Doc rage - page 3
I posted this on the canadian thread, but would appreciate any input from the rest of you too. I just got off work and I want to vomit. I had a woman in labor begging me for an epidural, crying... Read More
May 24, '02Occupation: RN Case Manager Joined: Apr '02; Posts: 4,945; Likes: 27Originally posted by fergus51
Our nurse manager was in and actually (GASP!) supported me in my raging!!! The anesthesiologist came in and complained to her about me and she actually asked him to leave the nursing station if he wasn't there to see any patients! I just about fell over. Did I mention how much I love our new nurse manager?
May 24, '02Occupation: student nurse Joined: Mar '02; Posts: 73; Likes: 5canoehead, maybe it was more like 2 1/2 but 3 maximum driving the spead limit.... they've got a new highway up now. Have you been up here lately?
May 24, '02Occupation: Forensic/Psychiatric LVN Joined: May '02; Posts: 1,164; Likes: 80I once had a patient admitted with a 103 F temp but no APAP or Ibuprofin ordered. "WHAT DO YOU MEAN ADMITTING A PATIENT WITH THAT KIND OF TEMP AND NOT ORDERING ANYTHING?" I called the doc to verify and sure enough he refused to give her anything. I called my Nursing supervisor who promptly called the doctor too. She was on my side but the doc continued to insist that the temp is OK, just to put cool clothes on her forehead, armpits, neck, groin, etc...That the Temp is "Burning off the Germ"
May 25, '02Joined: Oct '00; Posts: 8,729; Likes: 8,412Yep, was home 2 weeks ago and got myself a huge donair and a Tim's coffee (yumyum). I love the new highway although the hike in tolls stinks. Cobequid Pass is gorgeous in the fall, they should build some look off points, and a gas station by the toll booths.
May 25, '02Occupation: RN Case Manager Joined: Apr '02; Posts: 4,945; Likes: 27Originally posted by KaraLea
I once had a patient admitted with a 103 F temp but no APAP or Ibuprofin ordered. "WHAT DO YOU MEAN ADMITTING A PATIENT WITH THAT KIND OF TEMP AND NOT ORDERING ANYTHING?" I called the doc to verify and sure enough he refused to give her anything. I called my Nursing supervisor who promptly called the doctor too. She was on my side but the doc continued to insist that the temp is OK, just to put cool clothes on her forehead, armpits, neck, groin, etc...That the Temp is "Burning off the Germ"
Jun 4, '02Occupation: RN Specialty: 15 year(s) of experience in Medical Surgical ; From: US ; Joined: May '01; Posts: 674; Likes: 1,217We have a few doctors who don't seem to really care about their patients, but the majority of our doctors do. This is a small community, and peer pressure is a wonderful thing at times, maybe.
I just switched doctors. I've always preferred female doctors, but after this latest one left town, I thought about which doctor gave the best care to patients. After eleven years as a hospital nurse, I've seen them all in action. When I was a fairly new nurse working the night shift, I had a patient start to go into septicemia (although I didn't know that at the time; I just knew something was wrong). I called this doctor with pretty vague hunches, he gave me orders, and thirty minutes later he showed up at the hospital to take care of her. At 2:00 in the morning. I've never seen another doctor take the initiative like this before or since. So I decided he would be a good choice for my own doctor. And is he ever!!
We need to patronize the doctors who care, recommend them to others, and sing their praises. If nurses don't know who the good doctors are. who does?
Jun 4, '02Occupation: RN Specialty: 8 year(s) of experience in ER,med-surg, LTC, psych, dialysis ; From: US ; Joined: May '02; Posts: 338; Likes: 43I've been dealing with American doctors more as a patient , than anything else. Since many docs treat nurses like crap, techs like myself are simply not even identified as human beings.
Medicine is a type of business, just like any other job. It really should not be that way, but it is.
This is why in this society a consumer ( in our case, a patient) needs to be smart and do research, ask their doctor questions and not allow treatment without a clear picture of what exactly is going to happen.
No sane person will go out and buy something expensive without shopping around, so trusting your life into someone's hands should be the same, not matter what country u are living in.
It's very sad that many physicians are in it purely for financial purposes. It should be different, and while there are no changes happening in this direction, people need to educate themselves, considering how much information there is available.
Jun 4, '02Occupation: med/surg noc Joined: Jul '01; Posts: 45; Likes: 6I got the worst picture of a Doc the first week of a job once.
