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- Nov 27, 2002
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I caught part of an intern lecture the other day. The topic was that we should all try to empathize with our patients. Try to understand them and their expectations, try to understand what its like to be them. I believe was the charge. So Ive been trying to empathize and understand and even emulate my patients.
Last night I had some mild transient nausea. So of course I called 911. At the ER I was placed in triage so I peed on the floor and stormed out. Once I was out walking around I realized that I didnt have a ride. That kind of stressed me out. The ambulance crew was really mean. They said stressed out wasnt a reason to call 911. Who knew? I see that delivered to my ER about 6 times a week. So I knew Id need to think of something fast or theyd just leave me there. Vaginal bleeding didnt fly (the whole discrimination issue about male vaginal bleeding aside) so I decided on back pain. They reluctantly loaded me up and off we went. I demanded to be driven past every hospital in town and then taken to the geographically farthest one. They got mad again. I pointed out that was not an unusual thing for them but talk about deaf ears. Anyway, I eventually made it to the ER again. I told them how Im allergic to everything but Demerol when its given in high doses, IV, with Vistaril and pushed fast. Im not but thats what all my patients say so I assumed it was like some kind of code to let the nurses know that youre a regular and deserve special treatment. So they put me in a bed and I kept getting up and eloping to go smoke. I dont smoke but again Ive been trying to empathize with my patients. So the doctor finally comes in and says Ive been watching you walk around and you dont look like youre in 10/10 pain to me. I said that I actually had chest pain. He pointed out that I had told the EMTs and triage that it was back pain. I realized that I had gotten a little confused and that it probably was back pain, whatever. I cant believe how annoyed he seemed. So anyway I wind up back on the street with a script for Motrin. I still didnt know what to do though so I sat down to think. My butt started to itch so I called 911 again. I mean why should I scratch my own ass when theres this big, free system to provide someone to do it for me? This time EMS takes me to the big county hospital. I had to wait for like 6 hours. I keep bugging the triage nurse about when they were going to see me, when could I get pain meds and could I have another box lunch and what if my butt itch was more serious than it seemed. I asked to talk to the hospital administrator but he didnt listen. Eventually I got my butt scratched by an intern and then a resident. When the attending showed up I demanded to know how they were going to prove to me that the scratching was sufficient. I wanted a PET scan. When security showed up I thought it was to take me to my PET scan but instead they just took me outside and left me there by myself. I kept shouting back at the building that my butt was getting tingly again but they didnt care. Bastards. Out on the sidewalk was a beer bottle. Having learned from my patients I started trying to figure out how to get the bottle into my colon. So then I...
Last night I had some mild transient nausea. So of course I called 911. At the ER I was placed in triage so I peed on the floor and stormed out. Once I was out walking around I realized that I didnt have a ride. That kind of stressed me out. The ambulance crew was really mean. They said stressed out wasnt a reason to call 911. Who knew? I see that delivered to my ER about 6 times a week. So I knew Id need to think of something fast or theyd just leave me there. Vaginal bleeding didnt fly (the whole discrimination issue about male vaginal bleeding aside) so I decided on back pain. They reluctantly loaded me up and off we went. I demanded to be driven past every hospital in town and then taken to the geographically farthest one. They got mad again. I pointed out that was not an unusual thing for them but talk about deaf ears. Anyway, I eventually made it to the ER again. I told them how Im allergic to everything but Demerol when its given in high doses, IV, with Vistaril and pushed fast. Im not but thats what all my patients say so I assumed it was like some kind of code to let the nurses know that youre a regular and deserve special treatment. So they put me in a bed and I kept getting up and eloping to go smoke. I dont smoke but again Ive been trying to empathize with my patients. So the doctor finally comes in and says Ive been watching you walk around and you dont look like youre in 10/10 pain to me. I said that I actually had chest pain. He pointed out that I had told the EMTs and triage that it was back pain. I realized that I had gotten a little confused and that it probably was back pain, whatever. I cant believe how annoyed he seemed. So anyway I wind up back on the street with a script for Motrin. I still didnt know what to do though so I sat down to think. My butt started to itch so I called 911 again. I mean why should I scratch my own ass when theres this big, free system to provide someone to do it for me? This time EMS takes me to the big county hospital. I had to wait for like 6 hours. I keep bugging the triage nurse about when they were going to see me, when could I get pain meds and could I have another box lunch and what if my butt itch was more serious than it seemed. I asked to talk to the hospital administrator but he didnt listen. Eventually I got my butt scratched by an intern and then a resident. When the attending showed up I demanded to know how they were going to prove to me that the scratching was sufficient. I wanted a PET scan. When security showed up I thought it was to take me to my PET scan but instead they just took me outside and left me there by myself. I kept shouting back at the building that my butt was getting tingly again but they didnt care. Bastards. Out on the sidewalk was a beer bottle. Having learned from my patients I started trying to figure out how to get the bottle into my colon. So then I...