"I can't handle that in a hotel room," I explained. "She probably needs an ultrasound."

After consulting his superior, the dispatcher came back on the line to explain that he would like me to evaluate the guest, a lady with abdominal pain and vaginal bleeding, and deliver a recommendation.

If the guest had called directly, I would have sent her to an emergency room or, during the day, to an obstetrician, but this request came from an insurance agency. It was paying the bill, and I had done my duty by warning that a housecall wasn't appropriate. I was happy to make the visit. Once I confirmed that a referral was essential, I would simply call and report.

A young man opened the door. I entered, expecting to see a girl friend or wife, but he was alone, and he identified himself as the patient. He had a sore throat.

I checked the name and date of birth on my invoice. It was identical. He spoke excellent English, so there was no chance of a misunderstanding.

After dealing with his problem, I phoned the agency. Was there another guest with abdominal pain and vaginal bleeding waiting for me? After a long consultation, he assured me that no one knew. It was probably a mistake.

Mike Oppenheim