Wednesday, August 12, 2009

Emergency Physicians Focus on the Real Problem


What can I say? When my colleagues get hold of the real problem they work it 'till it's solved. A headline article in one of our monthly journals recently bypassed single payer, declining reimbursements, Obama on tonsillitis, and all the other problems with health care in the US today and went right for the money... cursing in the ER.

Now if ER staff dropping the "F" bomb is such a problem I want to ask the next question... Why is everyone so pissed off in the first place and shouldn't we address that issue before this one? I figure there must be a reason for all the profanity and I think I have the answer... We are all pissed at the breakup of John and Kate.

This is like being mugged and then deciding to find out how you so offended your attacker. Smart... very smart... but I'll be fucked if they get me to stop saying "FUCK" when appropriate. Fuck them.

26 comments:

  1. What the fuck? Yes...I LIKE to say "fuck"...and i say it a lot in the ED.....does anyone remember those Bud Light "dude" commercials with all the different meanings of "dude". Well you could do the same for "fuck" in the ED....LOL

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  2. "F that", "What the F", "Well, for F's sake", "F---------------k", and "F, F, F!"... my favs. Can't even really mouth these to self on the floor away from patients. There is always that nurse with the stunned look on her face charting next to you.
    -SCNS

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  3. My Dad used to say "CUT THE FUCKIN PROFANITY!!!" when me or my sister would let an F-bomb slip, Ironic really...

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  4. New research indicates that swearing helps control pain. It's just good medicine. If it makes you feel any better, I'm discouraged from swearing at work too--parents get all protective about incoming kindergartners and all.

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  5. Ah, 911, you kiss your kids with that mouth?

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  6. Well, this is just one of those teachable moments that calls for an inspirational song.

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  7. Devorrah-seriously? I rarely swear and after my surgery I swore like a sailor when asked how my pain was. So I was self medicating?

    For what it's worth, if you were going to have my son for kindergarten this year he has already heard/knows all the words and what they mean (older siblings taught him). When he had a high fever and was not making sense, the one thing that was clear is that he knows how to use all the words/phrases correctly even though he normally knows not to. It was by far the funniest thing I have ever heard.

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  8. Devorrah is alive!!! (My baby's starting kindergarten in two weeks.)

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  9. Radioactive Girl

    My Theory is we all have a given number of cuss word we have to say during our lives. If we don't spread them out like your son is, we will have to say them all at the end like some of the priests and nuns do after they have had a stroke.

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  10. Gregg
    So you're basically saying that I need to get my fucking affairs in order? Dammit.

    AC

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  11. AC

    Yes that is how I would describe my theory

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  12. Hi Radgirl and Amy! Yes, it's true that swearing lessens your perception of pain. Funny about your son, RG! Hi Amy! Haven't been blogging because too busy with 2 houses, 4 kids, 4 dogs 2 cats and 14 bikes. Cheers!

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  13. ..with apologies to "Doonesbury", there was a terrific strip at the start of the first Gulf war, when one of the major characters was recalled to active duty in the Army. He was expressing concern that he no longer remembered how to properly use the "F" bomb in the military. His seatmate, a lifer, reminded him how simple it was.....

    "FUCK" or "fucking" or "motherfucker" or "motherfucking" are used in a sentence in lieu of a comma.

    Fuckin-A!

    Pattie, RN

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  14. http://docsontheweb.blogspot.com/2009/08/emergency-physicians-focus-on-real.html

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  15. Does Quixxote ever post? or is she just like Barney Google in the "Snuffy Smith" comic strip...

    Frank

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  16. My office staff and patients are used to me swearing routinely. If a patient doesn't like it, fuck them. They can go find another fucking neurologist.

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  17. frank,
    quixxote posts like most women answer their cell phones.

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  18. Grumpy: Fucking neurologists are fucking hard to find in most parts. What the fuck is up with that?

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  19. Peggy U, you want a Neurologist? I took a Neurology rotation Senior yr, some 20 years ago, cant remember the exact date...so I'm as qualified as the Physician in Chief...all they do is...
    1: Get a CT, MRI, Myelogram, Nerve Conduction Studies then tell you they don't know whats wrong, or if they do, can't help you, or

    2: You've got a Brain Tumor, and have to go to a Neurosurgeon, and unless you're Ted Kennedy and sold your soul to the Devil, they can't help you

    3: Having a Stroke?? "Time is Brain!!!" take an Aspirin

    Glad to help, that'll be $300

    Frank

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  20. Now wait a minute Frank. That's not all they do..They also manage pts that have seizure disorders!
    In those case they have 3 old drugs that can be manged by ordering lab tests to determine the correct doseage. Of course if those don't work, they go on to newer drugs which have no laboratory ranges so they just guess how much the pt should take..
    And, of course, if those don't work they tell the pts to.....Drum Roll, Please...

    GO TO THE EMERGENCY ROOM!!!

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  21. Well, I don't need a neurologist :). A psychiatrist, maybe.

    But one of my sisters-in-law has nasty epileptic seizures, and I know she has had a hard time finding/keeping a neurologist. Seems like there is a lot of demand for them, and very little supply.

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  22. PeggyU-every neurologist I have ever met* has been sort of off in the personality department. Not trying to generalize, but I am normally very fond of doctors and was not too impressed.

    *it's only fair to say that my sample size on this observation is only 2, and therefore not a very accurate indication of the entire specialty.

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  23. I adored this post & the comments more than I can say... I'll have at least one patient a shift who slips out a curse, usually 'shit', normally during an i.v. start or a tender belly palpation, and oftentimes they'll blush & apologize... I find that reassuring them (a) I've already said 'shit' 12 times today, and (b) thought many worse curses throughout, makes them loosen up a bit & trust a little more that I'm not some unapproachable robot... PS: Old Fart, I said to the crew the other day that when I grew up, I wanted to be one of those people who just *POOF* sent patients to the ED, and how do I make that happen? no one seemed to know, but you just may have the answer, hmmmm....

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