Dr Rob Kieboom makes some excellent points about what the A&M service provides to this community, and the specific needs it meets [KMN, Nov 13].
Regarding reports that there is intent afoot to close it and replace it with a paramedic service, it appears that an apparent ‘‘solution’’ is being pushed at the community before a problem has been clearly articulated.
Imagine this encounter: A patient enters the doctor’s surgery and has the following exchange.
Patient: ‘‘Doctor, I have some kind of rash and . . .’’
Doctor, without leaving chair: ‘‘Yes, it’s chickenpox.’’
Patient, puzzled: ‘‘But don’t you think you should examine me? I mean, it could be heat rash, eczema, flea bites, scabies . . .’’
Doctor: ‘‘No, no, I’m confident it’s chickenpox; apply this ointment and use this soothing solution in the bath.’’
Patient: ‘‘But doctor don’t you think . . .’’
Doctor: ‘‘Look, I’m the expert. I saw a case of this just up the coast and this is the solution we used. Ergo, it’s chickenpox. Next!’’