Numbness is a pretty useless bedside self-reported symptom at this point because it's way overreported and pretty much impossible to objectively prove with the tools available most of the time.
Complete paralysis is a medical emergency and is easier to assess at the bedside on physical exam. The problem is that complete sudden paralysis is also exceedingly rare. What most people describe as "paralysis" is actual muscle weakness with preserved function. Which like above, is way overreported and a nothingburger to investigate usually even if you could.
Peripheral cyanosis (limbs turning blue) is more of an objective clinical sign than a self-reported one. But also is one that people tend to exaggerate.
Having cyanosis in all 4 limbs is a systemic issue varying from nothing to something.
Having localized peripheral cyanosis limited to one limb is probably more significant. But again it's only a small clue in context that's hard to investigate unless you have other compelling factors that make you want to go down the rabbit hole as an investigator (pain out of proportion, complete inability to feel peripheral pulses whatsoever, VERY sluggish capillary refill, extreme pain with passive extension of some of the muscles in specific compartments, etc).
And in the case of both ER and GP situations, patients are handled with a triage mentality.
In the case of an ER I suppose it can be a "little" more understandable, but with GP's it's less about time/manpower constraints and instead seems like it has more to do with keeping on friendly terms with insurance companies (costs, etc). Since they have to justify anything they do to insurance companies.
It's honestly a fucking joke. In a big book full of horrible jokes.
The system was already dysfunctional & collapsing long before it was stress tested even more with infinity Indians since COVID.
The only thing they've improved is access to MAiD. At least that's mostly targeted at old White boomers.
Numbness is a pretty useless bedside self-reported symptom at this point because it's way overreported and pretty much impossible to objectively prove with the tools available most of the time.
Complete paralysis is a medical emergency and is easier to assess at the bedside on physical exam. The problem is that complete sudden paralysis is also exceedingly rare. What most people describe as "paralysis" is actual muscle weakness with preserved function. Which like above, is way overreported and a nothingburger to investigate usually even if you could.
Peripheral cyanosis (limbs turning blue) is more of an objective clinical sign than a self-reported one. But also is one that people tend to exaggerate.
Having cyanosis in all 4 limbs is a systemic issue varying from nothing to something.
Having localized peripheral cyanosis limited to one limb is probably more significant. But again it's only a small clue in context that's hard to investigate unless you have other compelling factors that make you want to go down the rabbit hole as an investigator (pain out of proportion, complete inability to feel peripheral pulses whatsoever, VERY sluggish capillary refill, extreme pain with passive extension of some of the muscles in specific compartments, etc).
And in the case of both ER and GP situations, patients are handled with a triage mentality.
In the case of an ER I suppose it can be a "little" more understandable, but with GP's it's less about time/manpower constraints and instead seems like it has more to do with keeping on friendly terms with insurance companies (costs, etc). Since they have to justify anything they do to insurance companies.
It's honestly a fucking joke. In a big book full of horrible jokes.
That's horrible but probably doesn't begin to cover what they're really doing.