Those who cannot are referred to the second tier (secondary health care, or the referral services) for the opinion of a consultant with specialized knowledge or for X-ray examinations and special tests.
"I was being given special treatment and being put through some special tests," he said.
The medical decision is based on physical examination, special tests, and patient history.
Special tests that might be performed include fetal scalp blood analysis and fetal heart rate monitoring.
Special tests for two specific antigens in the blood may also indicate liver cancer.
These tumors are identified not by looking through a microscope, but by special tests that measure patterns of genetic activity.
And of course, the special technology that runs the special tests is called Edison, because when you're making a mythology, a dollop of American exceptionalism never hurts.
Dr. Lioy says the New Jersey environmental institute is also studying dust samples, with some of the material sent to nine different laboratories for special tests.
The diagnosis of swine influenza A(H1N1) has to be made through special tests known as P.C.R., for polymerase chain reaction.
In Colorado, officials said they had just begun reporting scores on the special tests tailored to the disabled, while Delaware said it had been reporting such scores, but not in the way the federal law requires.
Both schools reserve admission for highly motivated students; the application process resembles that at many American colleges, where students are judged on their grade-point averages, as well as their performance on special tests and in interviews.
