What do you Hate about medicine

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Dude why do you want to be a doctor then??? Am I missing something?
 
3rd year medical school
 
seemingly endless and trivial paperwork
 
littlebastard said:
Dude why do you want to be a doctor then??? Am I missing something?
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Who does like sick people? Who walks in a room and says...ALL RIGHT!!! This guys REALLY sick! Woo hoo!

And there's a difference between being transiently ill and messed up, versus a quivering sac of protoplasm. Tell me when you've fallen in love with the latter.
 
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Of course we could all do with a few less sick people but what I really hate are the unreasonable patients. I had one recently who demanded she get a specific bed and that we reserve the bed beside it for her "friend" who was coming later. She even threatened to make noise until we complied. I mean, I know that they both start with an H but a hospital and a hotel are just a teensy bit different, don't you think?
 
Mayhem said:
Of course we could all do with a few less sick people but what I really hate are the unreasonable patients. I had one recently who demanded she get a specific bed and that we reserve the bed beside it for her "friend" who was coming later. She even threatened to make noise until we complied. I mean, I know that they both start with an H but a hospital and a hotel are just a teensy bit different, don't you think?
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tell her you're going to rip out her appendix and feed it to her
 
1- paperwork, especially for social issues.

2- Health insurance telling me what to do, like if they went to med school

3- DNP's
 
Insurance companies win in my eyes...

a close second are scrub techs and hospital admins.
 
DrDre311 said:
Both.
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Seriously. People need to get real. NOBODY likes sick people. Ignoring this fact only causes resentment. There is nobody on earth who deep down feels it is appropriate to torture a sure-to-die human being with 45 different interventions and medications. The sooner people come to terms with this the better off we'll be.

The sermon is completed. Thread resume.
 
colbgw02 said:
How about people who think they're sick but really aren't.
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those people just need a kick in the balls. Luckily I'm double boarded in ball-kicking as well as another specialty, so I am qualified.
 
litigation - especially based on unrealistic expectations (like that humans shouldn't have to suffer or die, EVER)
 
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I second the vote for the Cafeteria food...it's not always bad, but it sure gets old after a while! I must admit that our hospital does have a really good spaghetti day, though! 🙂
 
Pt's who think medicine (particularly the ED) is a fast food restraunt where they just get to order off a menu.
 
This profession sucks. We spend our lives busting our balls yet ppl are still ungrateful. Forget the money, MDs don't even get respect anymore with DNPs, CRNAs, and the like gaining more and more ground. Any premeds out there, quit while you're ahead. Once you realize these things you'll be trapped and it'll be too late. See these posts.

Is it all worth it in the end?
http://forums.studentdoctor.net/showthread.php?p=2696731&highlight=welcome+aboard+mates#post2696731

The infamous if you could do it over again would you (1000+posts)
http://forums.studentdoctor.net/showthread.php?p=3116904#post3116904
 
veo1 said:
This profession sucks. We spend our lives busting our balls yet ppl are still ungrateful. Forget the money, MDs don't even get respect anymore with DNPs, CRNAs, and the like gaining more and more ground. Any premeds out there, quit while you're ahead. Once you realize these things you'll be trapped and it'll be too late. See these posts.

Is it all worth it in the end?
http://forums.studentdoctor.net/showthread.php?p=2696731&highlight=welcome+aboard+mates#post2696731

The infamous if you could do it over again would you (1000+posts)
http://forums.studentdoctor.net/showthread.php?p=3116904#post3116904
Click to expand...

amen to that.
 
it takes too long, and it requires sleep deprivation and almost inhuman interpersonal skills (covering the most positive and negative ends of the whole spectrum)
 
Ugh. The bureaucracy is killing me.

- Everyday there's another damn form to be filled out by you and looked at by nobody.

- That fact that I'm somehow overruled by someone who failed out of community college.( i.e. CT tech)

- That our complaints about orders being ignored for 7 hours go completely unnoticed, but the nursing manager somehow finds time to tell the PD I had a drink at the nursing station. ( it's actually on my evaluation)

- That the screen saver on our computers says "JCAHO is to be referred to as the "Joint Commission" and not by the nickname "Jayco" - and we're expected to take this seriously. How about we compromise and call them "The Bureaucracy formerly known as Jayco".

