Why do Doctors think they are................God!!

Nurses General Nursing

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Why do some doctors take their degree to their noggins! :uhoh3:....Us nurses are the ones who spend hours with the patient and have a sense of what the patient might need or want...We build that relationship! Then, here comes the doctor spending 2 mins with the patient then giving orders and don't care for our input! This frustrates me...

Why are some doctors knuckle heads who don't know what the heck they are doing! For example, my admit from the ER, chronic renal failure, came up with generalized pitting edema +2 running fluids at 125/hr...Asked doc to decrease fluid rate....He stated NO! What the hay day!:eek:

Why are we not heard!!!!!!!!!!:mad: Why is our opinion not valid! :crying2:

Specializes in Oncology, ID, Hepatology, Occy Health.

Scientifically, doctors have great intelligence.

-Joe

Some do, some don't.

Some have great knowledge, but not necessarily always the intelligence to go with it.

Specializes in Emergency Medicine.

What's the difference between God and a doctor?

God doesn't think he's a doctor.

Specializes in Home Health.

I once had a retired pathologist for a home health patient and she would tell me stories of life in medical school. She told me that when her class graduated form med school, they considered their M.D. as standing for 'Medical Diety'. She was just precious.

Specializes in NICU.
Theologically, many people consider to be a part of God.

Scientifically, doctors have great intelligence.

The short visits mean the MD is working diligently (most of the time). Current US health care does not allow the time MD's need to take care of patients their best.

If doctors could, I believe they would want to spend more time with patients.

If you can, try to foster RN-MD relations because it's for your patient's benefit. The patient is the customer.

-Joe

Patients are not customers. If mine could, they would never let me near them with a needle for labs or IVs to save their lives. They are patients.

Specializes in Medical Surgical.

I had a doctor who never wanted to listen to what I had to say about a patient or look at a wound I was worried about. One day I chased him down the hall (literally!), planted myself firmly in front of the door and asked what the heck???>?? At least he was honest. He said, "Since you caught me and made me listen, now it's my problem. If I had managed to get away, it would have stayed completely your problem." Thank you, Dr. BigBucks. So wish your patient could have heard your reasoning.

i agree with the person who posted; use that as a teaching moment.

if a patient is in crf- maybe 125cc/hr is due to the lack of perfusion of systemic blood to the kidneys. maybe the patients gfr/bun was increased and they wanted to increase absorption/ reabsorption for natural diereses. maybe he was worried about a uti, stones or maintaining systemic volume. if there is decreased volume to the kidneys, adh is stimulated and the patient will retain even more fluid and go into chf. maybe he was thinking he could use a k+ sparing diuretic to get off any excess fluid, once renal homeostasis is obtained. then consult a nephrologist. you always want to perfuse the kidneys and maybe he didn't want to resort to a pressor. the edema is probably due to hypoprerfusion and perfusion will naturally diereses.

ask why? most of the time, they have a pretty good reason why they are doing what they are doing.

just my opinion.

Specializes in Medical Surgical Orthopedic.
i agree with the person who posted; use that as a teaching moment.

if a patient is in crf- maybe 125cc/hr is due to the lack of perfusion of systemic blood to the kidneys. maybe the patients gfr/bun was increased and they wanted to increase absorption/ reabsorption for natural diereses. maybe he was worried about a uti, stones or maintaining systemic volume. if there is decreased volume to the kidneys, adh is stimulated and the patient will retain even more fluid and go into chf. maybe he was thinking he could use a k+ sparing diuretic to get off any excess fluid, once renal homeostasis is obtained. then consult a nephrologist. you always want to perfuse the kidneys and maybe he didn't want to resort to a pressor. the edema is probably due to hypoprerfusion and perfusion will naturally diereses.

ask why? most of the time, they have a pretty good reason why they are doing what they are doing.

just my opinion.

you don't know what you don't know. i never assume a doctor is stupid when his/her orders don't quite make sense to me.

Specializes in Med Surg.
I have a doc at my facility who will ALWAYS goes with the opposite of whatever you recommend. Like he doesn't want to go with you judgement because your just "the nurse". Drives me bonkers! :bugeyes: Example: Pt is in pain and requesting something for a HA...can I have an order for Tylenol 325mg 1-2 tabs Q4? Answer: NO! Give him Ibuprofen 400mg Q4! Really? And there are far too many examples of this to go on about! Just the most recent one I could think of. Sometimes I wonder if I could use reverse psychology on him to get what my pts want/need lol!

We have one of these where I work. I have learned to never, ever suggest to him. In his eyes you are trying to practice medicine. I ask something like "so and so is c/o back pain and would like to know if he can have something for it" or "Ms. PIA down the hall is restless and becoming agitated. Can I giver her anything to help her calm down?" He is actually very pleasant when you go about it that way. Nine times out of ten he will order exactly what I was thinking about but now it's HIS idea.

I had a doctor who never wanted to listen to what I had to say about a patient or look at a wound I was worried about. One day I chased him down the hall (literally!), planted myself firmly in front of the door and asked what the heck???>?? At least he was honest. He said, "Since you caught me and made me listen, now it's my problem. If I had managed to get away, it would have stayed completely your problem." Thank you, Dr. BigBucks. So wish your patient could have heard your reasoning.

There was a neurosurgeon (good- his patients did well) who was just ornery (he'd been an RN....:eek:). A lot of our patients got Decadron, which can cause hiccups......EVERY other doc would order low-dose Thorazine, and the hiccups were fixed. I called and asked if I could give the pt some Thorazine for hiccups. He told me the only thing to do for hiccups was to put a bag on the patient's head. SO, I wrote the order "Paper bag to head prn hiccups" T.O. Dr_____/______RN. He'd talk to me after that. He was still a jerk- but at least he'd speak :D

Specializes in Med Surg.
A co-worker of mine got yelled at for calling the on-call dr because of a high blood pressure. The Pt's blood pressure was 200's/100's; the Dr's response: why in god's name would anyone check a blood pressure in the middle of the night, now I'll have to do something about it.

absolutely ridiculous, we work on a busy general medicine floor, many of our patients are in bad shape. So: YES dr we will continue to check vitals in the middle of the night.

Did you chart that? I can just see it. Dr. states "why did you wake me up...."
Specializes in Emergency Dept. Trauma. Pediatrics.

Name the movie quote:

"I have an M.D. from Harvard, I am board certified in cardio-thoracic medicine and trauma surgery, I have been awarded citations from seven different medical boards in New England, and I am never, ever sick at sea. So I ask you; when someone goes into that chapel and they fall on their knees and they pray to God that their wife doesn't miscarry or that their daughter doesn't bleed to death or that their mother doesn't suffer acute neural trama from postoperative shock, who do you think they're praying to? Now, go ahead and read your Bible, _Dennis_, and you go to your church, and, with any luck, you might win the annual raffle, but if you're looking for God, he was in operating room number two on November 17, and he doesn't like to be second guessed. You ask me if I have a God complex. Let me tell you something: I am God."

:p This movie is the first thing I thought of when I read the title.

My experience with Docs has been mostly good so far.

:chair:

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