The letters flag unusually high billing activity, but acknowledge that ‘billing data alone may not fully capture the circumstances of an individual physician’s practice.’
EDs are under immense and increasing pressure, evident in long waits for care and high levels of staff turnover and burnout, fostering a focus on optimizing short-term efficiency.
Not every woman with urinary discomfort has a urinary tract infection, and not every woman with painful intercourse has estrogen-deficiency-related vaginal atrophy.