Had a patient dying, DNR/DNI. Respiratory distress all the way with resps 40+ gasping and labored. His eyes wide in that panic look. He was moaning between gasps and grabbing at my shirt, arm whatever he could reach. I called and attempted to get MS04 or at least atavan for comfort. The Doc really laid into me about this not being needed this is death and how bad would I feel if I gave the MS and he died shortly after...
and he would be no part of it. It was my problem and I needed to accept death as God brings it. He would not push a patient over the edge to make a nurse feel better...So I had to march my butt back to the room and sit holding this poor guys hand while he gasped, trying to calm him. All the time I sat talking to my patient I kept thinking You get what you sow and some day it will be that Doc. He died 6 hours later, 6 hours of panic every time he was left alone, attempted to swollow or went into caughing fits.
Jun 11, '02Joined: May '02; Posts: 151; Likes: 2Doc rage going on here BIG TIME... sadly I agree....
Come to think about it... more often I end up insisting on specialists and/or self diagnosing myself. My grand-father has been abused by doctors who are in it for money and sadly my mother cared for my grandmother up untill her death because doctors didn't see why to stop her suffering.... she was almost in the grave anyway....
I find that the best docs are well into retirement and are doing there job out of compassion.... I wonder how many of the older doctors weep for the younger ones who are doctors by money and not by hard work and love?????
Jun 11, '02Occupation: Legal Nurse Consultant/Defense Med Mal Specialty: 30 year(s) of experience in OB, M/S, ICU, Neurosciences ; Joined: Dec '00; Posts: 398; Likes: 19I guess what I wonder after reading all of this is how anyone could live with themselves and sleep at night after denying pain meds, antipyretics and the like. I know not every hospital has them, but I have often used our physician ethicist and even our risk management department to intervene when patient rights are being violated, and that is exactly what many of you have described in this thread. If you have them in your hospital, use them to help when you can't get what you need for your patient and/or their rights are being violated.
Jun 11, '02Occupation: Legal Nurse Consultant/Defense Med Mal Specialty: 30 year(s) of experience in OB, M/S, ICU, Neurosciences ; Joined: Dec '00; Posts: 398; Likes: 19Originally posted by bestblondRN
I guess what I wonder after reading all of this is how anyone could live with themselves and sleep at night after denying pain meds, antipyretics and the like. I know not every hospital has them, but I have often used our physician ethicist and even our risk management department to intervene when patient rights are being violated, and that is exactly what many of you have described in this thread. If you have them in your hospital, use them to help when you can't get what you need for your patient and/or their rights are being violated.
Jun 12, '02Occupation: RN Joined: Aug '01; Posts: 2,276; Likes: 42Our family doc is great also! He takes care of all 5 of us. A couple of years ago, my son fell and chipped some bone in his elbow. We took him into the ER (it was like 8pm) and then took him to an orthopod few days later. Never seen our family doc about my son's elbow. About a week or so after my son chipped his elbow, one of the nurse's from our family doc's office called to check up on my son. Said the doctor wanted to know if we needed anything. I was impressed. Our family doc will still stich up kids in the office 15 minutes before closing. (Done that once or twice!) We also have a couple young family docs who have been in practice for about 5 years who are wonderful also.
Then, we have the arrogant, know it all surgeon. I was having some social problems with this guy's 18 year old pt. Lots of weird family dynamics and all. The kid was really stressing. I told Dr. God about it, and his comment to me was"If it doesn't involve a knife or scapel, I don't want to hear about it." I could have come across the nurses' station and slapped him! Still am not speaking to him except for the bare minium I need to relay info about his patients. Plus, this guy is a butcher. Has nicked several bowels, perfed a couple during scopes and writes really STUPID orders at times. He came here from out of state. I think the hospital board should have checked his records a little closer.
Jun 12, '02Occupation: RN, Inpatient Hospice Specialty: 17 year(s) of experience in Hospice, Critical Care ; From: US ; Joined: Oct '00; Posts: 1,664; Likes: 177I know what you mean, deespoohbear. I had a patient in ICU, early 50s who came to the ER with chest pain and arrested there. They shocked her three times and she was very successfully revived. Old, old should-have-retired 10 years ago cardiologist comes in to see her. I came over to him and started to give him her story and her labs and her vitals and he said "Now what good will that all do me?! I'm not interested!" I put down her clip board and walked away. I have never voluntarily spoken with this man again. This was a young woman who needed sent out for a cardiac cath right away and it got delayed for 2 days because this guy was on call and the only orders he writes are for the Triple E's: Enzymes, Echo and EKG in the morning. He is also well known for cursing at nurses, using every foul word in the book. Can't stand him. I let the charge nurse deal with him now.