- That the NPs we work with take all day to do half as much for twice the salary. Also, that if at any time a pt becomes too much work, they can decide this pt has become "outside their scope" and dump them on the residents.
 
oompaloompa said:
Ugh. The bureaucracy is killing me.

- Everyday there's another damn form to be filled out by you and looked at by nobody.

- That fact that I'm somehow overruled by someone who failed out of community college.( i.e. CT tech)

- That our complaints about orders being ignored for 7 hours go completely unnoticed, but the nursing manager somehow finds time to tell the PD I had a drink at the nursing station. ( it's actually on my evaluation)

- That the screen saver on our computers says "JCAHO is to be referred to as the "Joint Commission" and not by the nickname "Jayco" - and we're expected to take this seriously. How about we compromise and call them "The Bureaucracy formerly known as Jayco".

- That the NPs we work with take all day to do half as much for twice the salary. Also, that if at any time a pt becomes too much work, they can decide this pt has become "outside their scope" and dump them on the residents.
Click to expand...

:laugh: so true

another good one

- when your senior resident / attending asks you to call a bullsh*t consult just to cover their a$$, and you know it too, but can't do anything about it so you call the CT surgeon (or whomever) and then get chewed out for calling a bull**** consult.

- surgery dumping surgical patients on medicine teams just because the patient has a history of diabetes.
 
veo1 said:
This profession sucks. We spend our lives busting our balls yet ppl are still ungrateful. Forget the money, MDs don't even get respect anymore with DNPs, CRNAs, and the like gaining more and more ground. Any premeds out there, quit while you're ahead. Once you realize these things you'll be trapped and it'll be too late. See these posts.

Is it all worth it in the end?
http://forums.studentdoctor.net/showthread.php?p=2696731&highlight=welcome+aboard+mates#post2696731

The infamous if you could do it over again would you (1000+posts)
http://forums.studentdoctor.net/showthread.php?p=3116904#post3116904
Click to expand...
ditto

ive been saying this since i was a 3rd year med student. Now that im practicing.. im waiting it out til i can get out and do something useful instead of slamming my head against a wall everry single damn day.
 
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oompaloompa said:
Ugh. The bureaucracy is killing me.

- Everyday there's another damn form to be filled out by you and looked at by nobody.

- That fact that I'm somehow overruled by someone who failed out of community college.( i.e. CT tech)

- That our complaints about orders being ignored for 7 hours go completely unnoticed, but the nursing manager somehow finds time to tell the PD I had a drink at the nursing station. ( it's actually on my evaluation)

- That the screen saver on our computers says "JCAHO is to be referred to as the "Joint Commission" and not by the nickname "Jayco" - and we're expected to take this seriously. How about we compromise and call them "The Bureaucracy formerly known as Jayco".

- That the NPs we work with take all day to do half as much for twice the salary. Also, that if at any time a pt becomes too much work, they can decide this pt has become "outside their scope" and dump them on the residents.
Click to expand...

Wow. Great list. i'm loading up my handgun as we speak. (that was a joke)
 
Keep it coming people, I haven't been this miserable in years. This is great!
 
uclabruins47 said:
:laugh: so true

- surgery dumping surgical patients on medicine teams just because the patient has a history of diabetes.
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ooh, you hit a sore spot there. these surgery folks got it comin' to them tho. i got a vendetta and it's my goal to screw em' royally. i just dumped one the other day. man it felt good. you gotta reverse it! ****
 
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I hate the fact that doctors never feel like they can really say what's on their minds.
 
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veo1 said:
This profession sucks. We spend our lives busting our balls yet ppl are still ungrateful. Forget the money, MDs don't even get respect anymore with DNPs, CRNAs, and the like gaining more and more ground. Any premeds out there, quit while you're ahead. Once you realize these things you'll be trapped and it'll be too late. See these posts.

Is it all worth it in the end?
http://forums.studentdoctor.net/showthread.php?p=2696731&highlight=welcome+aboard+mates#post2696731

The infamous if you could do it over again would you (1000+posts)
http://forums.studentdoctor.net/showthread.php?p=3116904#post3116904
Click to expand...

👍
 
Strength&Speed said:
on an even more serious side note. I am seriously thinking about giving up the profession. Not because of any of the reasons above. but because I have career ADD and this medicine thing has just run its course. you can dress it up, put lipstick on a pig, or whatever you wanna do, but it's still a pig. The fact that you are going to a hospital everyday and seeing sick people won't change. It doesn't matter if the side dish is broccoli or beans it's really all the same stuff. I wish you all the best, and you never say never, but I really don't think this stuff is for me.
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I thought you were interested in switching specialties? Maybe radiology?
 
