tag:blogger.com,1999:blog-24021163.post3595863321088105448..comments2024-02-18T01:56:38.508-06:00Comments on M.D.O.D.: It's Emergency April Fool's Day911DOChttp://www.blogger.com/profile/06466669111561150174noreply@blogger.comBlogger54125tag:blogger.com,1999:blog-24021163.post-45885734498548779102008-04-17T12:47:00.000-05:002008-04-17T12:47:00.000-05:00I don't think the anonymous poster's issue was so ...I don't think the anonymous poster's issue was so much the fact that she was required to take a pregnancy test, but that it is so easy for nurses, PAs, and docs to talk down to patients. I've only needed to go to the ER once (broken wrist), but even in normal office appointments, it's not uncommon for medical personnel to be insultingly patronizing. I, too, went to school for a long time, endured a lot of poverty, and pay large student loan bills. I am paid far less as a college professor than most underpaid docs. I don't go into anyone's office demanding drugs, but I've certainly been talked to as if I were chronically dishonest or stupid.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-2137703812489204572008-04-09T11:54:00.000-05:002008-04-09T11:54:00.000-05:00Ah, I'm diggin' the movie reference.Ah, I'm diggin' the movie reference.EEhttps://www.blogger.com/profile/13697074755915208566noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-85382729554567881352008-04-04T13:09:00.000-05:002008-04-04T13:09:00.000-05:00I was thinking the same thing, Michele. I would l...I was thinking the same thing, Michele. I would love to meet Skinny-Ass Anonymous in a clinic. I would use so many big, long, medical terms her skinny head would be spinning. Put that biatch in her place! That would make my day. Skinny, move to Canada. Better hockey up there, too.Lofty Zaharihttps://www.blogger.com/profile/01424287076467507040noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-30584767764212671402008-04-03T18:58:00.000-05:002008-04-03T18:58:00.000-05:00Anon - I do not believe you a nurse told you to "s...Anon - I do not believe you a nurse told you to "shut the hell up." I simply do not believe you. You are a nasty little foul-mouthed troll with nothing to add to this discussion except your own unpleasantness. <BR/><BR/>Do you ever wonder why karma has thought to punish you with kidney stones and gallbladder pain? It's because you're a little twit. <BR/><BR/>Did anyone else notice that anon used a lot a big medical words for a layperson? Twit, are you munchausening yourself, and that's why you're so defensive and obnoxious?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-82027801471549787182008-04-03T11:29:00.000-05:002008-04-03T11:29:00.000-05:00Wow, I always come to parties late. Maybe she wou...Wow, I always come to parties late. Maybe she would have preferred the gall bladder surgery where "they haul out" your gallbladder through a large incision instead of a little bitty incision that heals in about 10 days. I've never been more thankful for my doctors than after reading all her vitriol and ungratefulness.Mandahttps://www.blogger.com/profile/14239688345779069575noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-81416661868036955362008-04-02T21:34:00.000-05:002008-04-02T21:34:00.000-05:00If you look up Etotheipi in the dictionary, you'll...If you look up Etotheipi in the dictionary, you'll find a hunky dude spewing every cuss word known to Man. Cussing makes me hot all over...Lynn Pricehttps://www.blogger.com/profile/02958402288888144904noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-66512641779870821142008-04-02T21:23:00.000-05:002008-04-02T21:23:00.000-05:00"I realize that most of you folks hate your jobs, ..."I realize that most of you folks hate your jobs, hate most of your patients..." [gratuitous whining snipped for brevity's sake]<BR/><BR/>No, Ma'am. We just hate <I>you</I>.Ambulance Driverhttps://www.blogger.com/profile/10175419709184526342noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-28586239364253416942008-04-02T17:09:00.000-05:002008-04-02T17:09:00.000-05:00Wow, skinny anonymous.. it looks like despite all ...Wow, skinny anonymous.. it looks like despite all that adequate treatment you received in the ED, they forgot to give you a happy pill.