gingerBcookie
Brilliant_Rock
- Joined
- Aug 13, 2004
- Messages
- 1,858
Sorry. had to vent somewhere and hubby is not here.
I would have to agree that the most important thing of all is that the patients were seen. In your future practice, you will have to jump in on patients whom you have never laid your eyes on, and on any given day. I am sure the patients you saw were appreciative of your care and dedication. If you feel that a breech in protocol happened, by all means go up the "food chain", write your report, and be done with it. I once knew an old Neonatologist who told me, "Take care of business and move along". That bit of advice always gets me through during the most frustrating of times in all aspects of life.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
Date: 12/31/2006 3:55:21 PM
Author: DIAMOND*QUEST
I would have to agree that the most important thing of all is that the patients were seen. In your future practice, you will have to jump in on patients whom you have never laid your eyes on, and on any given day. I am sure the patients you saw were appreciative of your care and dedication. If you feel that a breech in protocol happened, by all means go up the ''food chain'', write your report, and be done with it. I once knew an old Neonatologist who told me, ''Take care of business and move along''. That bit of advice always gets me through during the most frustrating of times in all aspects of life.
I was not about to let the patient suffer for my upper level being lazy. I saw the patient, acted as though there was nothing extraordinary about a doctor she''d never met coming in to talk to her and did the best I could to get her settled for the day with what I knew. The point is, my best is not going to be as good as his best because he knows the patient, I do not. I can read the past notes and history and do my best from that. So what it came down to is the patient COULD NOT receive the best care because her doctor decided he did not want to get out of bed and asked someone lower down on the food chain to do his work for him.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
Date: 12/31/2006 3:55:21 PM
Author: DIAMOND*QUEST
I would have to agree that the most important thing of all is that the patients were seen. In your future practice, you will have to jump in on patients whom you have never laid your eyes on, and on any given day. I am sure the patients you saw were appreciative of your care and dedication. If you feel that a breech in protocol happened, by all means go up the ''food chain'', write your report, and be done with it. I once knew an old Neonatologist who told me, ''Take care of business and move along''. That bit of advice always gets me through during the most frustrating of times in all aspects of life.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
Fortunately my rotation is him is over in two days so my evaluation of him will be written this week. And as with all food chain type relationships its hard for me to think about leaving a bad evaluation for fear of retaliation. He is set. He has his fellowship. I, ont he other hand, depend very much on my evaluations to help get me a postion in a few years. At this point I''ve cooled down (Ihad some "retail therapy" at the GalleriaDate: 12/31/2006 1:51:00 PM
Author: AGBF
Ginger,
I read this a few times. It''s not clear enough to me for me to make much of a contribution. Are you referring to an evaluation of the upper level resident you will write when this rotation is over? If so, must you wait that long? Is it possible to speak to him constructively before then? I realize he''s not an easy guy, but can you summon up your anger in order to say that he has not being very obliging in the past and that now he has added an inappropriate demand to the lack of being obliging? It would be ideal if you could tell him now, to his face, that he leaves the impression of a physician who is always ready to pass the buck on a patient, rather than one who is part of a medical team dedicated to the patient''s well-being.
Deb
WHen he aksed me over the phone, I was sitting with a few other residents, both interns and upper levels. When he asked me to do this I paused (I was a bit shocked) and repeated slowly back to him, "You mean you want me to write Dr. XX''s note FOR YOU?!" Everyone''s jaws around me dropped. My upperlevel sheepishly said yeah, i don''t want to have to come in today for just that (his job btw) yaddi yaddi yaddi. When I got off the phone, one of the other upper level asked me, "Did we hear right, is he asking you to write your co-interns not for him? That''s inapprpriate, you need to put that in you evaluation." Everyone kept muttering, that''s just not right, that''s just not right.Date: 12/31/2006 5:19:16 PM
Author: smitcompton
Dear Intern,
I think you let your anger get in the way of an effective reply. I believe you should be direct in your approach without the hostility showing. ''Oh, you mean you want me to do you a favor and cover for you?'' Or, ''I think that''s against the rules, isn''t it. I don''t feel right taking on patients I know nothing about.'' If something like that is said everything is out in the open and perhaps you won''t need to go to a higher up. I think he is used to doing this and all he needs is someone to put a nice brake on. Its harder when you''re young, but practice now because you will be taken advantage of if you don''t assert yourself. This was the time. Do it as nicely as you can but be firm.
I think you should talk to him before you to complain. Say you won''t do it next time. Just a statement.
Thanks, Annette
I count on you guys or girls. Some of you have saved my life several times. I have learned to be be direct with doctors also. It was hard but I learned, so can you.
woooDate: 12/31/2006 6:38:07 PM
Author: gingerBcookie
I was not about to let the patient suffer for my upper level being lazy. I saw the patient, acted as though there was nothing extraordinary about a doctor she''d never met coming in to talk to her and did the best I could to get her settled for the day with what I knew. The point is, my best is not going to be as good as his best because he knows the patient, I do not. I can read the past notes and history and do my best from that. So what it came down to is the patient COULD NOT receive the best care because her doctor decided he did not want to get out of bed and asked someone lower down on the food chain to do his work for him.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
ok i understand nowDate: 12/31/2006 7:10:26 PM
Author: strmrdr
woooDate: 12/31/2006 6:38:07 PM
Author: gingerBcookie
I was not about to let the patient suffer for my upper level being lazy. I saw the patient, acted as though there was nothing extraordinary about a doctor she''d never met coming in to talk to her and did the best I could to get her settled for the day with what I knew. The point is, my best is not going to be as good as his best because he knows the patient, I do not. I can read the past notes and history and do my best from that. So what it came down to is the patient COULD NOT receive the best care because her doctor decided he did not want to get out of bed and asked someone lower down on the food chain to do his work for him.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
thats not what i meant at all.
and just getting out of the hopital i know how it sucks for the patient to have a different doc each day like I did cuz the lung docs were rotating in and out of Christmas vacation.
