Published Apr 3, 2006
KAW1962
58 Posts
I had an experience tonight, the kind that just makes my blood boil. Last night I admitted a very nice elderly woman with a fractured pelvis. She also has myelodysplatic anemia and has been under treatment by one of the Heme/oncs for several years. She was admitted under the services of ortho, with heme/onc and her pcp on consult. Today she had labs drawn and her h/h were extremely low (her hg was 4.7 and platelets were 10!). Dayshift notified heme/onc who ordered platelets and prbc's. No problem. After the platelets and before the blood, her temp spiked, so I called heme/onc, who gave me an order to continue with the transfusion, as she had already been premedicated with tylenol and benedryl. Later in the shift, he called to see how she was doing, so I updated him on her condition. I also let him know that the patient's granddaughter (a nurse) wanted to speak to him regarding her condition, and she wanted to see if the patient should be transferred to the oncology unit, as this was her most pressing problem. Makes sense to me. His first comment, when I had asked him if he spoke with the granddaughter, was "like that's all I have time to do, sit around and talk to the family." Then when I had asked about transferring her to the oncology unit he said "do you mean to tell me that you need my permission to do that?" He was under the impression that I was talking about transferring her to his service, and I clarified that but also told him that yes, I do need his permission for her to be transferred, as well as permission from the attending. He finally said yes, if it was okay with the attending. So I call the attending (ortho), who was all for it, then he said we can transfer her to heme/onc's service. I said Nooooooo!!!! Please don't make me call him again as he had been nasty with me to begin with!!! Of course the ortho was such a great guy and told me he would see her tomorrow and take care of having the patient transferred to heme/onc's service in the morning!
Why do some docs have to be so #@$% nasty!!??
TheCommuter, BSN, RN
102 Articles; 27,612 Posts
I, too, have encountered arrogant doctors with abrasive personalities.
Doctors possess much more education and influence than over 90 percent of the American population and they are keenly aware of this disparity; thus, the elitist mentality of many physicians. Since I am one to give credit, I will also mention the many friendly physicians and their worthy contributions to the medical community.
sharann, BSN, RN
1,758 Posts
I have noticed an increase in ill mannered people in general lately. Not just MDs but nurses, radiology techs, grocery checkers, teenagers...
People just behave badly at times and get away with it.
Just don't take garbage from folks.
bethin
1,927 Posts
I don't know but when you do, let me know.
Of course they're overworked and stressed but so are we. Do you think we'd still have a job if we acted like they do????
Had a doc come back to the break room to vent (very loudly) about a pt. He just wanted sympathy. He was boo hooing. Poor guy. NOT! We put up with that pt. 12 hours a day and sees her for 5 mins? When he was done I actually asked him if he wanted my cookie.
There are some very wonderful doctors out there who don't complain when getting paged in the middle of a golf game, who are reliable, intelligent and most of all don't have a God complex!
Another comment about the above doctor: He counts the midnight rounds as two visits. He figures if he sees a patient at 11:58p thru 12:10a it's two days, two visits. Nursing has spoken up on this and nothing has been done.
CseMgr1, ASN, RN
1,287 Posts
I don't know but when you do, let me know. There are some very wonderful doctors out there who don't complain when getting paged in the middle of a golf game, who are reliable, intelligent and most of all don't have a God complex!Another comment about the above doctor: He counts the midnight rounds as two visits. He figures if he sees a patient at 11:58p thru 12:10a it's two days, two visits. Nursing has spoken up on this and nothing has been done.
I am fortunate enough to personally have doctors who are like the ones you describe in your first sentence. My PCP, Orthopods and Pain Management Specialists have been absolute gems. The others need to either get a life or get out of the business.
And as for the above doctor: He could be prosecuted for fraudulent billing, if he is ever audited and caught by the OIG. He had better watch his step.
jillyk*rn
859 Posts
i love the ones that yell at us for calling in the middle of the night.
first-if it's not important, i won't call:angryfire .
second - you get paid a lot more than me, and i'm up, and not nasty:nono: .
third - these are kids. get a grip:icon_roll .
what did someone tell me - if you don't want to be woken up in the middle of the night...go work in the produce dept of the grocery store - they close at 11pm. :lol2: can you imagine telling a doc that???? it would be funny,
The nurses have thought about turning him in. He comes in at midnight to d/c a patient! Who wants to be woken up and told to go home?
I will give him credit, this weekend he did come in during normal hours.
Marie_LPN, RN, LPN, RN
12,126 Posts
1) Because someone peed in their cereal
2) Because they hate life, apparently some didn't pay attention that day in med school when they were told about the hours and time.
3) Because nothing or no one RARELY tells them NOT to.