Friday, March 30, 2012

Unforgivable Douchebaggery

So, just real quick like so it's out in the world, if yesterday, the ER staff were all legit exposed to Neisseria meningitis and employee health, the most ineffectual group of people in the entire universe, are busting their assess to get us prophylactically treated, and you, the ER doctor on duty, refuse to sign the prescription because it was supposed to go through somebody else or some other bullshit excuse, you sir, are an asshole. Seriously. Especially if you try and play like you don't care about what the hospital tells you to do the rest of the time, but now that it comes to bending the rules to help people you have worked with for years you're all of a sudden a boy scout. Whatever dude. And no, I don't want to hear about what percentage of people who were exposed actually contracted the illness in the last study you read. Fuck you, and fuck your study. From this day forth you are dead to me, procedure whore doc. I will no longer talk to you about alternative country. We are finished, because of your actions. That's really it, more posts to come pending me not dying of sepsis before I wake.

12 comments:

  1. There are times when we work as a family. Sounds like Ol' Grouchy Uncle needs a kick in the pants.
    Tell him Happy Doctor's Day anyway.
    Dr. Lasermed

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  2. A pox on his house, and may a colostomy bag explode on his scrubs.

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  3. ditto to the post above, and an all around fuck you! what an ass

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  4. What an ass I hope a patient pukes on him.

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  5. It's a bad idea for any doctor to write an off the cuff Rx for anyone, ever. Why is giving you good medical care such a problem? Get a chart, let the doc know about your other meds, allergies and medical history. Then let him give you proper evidence based care, just like he would to a wealthy local lumbar magnate or a gutter drunk. Give him the courtesy of a chart, which lets him have med mal coverage for the visit and enables him to give you proper care.
    Hallway prescriptions are never a good idea. They are bad for the patient and bad for the doctor. Good on him to standing up to your threat of bullying and not just writing an Rx for you....

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    1. Off the cuff prescription and threat of bullying? Um, did I have too much whiskey and write another part of this post that I forgot about? The issue in question here was a prescription produced by employee health and infection control where I work based on CDC guidelines for exposure to this particular illness. Who, by the way, checked on my medical history, allergies, pregnancy status, other meds, mom's maiden name and my dog's birthday. It was based on an evidence based protocol already in place in our hospital that just required a doctor to sign his damn name so we could get meds from pharmacy faster and be treated prophylactically like tons of our docs have done tons of times previous to this incident. The claim that he wasn't supposed to do it was pretty much based around a technicality that for all purposes from what we found out afterwards was bullshit. And homeboy just so happens to be in a pissing contest with our management about a couple of things so I'm sure it was all him being "bullied" and absolutely nothing to do with us being collateral in a fucking power play against our ER.
      But whatever, I guess expecting someone you've worked side by side with for three years will lift a finger to make sure you're covered based on CDC recommendations for a deadly illness you've been exposed is pretty much the exact same thing as bum rushing a doctor and demanding a "hallway prescription" for 60 of Percocet.

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    2. THAT had to leave a mark, anonymous.

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  6. (NB: I'm not the asshole anonymous above, I'm a different one.)

    Oh, hoodnurse, that's horrible. I hate hate hate it when the docs try to pull rank like that (which NOT all of them do - many of the ones I work with are wonderful - not accusing all MDs, or ER MDs, of anything). You did end up getting prophylaxed in time, right? Are all of your coworkers OK?

    But I'm in Employee Health, at Big Teaching Hospital in New England, which means we cover everyone - clinical staff, nursing, support staff, volunteers, residents, researchers, everybody. We care very much about all our patients. Seriously. We work a good 5-10 hours of unpaid overtime a week to accommodate everyone (long story). One of the RNs, just today, went up to the floors to do two bloodborne pathogen exposure follow-up visits because the employees who needed them couldn't get coverage to come into our clinic. We try so hard.

    So, I'm not at all trying to mess with you or make you feel defensive. I genuinely want to know: In your experience, why is Employee Health "the most ineffectual group of people in the entire universe?" I know we probably don't work at the same hospital, and your EHS may be very different from ours. But still, would you mind talking about this? I'd love to know what I could do to make people's EHS experience better. For serious! Or if you're willing to write a separate post about your EHS and your experience with them, that would also be very helpful.

    (I've thought of starting an EHS blog, but I'm concerned that because we have an unusual setup of labs and research projects that most institutions don't have, I'd give myself away, or not be able to HIPAA-tize the posts well enough. What do you think? Would you want to read it?)

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    1. I would totally be interested in reading that perspective. Our EH and HR people always kind of have an attitude and it kind of seems as if we're bothering them whenever we try to go and take care of our required stuff, but that's probably just at my hospital because we ghetto and everyone there kind of hates life. It seems they are most likely terribly understaffed and it just shows in the way they approach the nurses, which I'm sure is a lot how our ER patients can see us sometimes. Best example I can give is trying to get my flu shot one year-I called the day before to see if I need to make an appointment, the person I spoke with told me no, I drove half an hour to work on my day off to get it done, and then the person there wouldn't give it to me because I didn't have an appointment. Just foolishness like that, which doesn't quite sound like you guy's style.
      At least at my facility, and I'm sure at many others, the only thing I could suggest is having someone there a little earlier so that the night shift folks didn't have to wait around for an hour to take care of business after work. But that's just coming from a night shifter of course. But yeah. We're all doing good. We ended up getting prophylaxed kinda late but it all turned out okay anyway.

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  7. SerenityNowHospitalApril 9, 2012 at 10:53 PM

    Lemme guess.....the former med director?

    ER Doc

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    1. One in the same. Borderline unethical, shady-ass arrogant dickwad. Everyone cool is leaving. There's about 3 physicians there right now that I've never thought of punching in the face. Save us!!!

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