tag:blogger.com,1999:blog-1408616337296439010.post5720189864707618681..comments2024-01-24T21:28:29.675-08:00Comments on TALES FROM THE SERENITY NOW HOSPITAL: ReminderSerenityNowhttp://www.blogger.com/profile/11692300152273949586noreply@blogger.comBlogger37125tag:blogger.com,1999:blog-1408616337296439010.post-18163490306041198752009-11-17T03:43:36.645-08:002009-11-17T03:43:36.645-08:00What some commenters fail to realize is that, sure...What some commenters fail to realize is that, sure, health care reform might save some deserving poor people who have developed cancer or precancerous lesions -- but that would come at the risk of saving some undeserving people, who are lazy, stupid, noncompliant, or have bad habits. It's better to let innocent people die of preventable/treatable cancer than to run the risk of accidentally applying resources to the care of somebody whose morals we don't approve of. This is America, after all! Government of the puritans, for the puritans, by the puritans.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-92223317052012383342009-11-11T14:26:06.486-08:002009-11-11T14:26:06.486-08:00As a second career nurse, I agree wholeheartedly. ...As a second career nurse, I agree wholeheartedly. And, I like a psych person who isn't too PC (takes one to know one).DreamingTreehttps://www.blogger.com/profile/09911536074688347584noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-89818813657621987512009-11-11T10:13:15.867-08:002009-11-11T10:13:15.867-08:00Amen psych doc!
And for the record psych doc had ...Amen psych doc!<br /><br />And for the record psych doc had a lonnng career before medicine. So did doc sensitive (who by the way is very insensitive it was meant to be sarcastic). They are what you call non traditional medical practitioners. So they aren't young blah blah... They have insight. I, though, am just a young asshole.<br /><br />-ER DocSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-66839793132216116302009-11-11T09:31:05.610-08:002009-11-11T09:31:05.610-08:00The only thing fueling my anger is people calling ...The only thing fueling my anger is people calling doctors naive just because we're in residency. We all bring different life experiences to the table. And just because somebody's old, or been doing this a long time doesn't mean that they are smarter or right.<br /><br />Call it denial if you want, but I do not have a drinking problem. It is not illegal to drink and blog. I had enough insight to preface that post with the statement of my degree of being intoxicated.<br /><br />If people want to be anonymous and condescending to my colleagues and myself on a blog in the internet age, then you should be prepared to be responded to likewise. <br /><br />I did take it too far. But if you can dish it out, you better be able to take it. Like my momma used to say. She also said life is like a box of chocolates. That night you all got a doctor that is tired of "hearing" from entitled, know-it-all nurses on medical blogs.<br /><br />I have nothing against nurses or the ones that I work with. Because nobody would say this stuff to my face, because that it is inappropriate to do so.<br /><br />The internet has allowed us to have a double standard of ethics and decency b/c we can all be anonymous. Don't be upset because I crossed some imaginary line. <br /><br />-psych docSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-14083151463733804142009-11-11T02:38:02.317-08:002009-11-11T02:38:02.317-08:00Hey-Jack here again.
