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Walking thru sacred heart a nurse came and asked If i'm a doc. Said yes and she asked me to write for antiotics for a patient "with an abscess in her stomach ". I explained that I wasn't working there and don't know the pt. She said it doesn't matter the patient doesn't really have a doc and every day another doc comes by and writes some orders. I looked over the "chart" which contained basically NO information. Just a few antiobiotic orders over 3 days. I asked to see the patient who had an appendix removed which then became infected. I saw her and she had pus oozing out of abdominal incision and shaking her hips caused her to wince in severe pain (peritonitis). No surgeon at this hospitL for next several days bc surgeon had a cut on his finger. So we called Miami they said they could take her so we shook hands w the head doc (orthopod) got a copy of the chart took her in our minivan with her and her husband and a napsack w all their possesions and drove her to Miami for a washout. Easy peasy no signatures no ambulance no nurse signout. A handshake between 2 americans a phone call to someone I know at Miami. Simple fact we ve learned that white skin and a stethascope will get you almost anywhre and making face to face connections is a huge advantage