I thought Frank Burns was dead.

I'm not a doctor but I think that people who have put the time and effort it takes to become a doctor have a little room to be jerks. Not total asshats mind you but they have earned the right to talk down to some people.

/just saying

globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

As a Paramedic, I'm getting a kick out of this thread...

Porktropolis: I'm not a doctor but I think that people who have put the time and effort it takes to become a doctor have a little room to be jerks. Not total asshats mind you but they have earned the right to talk down to some people.

/just saying

There's a Paramedic I'm friends with that does Legal Consulting full time for "Ambulance Chaser" malpractice attourneys. One of his thoughts on this matter is:

Good practicioners get sued. Bad Practicioners get sued. But, 99.9% of the time, as long as you're nice, you can literally get away with murder. Nice people tend not to get sued.

BronyMedic: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

As a Paramedic, I'm getting a kick out of this thread...

Porktropolis: I'm not a doctor but I think that people who have put the time and effort it takes to become a doctor have a little room to be jerks. Not total asshats mind you but they have earned the right to talk down to some people.

/just saying

There's a Paramedic I'm friends with that does Legal Consulting full time for "Ambulance Chaser" malpractice attourneys. One of his thoughts on this matter is:

Good practicioners get sued. Bad Practicioners get sued. But, 99.9% of the time, as long as you're nice, you can literally get away with murder. Nice people tend not to get sued.

Pretty much. People don't want to sue someone that they actually like. Or at least they're more reluctant, anyway.

dahmers love zombie: How about non-medical-type doctors? Are we allowed to be rude, condescending dicks to our students and then throw tissue boxes at them?

If not, how about at the deans?

Y'all aren't really doctors.

globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

MDeity.
If a patient comes in distraught the last thing he/she needs is the person they are looking to for help to abuse them. He deserves a suspension.

BronyMedic: Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

actually I'd take my life over internal med or surgery any day of the week. I might get a lot of bullshiat consults but the majority of what I see on night call is usually pretty fascinating stuff (but not fascinating in the "this patient is going to die unless you do something RIGHT NOW" type). Plus, the fact that I'm typing on Fark right now should tell you how busy I am at the moment.

Longtime Lurker: BronyMedic: Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

actually I'd take my life over internal med or surgery any day of the week. I might get a lot of bullshiat consults but the majority of what I see on night call is usually pretty fascinating stuff (but not fascinating in the "this patient is going to die unless you do something RIGHT NOW" type). Plus, the fact that I'm typing on Fark right now should tell you how busy I am at the moment.

You don't have to do the 96 hour shuffle anymore as a resident?

Strongbeerrules: I thought Frank Burns was dead.

I lol'ed. Good 'ole ferret face. Of course, Maj. Winchester wasn't much better at it. Except for that one scene with the pianist whose hand was damaged, in the O club. That scene never fails to move me.

BronyMedic: Longtime Lurker: BronyMedic: Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

actually I'd take my life over internal med or surgery any day of the week. I might get a lot of bullshiat consults but the majority of what I see on night call is usually pretty fascinating stuff (but not fascinating in the "this patient is going to die unless you do something RIGHT NOW" type). Plus, the fact that I'm typing on Fark right now should tell you how busy I am at the moment.

You don't have to do the 96 hour shuffle anymore as a resident?

no, right now I'm working 8pm to 8am for 2 weeks (sun thru thurs). As a first year resident I'm only allowed to work up to 16 hours/day (new rules just put into effect by the ACGME, the governing body for residencies, this year). Second year and above can only work 30 hours at a time.

Longtime Lurker: BronyMedic: Longtime Lurker: BronyMedic: Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

actually I'd take my life over internal med or surgery any day of the week. I might get a lot of bullshiat consults but the majority of what I see on night call is usually pretty fascinating stuff (but not fascinating in the "this patient is going to die unless you do something RIGHT NOW" type). Plus, the fact that I'm typing on Fark right now should tell you how busy I am at the moment.

You don't have to do the 96 hour shuffle anymore as a resident?

no, right now I'm working 8pm to 8am for 2 weeks (sun thru thurs). As a first year resident I'm only allowed to work up to 16 hours/day (new rules just put into effect by the ACGME, the governing body for residencies, this year). Second year and above can only work 30 hours at a time.

How many misdiagnosis are made by exhausted inexperienced residents?