Psyche Doc....until I became...Hey-Jack here again.<br /><br />Psyche Doc....until I became a friend of Bill W., I was sure my drinking wasn't a real problem, either.<br /><br />Buddy, you need to take a look at how much booze is fueling your anger....and after wife number 3, I can tell you have a real issue with women, too. Fix yourself before you fix anyone else.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-32915375213051876562009-11-10T13:16:18.474-08:002009-11-10T13:16:18.474-08:00Psych Doc is officially my new favorite. Pretty t...Psych Doc is officially my new favorite. Pretty tough to unseat Nurse K but you managed.R. Maynoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-9338004533041973242009-11-10T08:29:41.445-08:002009-11-10T08:29:41.445-08:00Look people, I am over-exaggerating. I usually po...Look people, I am over-exaggerating. I usually post on weekends after I've had a couple of beers, otherwise I don't like to sit down long enough to post.<br /><br />I appreciate the last Anonymous post about the mental health of psychiatrists. At least I have this blog to vent. Maybe if the Fort Hood guy had a blog, he could have released some anger.<br /><br />Or maybe he did. Seems like our own government was onto the guy but didn't do anything. Why not? Don't blame psychiatrists, look in your own USMC/CIA mirror. The Fort Hood guy's problems had much more to do with his religious beliefs than his profession.<br /><br />-Psych DocSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-83968558054717560612009-11-10T04:32:48.760-08:002009-11-10T04:32:48.760-08:00Never try to teach a pig to sing. it wastes your ...Never try to teach a pig to sing. it wastes your time and annoys the pig.<br /><br />And psyche doc...I don't work in medicine, but you seem to have a drinking problem. buddy. I think you need to stop insulting people on the internet and focus on your problems.<br /><br />Not to mention, Psyche docs have a medi problem right now when it comes to their own mental health.<br /><br />Jack, USMC (ret.)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-3822901274608322022009-11-09T12:14:34.096-08:002009-11-09T12:14:34.096-08:00Psych Doc -- I agree wholeheartedly with the point...Psych Doc -- I agree wholeheartedly with the point you are trying to make. However...your next to last paragraph weakened your apology and explanation. And, I'm hoping that you were joking about your usual blogging state. Alcohol brings empathy?DreamingTreehttps://www.blogger.com/profile/09911536074688347584noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-35617231046283352912009-11-09T11:13:54.140-08:002009-11-09T11:13:54.140-08:00I admit that I crossed some lines with my post a f...I admit that I crossed some lines with my post a few days ago. <br /><br />The point I was trying to make is this. This is a story about a guy with cancer. Cancer is going to kill him. It doesn't really matter how he got it, why he got it, etc.<br /><br />What matters to him is that he found out too late. Too many times I have heard patients that are going to sue their former doctors because they didn't find it sooner.<br /><br />They never say, "I'm gonna sue the nurse who checked my vitals at that office visit 3 years ago when my cancer was probably only Stage I."<br /><br />So please don't come on here telling us that we're naive, or need more years of shaving, etc.<br /><br />And for the record, I have been shaving for at least 20 years. I did have a career before med school, so I have a broader worldview that you may think.<br /><br />I'm sure that as long as Pattie's been a nurse, she has probably gone through "the change" and has probably been shaving her facial hair for 3-4 years herself.<br /><br />Please accept this as my formal apology, and I won't drink and blog (as much) anymore. Most of my stories are posted in some stage of inebriation. It helps me have empathy for my patients.<br /><br />-Psych DocSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-49218489173016812742009-11-09T06:21:55.390-08:002009-11-09T06:21:55.390-08:00Yes Pattie I was aware that you are a RN, to forgi...Yes Pattie I was aware that you are a RN, to forgive me for not being more clear.<br /><br />My point remains the same. Your patients and the doctors patients are a small sample of America. You have your opinion that you have formed through caring for your patients and so has ER Doc.<br /><br />This is whats called anecdotal evidence as I would expect people in the medical field to know. It means nothing.<br /><br />Name calling and insulting others for their opinions sure as shit isn't going help anything.<br /><br />There's a lot of anecdotal evidence floating arround. There's a lot of fearmongering and insults floating around. But there's a distinct lack of evidence.R. Maynoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-4660992787103844092009-11-08T05:18:55.749-08:002009-11-08T05:18:55.749-08:00Quite the conversation going on here, Docs. I adm...Quite the conversation going on here, Docs. I admire your empathy for your patients, and agree wholeheartedly that health care reform is a necessity. All of us may have different opinions on what that should be (or shouldn't be), but we're all going to have to accept the final verdict. I just hope that it is something that helps more people.