They don't listen to what nurses have to say. ( I also think we complain too much and don't work enough too.)
Sorry I need to vent and no offense to my soon to be doctors friends. So..some case studies:
At HDM:
- They freaking can't make a decision even when they're on the edge: internal medecine and ortho surgeon. How far do we need to rush you and make you understand that it is impossible for me to keep her on the floor with my other 8 patients (because we were missing a nurse). i.e Does the patient need to be move to the ICU or not?
- The patient's tongue and lips are so swollen and distended, we wouldn't even be able to put a tube inside in airway...and you say it isn't THAT swollen? I'm sorry but who was here the morning and saw her normal state?
- I tell the MD and show him the wounds are full of infection (enough to make me puke), I asked for I/V antibiotics and he replied that they will heal on their own. WTF? 'BTW, you freak me out a bit when you put your face within 30 min of mine... and even if you are a nice person, I would never ever be operated by you.'
- The patient's entire belly was big enough as if she's pregnant with twins (probably can't see her legs), I lightly applied pressure on it and she yelled. She had bowel movements so it wasn't constipation. The surgical incision is abnormally leaking...what do you think it is? And I get the answer from internal medecine that her belly is still soft and not distended. Seriously?
- The legs of a cardiac patients are so swollen. I suggested anti-embolism socks to the family (plus the patient wore them at home). Internal medecine says it wouldn't help much for thrombus cause so he won't prescribe them. I don't freaking need your prescription, it won't cause any harm anyways just to reduce the elephant legs and help his veins a bit.
At CLSC:
-Wound is leaking pus from an old cardio-thoracic surgery. Two specialists (cardio and surgery) say it isn't within their care and won't talk to each other so we have to send messages to both...but their office are right next to each other. Bravo. Now, there is a 6cm tunnel wound in his chest...
Conclusion:
We need doctors who can make quick decision. You either save the person or you don't. I know there are details besides, but come on are you that scared to take responsibilities for your acts? Also, saying that it's your colleague responsibility and not yours would never help your patient. Why would they rather lose so much time on sending the chart back and forward instead of just deciding on a treatment? Isn't it both money and time loss and it isn't for the patient's benefit at all.
It just pisses me off when people (even worse when they have the power and the authority) can't make a choice.
20.9.10
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