If surgeons are transferring patients to medicine because they have diabetes, your surgeons suck because they should be able to handle that (unless they are Ortho - which is a special case).

But I can think of as many complaints about medicine:

- calling a stat consult for a pneumothorax they caused TWO days ago, because they just got around to checking the CXR

- calling general surgery for a "rigid" abdomen in a patient with bladder distention due to BPH and known urethral stricture

- and my favorite: calling surgery to place a Foley because medicine can't "find" the meatus


Alright, enough interspecialty insults. Back to what you hate about medicine.😛
 
I hate the fact that hospital interiors are usually only one color. I still don't understand why we can't paint the walls fun colors like they do in the Peds ward. Is there something about prison colors that makes people better?
 
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Winged Scapula said:
If surgeons are transferring patients to medicine because they have diabetes, your surgeons suck because they should be able to handle that (unless they are Ortho - which is a special case).

But I can think of as many complaints about medicine:

- calling a stat consult for a pneumothorax they caused TWO days ago, because they just got around to checking the CXR

- calling general surgery for a "rigid" abdomen in a patient with bladder distention due to BPH and known urethral stricture

- and my favorite: calling surgery to place a Foley because medicine can't "find" the meatus


Alright, enough interspecialty insults. Back to what you hate about medicine.😛
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the knife cuts both ways wingy. But what is undeniable is that Medicine is the ONLY service that cannot refuse patients. That puts them in an extremely disadvantageous position. I can't emphasize enough how enraging it is to me to be dumped on by people I feel I am smarter than. (not all---but most). Maybe I need to see my therapist, but being dumped on by inferiorly performing students enrages me to no end. It isn't the reason I'd quit, but it is an annoyance, for sure. You can bet I wouldnt be *****ic enough to call you for such ******ed stuff which you mentioned above. And on the whole, I think surgery people have a better grasp of what's going on than medicine people. Just a rant....ok, back to the thread.
 
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See, I don't get the idea that Medicine is the only service that can refuse admission.

I can recall many an ED consult in which Medicine refused the patient, so surgery was asked to see them, or GI was asked to see them, etc. Clearly, in places I've worked, Medicine is allowed to refuse admissions.

Perhaps its hospital specific and while it may seem like Surgery is allowed to refuse admissions, that is highly dependent on attending. I had many attendings, especially the Pediatric Surgeons, that would refuse no admissions if requested, no matter how bogus.
 
Winged Scapula said:
- and my favorite: calling surgery to place a Foley because medicine can't "find" the meatus
Click to expand...

OK the one time I had to call uro to place a foley they couldn't do it either!! (after yelling at me for the BS consult of course) and had to call for backup. Think several liters of penile/scrotal edema.
 
Strength&Speed said:
the knife cuts both ways wingy. But what is undeniable is that Medicine is the ONLY service that cannot refuse patients. That puts them in an extremely disadvantageous position. I can't emphasize enough how enraging it is to me to be dumped on by people I feel I am smarter than. (not all---but most). Maybe I need to see my therapist, but being dumped on by inferiorly performing students enrages me to no end. It isn't the reason I'd quit, but it is an annoyance, for sure. You can bet I wouldnt be *****ic enough to call you for such ******ed stuff which you mentioned above. And on the whole, I think surgery people have a better grasp of what's going on than medicine people. Just a rant....ok, back to the thread.
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Yeah, just wait until the DNP's arrive in mass numbers. They'll cherry pick the easiest cases and dump everything else on other services.
 
Winged Scapula said:
See, I don't get the idea that Medicine is the only service that can refuse admission.

Perhaps its hospital specific and while it may seem like Surgery is allowed to refuse admissions, that is highly dependent on attending. I had many attendings, especially the Pediatric Surgeons, that would refuse no admissions if requested, no matter how bogus.
Click to expand...

Definitely hospital specific. Where I'm training now, once the ED decides a patient needs admission, regardless of the diagnosis, they will get a bed and if Ortho/ENT/Neuro/Gen Surg/Whoever refuses to admit, they go to medicine. In general, Gen Surg is rarely the culprit in dumping on medicine, it's usually ortho and neurology.