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-45625641088639212252008-04-02T14:36:00.000-05:002008-04-02T14:36:00.000-05:00Back in the 80's before PFP occasionally doctors w...Back in the 80's before PFP occasionally doctors would take their own x-rays. I remember wheeling a patient into radiology and the surgery intern playing with the KeV knobs to document free air. The 11-7 x-ray tech was doing something else, and taking x-rays isn't exactly rocket science. A downside was the occasional KUB with a fetal skeleton right smack in the middle. It was usually left hanging for everyone to laugh at till the next idiot took one.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-85486999385092957922008-04-02T11:57:00.000-05:002008-04-02T11:57:00.000-05:00So when do the skinny anonymous women start attack...So when do the skinny anonymous women start attacking etotheipi?<BR/><BR/>I know this isn't the point of anonymous' rant up there, but what's the big deal about taking a pregnancy test? Right before my radiation I had to take one and I had just finished my period the day before AND also had my tubes tied. The radiation guy is a family friend of ours, and knew me well and still had to ask me to take one. How would a doctor you just met have any idea whether you were telling the truth or not?Radioactive Torihttps://www.blogger.com/profile/01588217525296865718noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-57358924623384805122008-04-02T10:42:00.000-05:002008-04-02T10:42:00.000-05:00fascinating discussion - I think doctors overestim...fascinating discussion - I think doctors overestimate the number of patients abusing narcotics, abusing the system, or abusing the right to be seen in an ED. Most patients aren't stupid, just have no where else to turn for immediate answer to their questions - somthing Americans value a lot and I think some do not feel responsible to pay for this service and/or terribly underestimate what it costs to provide that service. The abusive patients on drugs and alcohol ruin it for the patients who are not. The few actual devious drug seekers ruin it for those who have legitimate pain, with or without a findable cause. How to stay happy and cheerful in a place where you are expected to "take it" and dish out love at every corner while being the smartest person in the world and never missing a diagnosis is something I have not figured out. However, each individual patient should not suffer the woes of the world - SHED the burden of the day, the last patients problem, and societies downfall when you walk in the room with ONE patient adn JUST you and do what one human should do for another (keeping in mind that I don't mean you have spread flowers and love at every situation). The actions for that patient should be about that patient and not the rest of the issues that he/she has nothing to do with that day.... those are our, yours, mine, societies problems to fix. I suspect something will eventually fall apart and fix / destroy this issue all together... When there's no pie, no one gets a piece...<BR/>grinUnknownhttps://www.blogger.com/profile/14939746545922723035noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-74112427286653689182008-04-02T10:05:00.000-05:002008-04-02T10:05:00.000-05:00Hey, I thought Karen Carpenter was hot.Hey, I thought Karen Carpenter was hot.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-45801446023477549322008-04-02T08:54:00.000-05:002008-04-02T08:54:00.000-05:00Anonymous 3 who then became Anonymous 5: That's wh...Anonymous 3 who then became Anonymous 5: <BR/><BR/>That's why you're my favorite. Cuz you're cute and smart, too.<BR/><BR/>You need a screen name. Your common sense is making the Anonymi look good. Don't give them any more power.<BR/><BR/>If you don't want a screen name, just begin each rant with, "I don't mean to be ugly, but..."MonkeyGirlhttps://www.blogger.com/profile/05735317323208263354noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-91517109763833348862008-04-02T08:52:00.000-05:002008-04-02T08:52:00.000-05:00anon #1:I completely agree with everything you say...anon #1:<BR/>I completely agree with everything you say. Thank you for enlightening these heartless bastards. You are an inspiration to patients and women everywhere.<BR/><BR/>Oh, April Fools, BITCH! Eat a fucking cupcake and plump up that flat size 2 ass (the pissing blood thing turns me on, don't get me wrong.) You sound like a real charmer. I'm sooooo sorry that you a) went to the ER, b) were appropriately diagnosed and treated, and c) were temporarily annoyed by a mildly overweight nurse. Wow. Sounds like a HORRIBLE experience. You convinced me: doctors really are jerks.