Hello Dr. Payne, thanks for calling back, there’s a consult I’d like you to see.”
“What’s going on?”
“Well, there’s a patient up on 7 East who …”
“Wait a minute. 7 East … isn’t there some other specialist covering there?”
“No Dr. Payne, the schedule says you on Wednesdays.”
“Oh, I’ll check that.”
“OK, Dr. Payne, well we have this 72-year-old, Mrs. Jones, who originally got admitted with pneumonia. She now has unusual inflammatory changes in her hands. She’s having significant pain and has never had this before, and we haven’t got a diagnosis yet.”