I have a sketch idea. The ER doctor consulting surgery for abdominal pain (quite sure a case for theater with severe pain and high lab results) and surgery asks what CT scan shows. ER "we have no CT yet. Radiology refuses to do it before you have seen the patient yourself" but surgery is in theatre already with another case and does not want to loose 3 more hours to initiate the scan and says "just tell radiology that I have seen the patient and want the scan."... But radiology knows... The rest is up to you 😂 unfortunately there is a lot of truth in this story..
Our ER staff does it more subtle. They call and when you're done with your first consult and about to leave, 3 more doctors appear out of nowhere 😂 But I prefer it over the nights when you're done with a consult, go back to your office and right into bed and the same colleague calls for another consult for a patient already waiting for 4h.
I feel bad for laughing, but this is what happened to Ultrasound at the ER I had to go to last week. They were called in for me, but 6 ambulances came in shortly after that and they were needed for 5 of them. I only know about this because I was triaged (rightfully so) for the other patients.
I am a nurse on a post-op floor and last month the kidney transplant team got upset at me for not figuring out who to contact o na regular basis. When I call paging they give me the wrong name. I suggested to the attending that they clarify who is on call with paging. Did I overstep my bounds, yes. Did it feel good to vent and offer advice, yes!
"Exploded pancreas isn't a thing". Look - it's emergency medicine. People are developing new ways of hurting themselves faster than the Committees On Dead Languages can come up with billable names for the problems. If you don't like the description, come down and look at the patient yourself. Oh. Wait ...
Hey Doctor G! I'm currently studying to be a Health Administrator and every time I see your videos about administrator bros and their behavior it makes me cringe at how they act. As somebody who is studying to do the job, what tips from a doctors perspective would you have?
Oh I see you are well versed in the surgical resident on call experience.
Basically when I was a resident an on call, my on call room was the ED'S break room, while yes the conventional wisdom stares that if you are in the ER you will be called a lot more than if you are not, it also means that the 5 to 7 minutes walk to and from the ED to the on call room is taken out, so overall I think k it balances out a little bit in the staying in the ED favor.