<BR/><BR/>Take your whiney, entitled, Karen Carpenter body and try to treat yourself next time you are "really" sick. (please refer to prior photo of Hillary Clinton and paste your photo over her face)<BR/><BR/>Happy April Fools!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-25669598945576601562008-04-02T08:31:00.000-05:002008-04-02T08:31:00.000-05:00I am not a physician myself, but to sympathize wit...I am not a physician myself, but to sympathize with you guys- it *has* to be irksome for someone to walk into your ER asking for a specific med, much less a narcotic. WTF? The doctor hasn't even had time to see you or make a diagnosis and you're already demanding drug A or drug B.... to the anonymous poster- yes I understand you had legitimate problems- but did you ever consider how you come off coming in and demanding meds?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-37721534528821736562008-04-02T08:09:00.000-05:002008-04-02T08:09:00.000-05:00From Anonymous 3 (if I am counting correctly).What...From Anonymous 3 (if I am counting correctly).<BR/><BR/>What anonymous #1 doesn't realize is that the human race is prone to lying. Shocking, but true, and an ER doctor, who has no previous relationship with a patient, but does have a significant amount of liability for missing key diagnosis has to go through the regimen for ALL female patients of child bearing age. Even in my small town, where the ER doctors would know me personally (and I hope believe me), I would have no problem submitting a urine for a pregnancy test, despite knowing that I would not be pregnant. There is no litmus test for being truthful, and ER doctors have to deal with that.<BR/><BR/>Point 19. Well taken. I have heard that we do not have to deliver medically futile care, but given the liability no doctor will not go through the motions, even though it feels awful to beat on a body that is already nearly in the grave. When will our society come to terms with the fact the dying is a natural end to the living process? We can not cure everything. <BR/><BR/>In our system, there was a patient with end stage cancer with no other reasonable therapies available (had been to the big referral centers who concurred) who was hospitalized repeatedly with complications of said cancer. Despite extensive conversations with multiple physicians the patient and family demanded that everything be done. On the last hospitalization the patient was intubated. The patient became septic (likely from tumor eating through bowel), went into renal failure and required on going pressor support for days. When she coded, since death will happen eventually despite the wishes of the family, the ER physician responded (in our small hospital that is how it works). After appraisal of the situation, the ER physician spoke to the family about letting the patient go (assuming, I think, that the primary doctors hadn't already tried on a daily basis). He came back to run the code because "it's like they don't even seem to realize that the patient is sick."<BR/><BR/>That hospitalization ate up thousands and thousands of dollars of what everyone on the case felt was futile care; however, given the palpable anger of the family no one felt comfortable in denying care for fear of lawsuit.<BR/><BR/>Society needs to take a look at this. Physicians are not god, we can not predict when someone will live or die, but we have a pretty good idea in some situations. There is a point where care is futile.<BR/><BR/>On some other blog, I read about an ethics case regarding a family refusing to withdraw care on a basically brain dead patient because of "religious" beliefs. A patient with absolutely no chance of meaningful recovery, on a ventilator with a feeding tube. How about having the church pay the medical bill? Since when did it become a sin to die?<BR/><BR/>OK.....I seem to be on a soap box and I may be about to step on toes....but in a society that has a limited pot (in part because we like to spend so much on other activities) we need to look at "doing everything" all the time. I don't have a great answer, but I know the system is broken and there needs to be more talk about some of the tough decisions.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-5083289704927331872008-04-02T08:02:00.000-05:002008-04-02T08:02:00.000-05:00Gee Annonymous, I recommend you see a specialist, ...Gee Annonymous, I recommend you see a specialist, Dr. Zahari can see you at 4:30.