What i am/was trying to say is do what needs to be done and dont feel bad about getting someone who deserves it in trouble.
a doctorDate: 12/31/2006 7:23:48 PM
Author: Skippy123
ginger,
are you a nurse or a doctor? Just curious.
Date: 12/31/2006 6:49:26 PM
Author: gingerBcookie
Date: 12/31/2006 1:51:00 PM
Author: AGBF
Are you referring to an evaluation of the upper level resident you will write when this rotation is over? If so, must you wait that long?
Fortunately my rotation is him is over in two days so my evaluation of him will be written this week. And as with all food chain type relationships its hard for me to think about leaving a bad evaluation for fear of retaliation. He is set. He has his fellowship. I, ont he other hand, depend very much on my evaluations to help get me a postion in a few years. At this point I've cooled down (Ihad some 'retail therapy' at the Galleria), and I'm not sure how I will fill out his evaluation. I've heard of worse upper levels and part of me feels like I'm just being a Sulky Sally. I hate complaining.
Date: 12/31/2006 7:14:36 PM
Author: gingerBcookie
ok i understand nowDate: 12/31/2006 7:10:26 PM
Author: strmrdr
woooDate: 12/31/2006 6:38:07 PM
Author: gingerBcookie
I was not about to let the patient suffer for my upper level being lazy. I saw the patient, acted as though there was nothing extraordinary about a doctor she''d never met coming in to talk to her and did the best I could to get her settled for the day with what I knew. The point is, my best is not going to be as good as his best because he knows the patient, I do not. I can read the past notes and history and do my best from that. So what it came down to is the patient COULD NOT receive the best care because her doctor decided he did not want to get out of bed and asked someone lower down on the food chain to do his work for him.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
thats not what i meant at all.
and just getting out of the hopital i know how it sucks for the patient to have a different doc each day like I did cuz the lung docs were rotating in and out of Christmas vacation.
What i am/was trying to say is do what needs to be done and dont feel bad about getting someone who deserves it in trouble.. i know, it does suck to have a million docs switching in and out and never knowing whos who at at ime you''re feeling vulnerable. sorry i''m feeling alittle sensitive. I hope you''re feeling better!
agree, want to bet he has got by with it before because someone was afraid to say anything?Date: 1/1/2007 1:41:03 PM
Author: HOUMedGal
What a lazy jerk! He was totally abusing his upper-level priveleges. I certainly won''t ask who it was, but I could take a few guesses after having just finished my three months Medicine a few weeks ago. You are justified in feeling upset, because that was just plain laziness and abusing his authority over you. And kudos to you for handling it professionally. There''s no reason why you can''t put it in your eval in a very professional, respectful way....I don''t think anyone would fault you for putting it in your eval in a thoughtful, non-bridge-burning way.
GBC- I hope that my response didn''t imply that you were looking for an excuse. I do see how you were angry and I just wanted to say a few words that may help. I personally don''t think interns are the bottom of the bucket although at times it feels like your in a bottomless pit! The "head games" are pretty dreadful at times. Hang in there.Date: 12/31/2006 6:43:55 PM
Author: gingerBcookie
Date: 12/31/2006 3:55:21 PM
Author: DIAMOND*QUEST
I would have to agree that the most important thing of all is that the patients were seen. In your future practice, you will have to jump in on patients whom you have never laid your eyes on, and on any given day. I am sure the patients you saw were appreciative of your care and dedication. If you feel that a breech in protocol happened, by all means go up the ''food chain'', write your report, and be done with it. I once knew an old Neonatologist who told me, ''Take care of business and move along''. That bit of advice always gets me through during the most frustrating of times in all aspects of life.Date: 12/31/2006 12:43:42 PM
Author: strmrdr
do whats best for the patient and let the chips fall where they will.
I did. I''m here to vent, not to find an excuse to not justify letting patient lie there without a doctor. Ans I''ve jump in and see patients all the time I don''t know. We cover the entire hospital twice a month as ''float'' where on any given night I have ~100 ''emergency'' calls on patients I don''t know. THat wasn''t why I was angry. I was angry about how I was treated and wanted to let off steam. But hey, I''m an intern, the bottom of the bucket, and I just need to bite the bullet and keep on moving so I am
thansk for the kind words D*Q...i appreciate the support! It'' ok that interns (or intards as are loving upper levels occ call usDate: 1/2/2007 1:54:20 PM
Author: DIAMOND*QUEST
GBC- I hope that my response didn''t imply that you were looking for an excuse. I do see how you were angry and I just wanted to say a few words that may help. I personally don''t think interns are the bottom of the bucket although at times it feels like your in a bottomless pit! The ''head games'' are pretty dreadful at times. Hang in there.Date: 12/31/2006 6:43:55 PM
Author: gingerBcookie
I did. I''m here to vent, not to find an excuse to not justify letting patient lie there without a doctor. Ans I''ve jump in and see patients all the time I don''t know. We cover the entire hospital twice a month as ''float'' where on any given night I have ~100 ''emergency'' calls on patients I don''t know. THat wasn''t why I was angry. I was angry about how I was treated and wanted to let off steam. But hey, I''m an intern, the bottom of the bucket, and I just need to bite the bullet and keep on moving so I amBy the way, what type of medicine will you be practicing in the future?