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The actual title of this thread should really be: Bitter Scrub Nurse Tries To Get People In Trouble, Gets Fired and Dies Alone.
The actual title of this thread should really be: Bitter Scrub Nurse Tries To Get People In Trouble, Gets Fired and Dies Alone.
I first posted this in the General Residency forum, then in Anesthesiology. I didn't even look in the Surgery forum. I highly doubt most of the people who look through the general residency forum or anesthesia forum are reading the surgery forum.
I posted/reposted since I felt like this should a little warning and a precedent has been set. I think with the advent of camera phones everywhere that every resident needs to exercise a little caution when snapping pics of bizarrre cases. There is no rule that I violated and I am not apologizing for trying to get the story out where people can see this. I would be horrified at losing my career secondary to something as stupid as this. I cannot imagine what that surgery resident is going through now. I honestly feel that everyone overreacted, and they shouldn't end his career over this mistake.
This is why I have no qualms about leaving medicine someday if medicine continues to eat its own, and something better comes along. It never ceases to amaze how medicine is so full of arrogant, opinionated, hotshots that are quick to shoot anyone down that may falter a bit. Then they claim how much they love to help people. Ok I am getting off my soapbox.
Surgeon: Don't trust the Anesthesiologist, he is drunk and doesn't know what he is talking about.
EM: The medicine guy is too busy checking the mag level to see the big picture.
Anyone: The radiologist is too scared of the dark to come out and look at the patient.
Dr. Tweety is correct.
The fact that physicians wouldn't say anything when a colleague was working impaired by drugs, alcohol or other reasons is why we have such regulations set up. I don't have enough experience in fields other than academics and surgery to say whether or not this goes on in other types of professions, but it is well known that physicians protect their own. Its one reason why it can be hard to get an "expert witness" to testify against another physician; you can easily become a pariah in the field by doing so.
I have never seen a profession that protects its own the way medicine does when it comes to dealing with medical mistakes through suppression and/or concealment (not that I personally have first hand knowledge of such).
In fact, professionally, the pendulum swings the other way to what would be considered by many in other professions as irresponsible, or even criminal. I have never seen a profession that protects its own the way medicine does when it comes to dealing with medical mistakes through suppression and/or concealment (not that I personally have first hand knowledge of such).
I had a psyche patient who was a fireman busted with $20 worth of drugs. 2.5 years minimum mandatory...The guy had over a decade of service and I kid you not, he was one of the first people into the World Trade Center with the bombing. I had his entire legal and medical file - he had not one other criminal charge against him.
I don't care if they're miserable. It's thinking of how totally miserable I would be after one ill-conceived decision that's so unsettling.
Bitter, edgy, humorless people have more than just the power to hurt your feelings, they really can bring you to their level (or lower) for good. This senior surgeon - the chief resident, no less - is freaking UNEMPLOYED.
All those years of sacrifice totally erased because of a childish act called out by some vindictive control-freak? (BTW, good point about HIPAA violation...could easily have been the whistle-blower). It's pretty freaky. I suppose the guy can go get another residency spot...but it will be at least another year of residency, maybe 2-3 depending on what he can find.
Couldn't agree more: Stay low. Limit risk. Protect. Cover. Sometimes these themes are the driving force behind my entire day.
Never dreamed I'd think this way back when I was a student out to change the world. Now I'm just focused on not waking up one day and suddenly being unable to feed my kids.
I suppose the guy can go get another residency spot...but it will be at least another year of residency, maybe 2-3 depending on what he can find.
This is absolutely freakifying.The upsurge of punishing - and even prosecuting - victimless crimes in this country and in our field in particular makes me feel like I'm walking on egg shells every time I enter the hospital.
Absolutely, the "blue line of silence" means nothing to me. I don't believe in it.
Just so I'm clear: The same empathy that motivates us to keep our patients safe is the same empathy we should equally employ toward colleagues who find themselves with an overwhelming addiction. However, a patient's life/quality of life takes precedence over a loss of a reputation, a loss of a position, or ultimately a loss of a license/career. A dead patient will never work again. A maimed patient may suffer physically/psychologically the rest of their lives. A doc who loses his/her license has many other opportunities for leading a fulfilled and productive life.
