Work day......sucked! RUDE DOC!

  1. I work occasionally at an Imaging Center...conscious sedation..renal scans...contrast reactions....that sort of thing. Its a great job...usually!
    Today I go in..and my major tasks is screening people for the MRI.
    Welllllllll!! Today the Nuclear Med Tech comes to me and says he has a renal with vasotec panel. I tell him I'll be there when he is ready..and give the vasotec.
    He calls me..I go in..and find the pt has a b/p of 130/60. I ask.."why are we doing a vasotec panel"? He says the patient had bouts of hypertension..unexplained.
    I sit with the patient..and question him..while cuff is doing b/p's. His pressure starts to rise ..dystolic reaches 111. I tell the tech to leave the room with me. We sneak back in..b/p's back to 130/60. Apparently this young man admitted himself to a drug rehab..got out....then fell off the wagon and was readmitted. While in for the second time...the staff kept getting high b/p's so a cardiologist was consulted. The pt kept telling them he was just upset..nothing wrong with him. He says he has a bad temper...gets angry easily..etc.
    Well..I kept watching his b/p's...and then..told the tech.."no vasotec"..but..I'm on my way to the radiologist to tell him this pts' history and readings.
    NOW ..here is where the s*** hits the fan! The dr. of radiology..is an A*****..and about 6 months ago..which was the last time I have seen him..he was totally outrageously RUDE to me when I had to go to his office with information.
    Today..same thing. He says..in his rude way.."what do YOU want"???
    I told him..I have to discuss something with him..
    I tell him the story on this pt....and he says..."well...what do you want ME to do"?
    I say.."do you want to d/c the vasotec". He says.."that is not MY call"...I didn't order it"!
    I say.."and if this guy crashes..??????"
    He says..."get plenty of saline..and orange juice"...
    NOW...I"m totally and beyond control...ANGRY.
    I inform the assistant manager of the facility..then..tell the NM tech..that I"m calling the doc that ordered this test.
    When I explained to the doc..he says "well..of course you can HOLD it"..don't do the vasotec panel!
    Now..back to Nuclear Med room...to tell the tech..we are NOT doing the panel..just the renal scan.
    THEN..A***** doc walks in..(I'm sure he got worried)...and asks where the vasotec pt is. I told him..no vasotec is being done...
    He asks "why"? I tell him...and all this time...I'm walking to the door.speaking over my shoulder to him..which really PISSED him off!
    He callls me back..and says "I want to talk to YOU!!" Well...I knew what he intended......and I said.."sure..I want to talk to YOU TOO"!
    I led him to the back hall..pulled the door shut..and WENT OFF!
    I told him.."I do NOT come into your office for a social call!!!!" I come in because I am doing my job. YOU will NEVER TALK TO ME THAT WAY AGAIN! I HAVE HAD ENOUGHT OF YOUR DISRESPECT AND ABUSE!"
    NOW..he starts to say something..I look at him and say "I refuse to listen to anything you have to say"..and walk away!
    NOPE..I refuse to let this jerk think he is going to chew on me~!

    (will finish this ...in a bit......have to go right now..but..I will be back!)
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  2. 13 Comments

  3. by   mintyRN
    Good for you! Too often we just put up with their BS. Sounds like you put him in his place. You go girl!
  4. by   Espresso girl!
    Good for you! I do believe the day is soon approaching that nurses will be appreciated for their knowledge and that institutions will be hanging by their balls knowing how much they depend upon the work and knowledge of the nursing staff.
  5. by   deespoohbear
    You go girl!!!

    We had an ER doc the other day cuss out one of the RN's down there. I have told my manager that if that jerk ever cusses me out or makes crude remarks to me, I will file formal charges immediately. We do not have to tolerate this abuse. I don't know of any other profession that puts up with it, so why should nursing.....