<br /><br />I've seen plenty of patients who should have taken better care of themselves. They should have quit smoking, followed their diet, and taken their meds everyday as ordered. For example, I just worked with a woman who quit testing her blood sugar, taking her insulin, and following her diet for a year. Ridiculous, right? She had gone to an appointment, felt embarrassed by comments she overheard, and shut down. Tough luck, huh? What she needed when I met her was someone to accept what had happened, and help her find a solution to move forward. I've helped her turn this problem around because I could do so without judgment. Taking time to listen without judgment helps. Don't misunderstand me, though -- I've met the folks who aren't ready for this help & would rather scam the system. I know they're real.<br /><br />Psych Doc -- don't drink & blog. Don't lump all nurses together, and don't underestimate the liability we face. If a doctor writes a stupid/unsafe order and I implement it, I could lose my license. In the short time I've been a nurse, I've caught many errors & saved the doctor's ass. Being that my first career was as a psychologist, I'll just assume that you got caught up in the argument and lashed out. No Freudian analysis from me... ;-)DreamingTreehttps://www.blogger.com/profile/09911536074688347584noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-20250898613582213982009-11-07T12:02:59.837-08:002009-11-07T12:02:59.837-08:00You should research on how to get outside and run ...You should research on how to get outside and run or exercise. Then, google "eating healthy" and it will pop up no hamburgers or fries and more fruit. You don't need a nutritionist or doctor to tell you that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-89948590636713361092009-11-07T10:55:58.606-08:002009-11-07T10:55:58.606-08:00I agree with you on reactive versus proactive appr...I agree with you on reactive versus proactive approaches. On a definitely smaller scale, I have a strong family history of diabetes, and the only way I can get help in preventing it is to research on the internet and hope that I am doing the right things. My insurance won't cover visits to the diabetes center or a nutritionist to help me manage my weight problems. I guess I can go see these people when I do get diabetes. :/Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-25131233644762281632009-11-07T08:08:19.242-08:002009-11-07T08:08:19.242-08:00Dear Trust us and/or Sebian goat herder....
Thank...Dear Trust us and/or Sebian goat herder....<br /><br />Thank you for clarifying your state of intoxication..drinking and blogging is rarely a great idea.<br /><br />Thank you also for exhibiiting your total ignorance of the role of the RN in the health care delivery system. We are "nothing" who have "no responsibility" for our patients and "can't be sued"??? You, sir, are an asshole, and I hope the nurses who work with you find out who you are. I'd LOVE to see you handle a shift without "nothing" nurses.<br /><br />Nice ad hominem argument when you can't come up with anything else. Classy, too!<br /><br />And the pudenal references seal the deal...I bow to your superior intelligence!<br /><br />Come back and chat when you are (A) sober and (B) have been shaving for more than three or four years. Meanwhile, the rest of us will discuss policy issues in health care and other boring grown-up stuff.<br /><br />Pattie (with an IE), RNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-34977100311672417582009-11-06T21:16:17.213-08:002009-11-06T21:16:17.213-08:00p.s.
5. Don't worry about $150 K in student l...p.s.<br />5. Don't worry about $150 K in student loans<br /><br />6. Don't worry about malpractice insurance.<br /><br />- psych docSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-87708606444606597142009-11-06T21:08:03.034-08:002009-11-06T21:08:03.034-08:00Okay... I will preface this by admitting that I...Okay... I will preface this by admitting that I've had a few beers tonight.<br /><br />If what I say is too out of line, then I trust my colleagues to delete/edit this. <br /><br /><br />This is to all you nurses/RNs/whatevers out there. Yeah I apprecaiate what you do. Patients love you. You are their friends, they share their lives with you. However, you have no liability/culpabilily/responsibility to these patients. <br /><br />When they are pissed off because of poor medical care, who do they sue? Not you. Why? You have no insurance. You are nothing.<br /><br />If you want to make rules, be the boss, etc, go to medical school. If you want to have real responsibility go to med school. Whatever happens on my unit, I am responsible for. Patients will always pit you against us. You are in a great position, with your medical knowledge and TOTAL lack of liability.<br /><br />So when doctors have advice about medical reform/policies, I have some advice.<br /><br />1. Wash your pussies, i.e. go buy some douchebags and stop whining,<br /><br />2. Work 7-7 <br /><br />3. go home and kiss your families and be happy.<br /><br />4. don't tell me how to do my job.<br /><br />- psych docSerenityNowhttps://www.blogger.com/profile/11692300152273949586noreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-34896949569902816572009-11-06T20:29:59.077-08:002009-11-06T20:29:59.077-08:00Dude...