These things should be dealt with on a case-by-case basis following a standard protocol. I really don't believe a cover-up is even ever necessary. If we make a mistake that harms a patient, we need to take responsibility for it and accept it. If we make mistakes that could potentially lead to the harm of a patient but didn't, then it can be dealt with discreetly, but definitively, such as rehabilitation. etc.
I have no pity on administrators, programs or hospitals, who engage in cover up because they didn't have an effective protocol in place, and because they did not, have opened them up to possible litigation.
As far as I know the "Hot Rod" guy lost his residency position, not his license.
Just curious, what religion keeps a person who is susceptible to addictions, free from such? With that kind of power, it sounds like a religion I could commit to (and I say this very sincerely) 🙂
'Tis the way the world is these days. Everybody is out to get their piece of the pie, with a lot of people trying to trip you up along the way. Take care of you and your family, everybody else can go to hell. Because you know dang well they could care less, even if they pretend to care on the superficial outside. When it all comes right down to it, it's every man for himself in this vapid, soulless world.
The trouble is that, with all popular movements, the lunatic fringe so quickly ceases to be a fringe; the tail begins to wag the dog. For every woman or man who is quietly and sensibly using the idea [of political correctness] to examine our assumptions, there are 20 rabble-rousers whose real motive is desire for power over others, no less rabble-rousers because they see themselves as anti-racists or feminists or whatever.
Couldn't agree more: Stay low. Limit risk. Protect. Cover. Sometimes these themes are the driving force behind my entire day.
Never dreamed I'd think this way back when I was a student out to change the world. Now I'm just focused on not waking up one day and suddenly being unable to feed my kids.
Does this resident deserve to be fired over this? None of us can answer this, since it probably depends on the background. If their performance had been perfect up until now, then perhaps continuing their training with some remediation plan would be reasonable. If they had multiple other issues/events occur previously, then terminating them was probably the right thing to do.
others in your team may consider it a pompous, unforgivable act. This is what determines whether there will be a problem, not necessarily what policy states. Whether a policy is enforced is dependant upon what your most "purist" team member thinks.
If you don't know a particular team member, always play it safe. This is your career.
Perhaps I'm crazy, but I see this incident as a really big deal. It seems just as bad as having a hidden video camera in a bathroom, etc. One of the important aspects of any procedure where sedation is required is trust that the physician will not abuse that sedation, which this resident clearly did.
One could argue that if someone is completely sedated and a surgeon fondles them, that there is "no real harm" -- the patient can't remember anything, no physical damage is done, etc. Yet, I would hope you would all agree that this is completely unacceptable.
In addition, studies have demonstrated that medical students and/or residents who have "ethical violations" like this during training are more likely to go on to formal disciplinary action by a board of medicine.
Does this resident deserve to be fired over this? None of us can answer this, since it probably depends on the background. If their performance had been perfect up until now, then perhaps continuing their training with some remediation plan would be reasonable. If they had multiple other issues/events occur previously, then terminating them was probably the right thing to do.
Perhaps I'm crazy, but I see this incident as a really big deal. It seems just as bad as having a hidden video camera in a bathroom, etc. One of the important aspects of any procedure where sedation is required is trust that the physician will not abuse that sedation, which this resident clearly did.
One could argue that if someone is completely sedated and a surgeon fondles them, that there is "no real harm" -- the patient can't remember anything, no physical damage is done, etc. Yet, I would hope you would all agree that this is completely unacceptable.
In addition, studies have demonstrated that medical students and/or residents who have "ethical violations" like this during training are more likely to go on to formal disciplinary action by a board of medicine.
Does this resident deserve to be fired over this? None of us can answer this, since it probably depends on the background. If their performance had been perfect up until now, then perhaps continuing their training with some remediation plan would be reasonable. If they had multiple other issues/events occur previously, then terminating them was probably the right thing to do.
Huh? 😕
Do you want to specifically reference where I was "facitious" or "mean-spirited" to you???
I would appreciate it if you would try to refrain from calling me out personally with an ad hominen attack such as calling me "facitious" and "mean-spirited" and stick to the OP's topic.