    Keep us posted....
  6. by   acaringnurse
    good job!!
  7. by   ?burntout
    originally posted by ftell001
    i work occasionally at an imaging center...conscious sedation..renal scans...contrast reactions....that sort of thing. its a great job...usually!
    today i go in..and my major tasks is screening people for the mri.
    welllllllll!! today the nuclear med tech comes to me and says he has a renal with vasotec panel. i tell him i'll be there when he is ready..and give the vasotec.
    he calls me..i go in..and find the pt has a b/p of 130/60. i ask.."why are we doing a vasotec panel"? he says the patient had bouts of hypertension..unexplained.
    i sit with the patient..and question him..while cuff is doing b/p's. his pressure starts to rise ..dystolic reaches 111. i tell the tech to leave the room with me. we sneak back in..b/p's back to 130/60. apparently this young man admitted himself to a drug rehab..got out....then fell off the wagon and was readmitted. while in for the second time...the staff kept getting high b/p's so a cardiologist was consulted. the pt kept telling them he was just upset..nothing wrong with him. he says he has a bad temper...gets angry easily..etc.
    well..i kept watching his b/p's...and then..told the tech.."no vasotec"..but..i'm on my way to the radiologist to tell him this pts' history and readings.
    now ..here is where the s*** hits the fan! the dr. of radiology..is an a*****..and about 6 months ago..which was the last time i have seen him..he was totally outrageously rude to me when i had to go to his office with information.
    today..same thing. he says..in his rude way.."what do you want"???
    i told him..i have to discuss something with him..
    i tell him the story on this pt....and he says..."well...what do you want me to do"?
    i say.."do you want to d/c the vasotec". he says.."that is not my call"...i didn't order it"!
    i say.."and if this guy crashes..??????"
    he says..."get plenty of saline..and orange juice"...
    now...i"m totally and beyond control...angry.
    i inform the assistant manager of the facility..then..tell the nm tech..that i"m calling the doc that ordered this test.
    when i explained to the doc..he says "well..of course you can hold it"..don't do the vasotec panel!
    now..back to nuclear med room...to tell the tech..we are not doing the panel..just the renal scan.
    then..a***** doc walks in..(i'm sure he got worried)...and asks where the vasotec pt is. i told him..no vasotec is being done...
    he asks "why"? i tell him...and all this time...i'm walking to the door.speaking over my shoulder to him..which really pissed him off!
    he callls me back..and says "i want to talk to you!!" well...i knew what he intended......and i said.."sure..i want to talk to you too"!
    i led him to the back hall..pulled the door shut..and went off!
    i told him.."i do not come into your office for a social call!!!!" i come in because i am doing my job. you will never talk to me that way again! i have had enought of your disrespect and abuse!"
    now..he starts to say something..i look at him and say "i refuse to listen to anything you have to say"..and walk away!
    nope..i refuse to let this jerk think he is going to chew on me~!

    (will finish this ...in a bit......have to go right now..but..i will be back!)
    bravo!!! bravo!!!
    Last edit by ?burntout on Dec 17, '02
  8. by   SmilingBluEyes
    ya done good.
  9. by   Pretzlgl
    :hatparty:

    GREAT work! I too will not let docs run me over anymore. They are no better than me - their job is just different. WAY TO GO...
  10. by   Tweety
    Woo Hoo!!! You Go Girl!!!
  11. by   malern685
    You know, I have heard this kinda crap for the last six years and I am damn tired of it. I have put up with docs, throwing temper tantrums when they could not find vs graphics, throwing charts with ordders that need to be taken off, getting pissed off couse there "stat" nuc med scans were ordered and scheduled rather than done "stat" and screaming at the the nurse becasue of it. Iv'e seen sexism, racism, egotism, and other ism's I won't mention casue this is a nice place. I am also sick to ******* death about there LACK of accountability for there damn decisions of Lack of decision's. Recently, I had some ******* intern mouth off some smartass comment when her, bleeding through the bladder, plt count of <1000, pt didnt get her Plavix!! As I was trying to explain the 23 year old Dugy Howser Geek that this drug was a platelet aggregrate inhibitor and that her BLEEDING ******* patient didnt have much in the way of platelets, she told me that I was just a nurse and that I should mind my own "DAMN" business. Well kids........as you could imagine, I informed the young Doc Wanabe that she was not to write any orders on this patient, if she did thaty would be ignored untill her attending could review them, she promptly informed me that I could loose my licence if I didnt follow her orders, and I promptly informed her that she wasnt old enough nor did she have enough life experience to threaten anybody and that if she didnt leave the room I was calling security to have her removed. Shortly there after, this youngster was relieved of her internship/residency for calling a patient "stupid" Will these punk geeks ever ******* learn?
  12. by   RN2B2005
    Not to try and defend the radiologist, but he probably did what he thought best when he told you "he didn't order" the Vasotec. This doesn't excuse his behaviour--he should have called the referring physician himself to clarify the order and/or suggest a different study, and he shouldn't have yelled at you. I also don't know what he meant by asking you to get orange juice and saline ready--that's just stupidness.

    HOWEVER, I work in a multi-modality (no NM, though) outpatient clinic with three radiologists on-site (out of a total of 13 spread over four clinics). I have to say, some of the orders sent over by some (non-radiologist) physicians are just ridiculous. Not infrequently, when the rad calls the referring to suggest another study, he or she is treated either a) with indifference or b) with open hostility. Obviously, patient care suffers in instances like this. I cannot tell you how many times I have called a referring physician at the behest of one of our rads and been told "That's how Doctor ordered it. I don't have any other history", which may or may not be true. We frequently receive orders that are illegible, make no sense, request exams that don't exist, or have all of the above problems (my all time favourite was "CT Chest ONLY. Include liver and kidneys.").

    So it may have been that the rad you dealt with was just fed up with the referring, and decided that if the referring wanted a Vasotec study, he could darn well have a Vasotec study. As I said, this doesn't excuse his behaviour, but it does provide some context.
  13. by   CMERN
    Well He DIDNT order the vasotec..but would it have hurt AT ALL for the Stu**d Azz to have said ok ,good call hold it, and go ahead and page the cardiologist....(hint: always remember when dealing with those who suffer from "cranial-rectum" desease. they aren't always adept at removing their own HEAD from their A**)..haha
  14. by   mattsmom81
    So much for a team approach, eh? <sigh> You got dumped on. Good for you for standing up to the jerk!!!

    High fives!!!

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