I work in a cancer center and I see folks...Dude...<br /><br />I work in a cancer center and I see folks without insurance all the time...<br /><br />If you see a pt who is "saving up" for an FNA you're seeing someone who has been sadly misinformed. I get way more expensive stuff comped all the time. Just today it was a PET/CT scan. Yup... a freebee! Look around, the cash or the programs are already there...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-54153995222461058752009-11-06T19:54:23.672-08:002009-11-06T19:54:23.672-08:00You people talking down to the docs should be asha...You people talking down to the docs should be ashamed of yourselves. Doctors notoriously want one thing, money. Here you have 2 drs fighting for the poor and look how you speak and think. We need more of them. Its their ideals that made them into healers in the first place. I might be an old lady, but I know genuine when I see it.Marianoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-84171704038978402352009-11-06T19:28:52.486-08:002009-11-06T19:28:52.486-08:00He would have access to the clinic and the special...He would have access to the clinic and the specialist, but if you don't meet criteria for the county insuranthey will bill the hell out of you. County hospitals charge people too and will drive you to bankrupsy too. I think if county hospitals were the answer then healthcare would not need to be reformed the way it doesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-76634815025329326982009-11-06T18:19:45.721-08:002009-11-06T18:19:45.721-08:00I work in one of the largest county hospital in th...I work in one of the largest county hospital in the country. Yes, if he walked into our ER and his problem is not an emergency,he will be referred to our clinic where he will then have access to the specialist he need to get his biopsy done. I don't know what county hospital you work ER Doc but your system has to change so that patients like this one can be taken cared of. Your hospital policy is the one that is broken..Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-31324332719243944762009-11-06T17:02:53.741-08:002009-11-06T17:02:53.741-08:00Did I propose govt run healthcare? No. and no he c...Did I propose govt run healthcare? No. and no he couldn't walk into a county hospital and have it done (btw that's basically saying the govt would do it). He would go to the ER, the ER would have said it's not an emergency procedure and refer him out to get it done. He would then go to the appointment and not be able to get it done bc guess what he would have to pay first. <br /><br />And if advocating for my patients makes me whiny that's cool with me. <br /><br />-ER DocTrust us... We're doctorsnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-76223738926007857972009-11-06T16:28:27.439-08:002009-11-06T16:28:27.439-08:00Your looong career is what 2 to 3 years? I've...Your looong career is what 2 to 3 years? I've stared at "real" patients for 20 years and know that government health care isn't the solution. How many patients have your treated in a your two years? I've been doing this for 20and have seen over a hundred thousand patients. I have worked in the "burps" and trained in a country health system. I was around to see the old system change when HMOs came around. Based on my years of experience, I can tell you that government in health care is a BAD idea. Let doctors and nurses figure out a solution- not a bunch of lawyers and bleeding heart democrats.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-63265559824708938802009-11-06T16:20:31.860-08:002009-11-06T16:20:31.860-08:00But government run health care isn't the solut...But government run health care isn't the solution! It's not going to fix the problem and it's wrong to assume that it will. Health care needs reformed but not via more government interference. There are other solutions ER Doc you sound like a whinning baby. Take off the diapers and get your pacifier out of your mouth. The guy who needed the biopsy just needed to walk into a county hospital- anywhere in the country. It would have been biopsied. I'm going to rename you Doc Pacifer b/c you are either really young and naive or a true whiny baby.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1408616337296439010.post-7336901384190023562009-11-06T15:40:50.950-08:002009-11-06T15:40:50.950-08:00Re Patty:
..."I have seen well over three th...Re Patty:<br /><br />..."I have seen well over three thousand community patients in my time, and fewer than five were "innocent victims" who were dealt a horrible and unfair hand in the game of life, with circumstances they could not have forseen, prevented, controlled or managed in a more proactive fashion"<br /><br />Really...only 3 thousand?? and only 5 innocent victims? You must be living in the burbs. I saw 5 in my last shift in the county ER.<br /><br />Maybe you need to see more patients. I work 15 shifts a month, see about 35 patients a shift. Thats 15x35x12 months = 6,300 patients a year. You have see 3000 in your lonnng career. You need to go to a busy place. Try a county hospital. Then look some real people in the eye and tell them you can't help them.<br /><br />-ER DocTrust us...we're doctorsnoreply@blogger.com