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-26099676867845393522008-04-02T06:56:00.000-05:002008-04-02T06:56:00.000-05:00anonymous - You have heard about 400 pounders who ...anonymous - You have heard about 400 pounders who come to term without realising they're pregnant? Good for you.<BR/><BR/>Now do your homework on ectopic pregnancy.<BR/><BR/>Doctors and nurses go to school for a long time for a reason. There's a lot that can be wrong with a human being, apart from kidney stones.Mašahttps://www.blogger.com/profile/18023082635905872067noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-9842331178459230542008-04-02T00:19:00.000-05:002008-04-02T00:19:00.000-05:00dear rubyridgway, at my place they aren't MBAs. i'...dear rubyridgway, <BR/>at my place they aren't MBAs. i've got no beef with business folks, just with trying to fit a capitalist and profit based model onto a house of cards built on a ponzi scheme.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-51265546914905325302008-04-02T00:17:00.000-05:002008-04-02T00:17:00.000-05:00Sexually inactive?That's a shocker.Sexually inactive?<BR/><BR/>That's a shocker.scalpelhttps://www.blogger.com/profile/12163296819469420123noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53234643800911295362008-04-01T23:58:00.000-05:002008-04-01T23:58:00.000-05:00Layin' into those business majors pretty hard ther...Layin' into those business majors pretty hard there, nine one one. For April 1 in the lab today, somebody slipped high above the door an official Stockholmy looking announcement about the most recent Nobel Prize: "The Nobel Committee, after heated and thorough deliberation, has chosen to bestow upon Terry J. Peters, MBA, South Jersey College of 'Office Solutions,' the 2009 Nobel Prize in Physiology and Medicine for his timeless commitment and raptuous insight concerning the treatment of every disease known to mankind. From his middle management position at a mid sized regional hospital, and through the transcendent brilliance of his 6 year, "Let's Make the Voyage Together- A journey to the highest quality of care in every single aspect of health service across the entire continium of patient care while fostering a culture of Service Excellence!" philosophy, Mr. Peters has lifted the spirits of millions, setting free an overarching panacea to which we all owe our very health. Thank you, Terry."<BR/><BR/>I think that in addition to holding an MBA, some of these hospital admins. should have to be poet laureates. It seems a natural prerequisite, as those people find the most creative ways of telling you to drop the soap, take it, and not to make a peep. Oh, and scrub the floor while you're at it.<BR/><BR/>That would've been a punctual way to end this post, but I almost forgot: Thank You Doctors, those that blog here, those that just stop by, and I guess thanks Pathologists too. I have an odd feeling that there is a large, largely silent majority that greatly appreciates (even if they don't fully comprehend) the sacrifices upon sacrifices that the profession demands. We pay our bills. Goodnight!21https://www.blogger.com/profile/09560786230715552515noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-38818177159003566872008-04-01T23:46:00.000-05:002008-04-01T23:46:00.000-05:00This comment has been removed by the author.21https://www.blogger.com/profile/09560786230715552515noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-12474745368486015482008-04-01T23:05:00.000-05:002008-04-01T23:05:00.000-05:00911 doc, You rock my world.911 doc, <BR/><BR/>You rock my world.EEhttps://www.blogger.com/profile/13697074755915208566noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-10513979092257035222008-04-01T22:32:00.000-05:002008-04-01T22:32:00.000-05:00thanks dramamama. joeymom, never fear, the governm...thanks dramamama. <BR/><BR/>joeymom, never fear, the government is here and will fix it all. besides, there's lots of folks named anonymous out there who will make your job worthwhile and rewarding.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-49287830353208900882008-04-01T22:30:00.000-05:002008-04-01T22:30:00.000-05:00dear anonymous, again, i'm glad you are well. you ...dear anonymous, again, <BR/>i'm glad you are well. you seem like a nice person and really on the right track. best wishes to all your family and friends and please continue to visit and spread sunshine and happiness everywhere you go.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.com