Jeez, if a doc can't handle an emotional adolescent patient, get someone who can.. a nurse.

Longtime Lurker: BronyMedic: Longtime Lurker: BronyMedic: Longtime Lurker: globalwarmingpraiser: Conversely, the Paramedic who picked you up because your lonely at 2am andare out of booze is probably considering it right now.

Given that I'm the on-call psychiatrist (resident) at a busy urban hospital tonight, that guy will not doubt tell you that he's suicidal and needs to be admitted to a psych ward with a nice cozy bed and cable TV.

/and I get to type a 3 page documentation at 2am stating my justification for telling him to GTFO.

Eww. Resident AND Psych? Life must suck.

actually I'd take my life over internal med or surgery any day of the week. I might get a lot of bullshiat consults but the majority of what I see on night call is usually pretty fascinating stuff (but not fascinating in the "this patient is going to die unless you do something RIGHT NOW" type). Plus, the fact that I'm typing on Fark right now should tell you how busy I am at the moment.

You don't have to do the 96 hour shuffle anymore as a resident?

no, right now I'm working 8pm to 8am for 2 weeks (sun thru thurs). As a first year resident I'm only allowed to work up to 16 hours/day (new rules just put into effect by the ACGME, the governing body for residencies, this year). Second year and above can only work 30 hours at a time.

Luxury. Worst shift I had was 37 hours or so as an intern in surgery. Why yes I did fall asleep standing up. At 3am in trauma having some tissues thrown at you would be an act of kindness.

/saw someone pick a guy up by his nipples off a bed once.

SweetBearCub: Strongbeerrules: I thought Frank Burns was dead.

I lol'ed. Good 'ole ferret face. Of course, Maj. Winchester wasn't much better at it. Except for that one scene with the pianist whose hand was damaged, in the O club. That scene never fails to move me.

You said pianist.

/don't contaminante our drinking water with flouridation
//Frank Burns eats worms

Contents Under Pressure: Jeez, if a doc can't handle an emotional adolescent patient, get someone who can.. a nurse.

"You're a NURSE... you make a DIIIIFFFFFFFFF-RUNSE!!"

belhade: [images2.fanpop.com image 640x480]

Came for the Cox, leaving satisfied.

// no, not the type that are improper nouns

Contents Under Pressure: Jeez, if a doc can't handle an emotional adolescent patient, get someone who can.. a nurse.

Yeah. Healthcare would be so much better if the damn doctors would just get out of the way and let the nurses run things.

darknys: Contents Under Pressure: Jeez, if a doc can't handle an emotional adolescent patient, get someone who can.. a nurse.

Yeah. Healthcare would be so much better if the damn doctors would just get out of the way and let the nurses run things.

Yeah, then patients could die while the nurses set at the desk and discuss their sexual habits from last night, and call for other people to do their job.

/Seriously annoyed with floor nurses tonight.

BronyMedic: darknys: Contents Under Pressure: Jeez, if a doc can't handle an emotional adolescent patient, get someone who can.. a nurse.

Yeah. Healthcare would be so much better if the damn doctors would just get out of the way and let the nurses run things.

Yeah, then patients could die while the nurses set at the desk and discuss their sexual habits from last night, and call for other people to do their job.

/Seriously annoyed with floor nurses tonight.

Dang. I think you win shiatty nurse story for the night. All I was going to complain about tonight was the nurse that walked right by me and the senior resident to call the attending directly at 0300.

Of course, I could tell the story of the nurse who wouldn't give haldol, "just as a personal preference."

Doesn't he know that when a patient gets difficult, you have to quone him/her? It's right here in the medical dictionary.

batlock666: Doesn't he know that when a patient gets difficult, you have to quone him/her? It's right here in the medical dictionary.

I had not remembered that term. It is now permanently in my lexicon.

A paramedic and a Psych resident are annoyed with the floor nurses. That is rich.

darknys: Dang. I think you win shiatty nurse story for the night. All I was going to complain about tonight was the nurse that walked right by me and the senior resident to call the attending directly at 0300.

Heh. Oh no. There are plenty of those for the night I could point out who have it much, much worse than I do.

Giving a beta blocker for septic shock, for example, ranks pretty high on the list.

llpk79: A paramedic and a Psych resident are annoyed with the floor nurses. That is rich. Simply another day on the job.

