid. There are no walk-in clinics and basically no options other than the hospital.
Being of a squeamish nature, I avoid such places like the plague (and for fear of the latter). So when I arrived at the hospital, I went first to the general reception desk, hoping that the medical appointment side of the ER might be removed from the one with the helicopter pad. No such luck. Off I went.
I arrived before the set of solid double doors that said ‘Emergency – Push Hard’ and paused. Then I took a breath and pushed. Instead of bloody accident victims and George Clooney running alongside a gurney, I saw a waiting room with people that looked like they might possibly have a pulse. Eyes glazed over with either pain or boredom, possibly both, it was hard to tell. No one spoke. Waiting rooms are silent places in France.
Behind another set of doors was where it was all happening. I took a number and was heartened – 256 and they were currently serving 253! After several minutes I realized that this was the line for paperwork. Another ten minutes went by before I was registered and the real wait began. One of the many signs on the wall informed me that the order in which patients would be helped would not necessarily be in the order of arrival, depending on the nature of their affliction. Fair enough.
I had plenty of time to observe what was going on. The ER was on strike, but that didn’t mean they weren’t taking care of patients. It is more of a symbolic strike, a gesture aimed at raising awareness of the untenable conditions in our hospitals. A bunch of hand-made posters included one that said: “It’s not because we’re on strike that you have to wait so long, it’s because you have to wait so long that we’re on strike!”
After a two-hour wait, I was better informed about the issues surrounding the strike. It’s not just a matter of throwing money at the problem. The system is broken. The health minister Agnès Buzyn wants to fix it with a plan that will take pressure off the emergency services, developing other medical services rather than increasing ER resources. The striking ‘blouses blanches’ (doctors and nurses) aren’t happy with this solution. Clearly it is not the shot in the arm they were hoping for. I feel their pain. But I also believe that a bigger healthcare reform is needed and that the current plan is a step in the right direction.
When I finally saw a doctor, he prescribed two weeks of meds and advised me to follow up with my regular GP when my scheduled appointment finally comes up. I am grateful that this option was there and for the hard-working people who provide urgent care. But I had no business taking up space in an ER whose resources would be better spent helping urgently ill patients.
What’s your experience with the ER?