Friday, October 16, 2009
I am so sick of the Swine Flu. I know kids are dying and it's scary. I'm not going to say the normal "people die from the flu every year" thing. I do believe this thing is worse...but damn I am sick of it.
It's not the people who are really sick that's bugging me. It's that EVERYONE thinks they have the flu. I primarily work at a big county hospital for residency, but I also work in a children's hospital, an urgent care, and a small rural ER (moonlighting gigs for extra money). EVERY single one of them is filled with people daily who want to be tested and treated.
They don't care about my clincal assessment of them. They don't care that testing for the flu is basically worthless...they want the test. They want to call and tell everyone they have the swine flu. They swear their neighbor has it or the shopping cart they used had it. They could care less of my training and clinical acumen. They know what they have and what they want. I try and try to talk rationally and teach them the recommendations and pathology, but they don't care. I spend time and energy and it doesn't matter. And if I succeed and talk them out of it, I get negative patient satisfaction scores.
I know what sick people look like from the flu. They are hypoxic, febrile, have rigors, and having breathing problems. Slam dunk cases that will be treated or admitted. But a year ago....we would NOT be running all these tests and treating all these iffy cases. We would call them URIs or viral syndrome or bronchitis and let them be. This country is going to run out of Tamiflu....and then....
"Shoo Shoo Retarded Flu"--The Howard Stern Show
Thanks for letting me rant,
Posted by SerenityNow at 12:37 PM