There. FTFY. :)

BronyMedic:

How do you have any contact with nurses besides a report and scoot off the stretcher? Are you one of those who doesn't know when their job is done? Do you hang around and remind the RN that it's really hard to kill someone with insulin? Do they laugh at you?

llpk79: Do you hang around and remind the RN that it's really hard to kill someone with insulin?

If you're going to use it as a murder weapon, yes. Yes, it is really hard to kill someone with insulin. You're more than welcome to drive down to Hardin County, Tennessee, and ask them how well it went over for them when they tried to charge Registered Nurse Sharon Chisolm with it for the accidental death of her husband.

If you're talking about treating a new onset pediatric DKA as an adult, bolusing them with 10 units of insulin, and then starting a drip, then yes. It's QUITE easy to kill someone.

llpk79: How do you have any contact with nurses besides a report and scoot off the stretcher? Are you one of those who doesn't know when their job is done?

I'm a Pediatric and Neonatal Critical Care Transport team member who works in the regions only Level 1 Pediatric Trauma Center, Level IV Surgical Neonatal Care Facility, and only Pediatric Medical/Surgical ICU. We're the only team who peforms High Frequency Oscillatory ventilaton, Pre-ECMO, and transport head cooling/hypothermia in our region.

Our team also functions as the "difficult IV" start team (Which is a polite way of saying "we don't want to try")

I also work adult critical care transport.

Don't take me wrong. NICU Nurses Rock. ICU nurses rock. Surgical Nurses Rock. ER Nurses are wicked awesome. Transplant and CV nurses are wonderful. Transport nurses are great.

Floor nurses suck. Floor nurses will kill you.

llpk79: Do they laugh at you?

Frankly, I don't care if someone laughs at me when they give labetalol to "lower the heart rate" in septic shock, or when you walk in and they can't even recognize the signs of a grand-mal seizure.

BronyMedic:.

Floor nurses suck. Floor nurses will kill you.

This cannot be overstated.

/unit RN
//all of them

I worked for a neurologist who yelled "I don't give a fark about the patient!" in front of the patient.

llpk79: BronyMedic:.

Floor nurses suck. Floor nurses will kill you.

This cannot be overstated.

/unit RN
//all of them

You'll have to forgive me, I sometimes vent and say things out of context. Let me make my position clear.

I love nurses. I plan on being one someday when I decide to grow up and get my CCEMT-P license out of the way.

RNs and competant LPNs (and we have some awesome LPNs in dispatch here) rock.

I've had bad personal experiences with RNs and my friends and family in the last two weeks. A close friend with a spinal cord injury went into shock from an infected surgical site who's dressing hadn't been changed in nearly a week, and had to stay in the hospital for almost a week more than he was supposed to before going to rehab. My grandmother almost died thanks to a Nurse Practicioner deciding not to work her up for cardiac symptoms and sending her home.

It's been building and building.

Tonight was kinda the last straw. Rude Floor Nurses who won't do their job when asked to do something as simple as looking on a tracking board and telling you where their charge is because they're playing words with friends annoy me.

/sorry. csb.
//really, I love you guys/girls. Unit RNs are my heroes.

BronyMedic:

It's cool. There are tons of lazy, stupid, callous asshats that call themselves nurses. And nurse practitioner probably shouldn't be a thing. I really do get it. Hope your friends and family survive their contact with the medical industry without lasting scars of various sorts.

llpk79: BronyMedic:

It's cool. There are tons of lazy, stupid, callous asshats that call themselves nurses. And nurse practitioner probably shouldn't be a thing. I really do get it. Hope your friends and family survive their contact with the medical industry without lasting scars of various sorts.

Forgive me for being a dick. Really, I love you.

llpk79: A paramedic and a Psych resident are annoyed with the floor nurses. That is rich.

Hey, my floor nurses are pretty damn good.

...of course I was at the VA this would be a different story.

Livingroom: came here for R. Lee. Ermey, leaving satisfied.

THIS

BronyMedic: llpk79: BronyMedic:

It's cool. There are tons of lazy, stupid, callous asshats that call themselves nurses. And nurse practitioner probably shouldn't be a thing. I really do get it. Hope your friends and family survive their contact with the medical industry without lasting scars of various sorts.

Forgive me for being a dick. Really, I love you.

You guys aren't going to start sucking each others' dicks now are you?