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Well I agree with Robbie. If we proudly talk about our systems for seeing people according to clinical need, then subvert the system because we want to be nice to a colleague, is that not hypocrisy? If you as a consultant can condone that for another consultant's child, then can your SHO do the same for an orthopaedic SHO's child - or an orthopaedic nurse's child? In practice, though, ( and you could accuse me of moral relativism) such people can get seen without waiting a long time or disadvantaging the others: have them seen by a consultant not on clinical duty (or who's prepared to come in on call), as Rowley and others said.. Clearly Rowley had an urgent clinical need and was on duty, and should have been seen straight away (though attending the ED might hve been a better option than calling the med reg). Within UK clinical priority systems, there is some flexibility anyway to take other factors into consideration in deciding the order in which to see people - who hasnt seen someone out of turn because they've got a train to catch, or their coach party is waiting for them outside? The point is that it must be applicable to all and should not delay emergency treatment to those in real need. A related problem is the local rugby heroes......what do you do about them then? We see them 'top of triage group' on the basis that their presence is disruptive, like the aggressive patient. Steve Meek __________________________________________________ Do You Yahoo!? Send FREE Valentine eCards with Yahoo! Greetings! http://greetings.yahoo.com