Where I went to med school though, medicine could refuse admissions.
 
tr said:
OK the one time I had to call uro to place a foley they couldn't do it either!! (after yelling at me for the BS consult of course) and had to call for backup. Think several liters of penile/scrotal edema.
Click to expand...

I've had to call Uro for Coudes in patients with strictures myself, so I know its not always easy.

My complaint was that in my patient, you KNOW the man had a penis and it seemed a bit strange to call surgery to find it. Had they tried a little harder, perhaps used an assistant, I'm sure they would have found it (morbidly obese patient).
 
gutonc said:
Definitely hospital specific. Where I'm training now, once the ED decides a patient needs admission, regardless of the diagnosis, they will get a bed and if Ortho/ENT/Neuro/Gen Surg/Whoever refuses to admit, they go to medicine. In general, Gen Surg is rarely the culprit in dumping on medicine, it's usually ortho and neurology.
Click to expand...

I'd add Psychiatry to that list. To be fair, I'm not sure I'd want them managing medical issues either, but sometimes they go overboard.

For example, we got a consult on an ICU patient for breast pain. The ICU kept calling to see if we were coming in, after hours, to see this patient. IMHO, breast pain is not an emergency and doesn't need to be seen stat, nor even as an in-house consult. Turns out the "emergency" was that the patient was apparently suicidal and was otherwise medically fit for transfer to Psych but Psych refused to take them until all medical issues, including breast pain, had been consulted and dealt with. There was no mass, skin changes, infection, etc. Simple hormonally based breast pain, but until we signed off on it, they wouldn't take her.

OT I know, but this just happened and I found it so ridiculous I had to add it to the list.

Where I went to med school though, medicine could refuse admissions.
Click to expand...

That was my experience as well although I realize that in other hospitals medicine cannot refuse admissions. I've also rarely seen general surgery dump on medicine (although my perspective may be skewed). As you note, its often Ortho or surgical subspecialties. Don't lump us in with everyone else!
 
uclabruins47 said:
:laugh: so true

another good one

- when your senior resident / attending asks you to call a bullsh*t consult just to cover their a$$, and you know it too, but can't do anything about it so you call the CT surgeon (or whomever) and then get chewed out for calling a bull**** consult.

- surgery dumping surgical patients on medicine teams just because the patient has a history of diabetes.
Click to expand...

I love doing that. It's so much fun.
 
Winged Scapula said:
I'd add Psychiatry to that list. To be fair, I'm not sure I'd want them managing medical issues either, but sometimes they go overboard.
Click to expand...

Actually psych doesn't dump so much as they won't pick up patients. I've had multi-drug OD suicide attempts in the MICU that, when the psych floor is full, psych thinks is "safe for discharge."

I've also rarely seen general surgery dump on medicine (although my perspective may be skewed). As you note, its often Ortho or surgical subspecialties. Don't lump us in with everyone else!
Click to expand...

No, Gen Surg to medicine is a rare occurrence in my experience. In reality, we probably dump more patients to you than the other way around. Of course, that's because we don't do surgerizationing.
 
gutonc said:
Definitely hospital specific. Where I'm training now, once the ED decides a patient needs admission, regardless of the diagnosis, they will get a bed and if Ortho/ENT/Neuro/Gen Surg/Whoever refuses to admit, they go to medicine. In general, Gen Surg is rarely the culprit in dumping on medicine, it's usually ortho and neurology.
Click to expand...
Wait, are you training with me? :laugh:

DrDre311 said:
I love doing that. It's so much fun.
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This post made my face spontaneously burn with pent-up rage. I want to take it in good spirits, I really do, but if you had even once, let alone 6 times a night, been told that a patient transferred from an outside hospital specifically to see neurosurgery for their intracranial hemorrhage must be admitted to your service for their hypertension (which is now 135/90) because neurosurgery "signed off" by telling the ED that it's non operative and the patient should be admitted to medicine without writing a note or even examining the patient, you couldn't joke about it.

Sorry for the humorless rant, this is a very raw nerve right now - I'm on nightfloat, when no one but medicine and gen surg and ob/gyn are in house, so I'm exceptionally vulnerable to the dump.
 
gutonc said:
Actually psych doesn't dump so much as they won't pick up patients.
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That's what I meant. They typically won't take anyone who might possibly have any medical history of some sort. They tried to dump a suicidal patient onto surgery because he had "open wounds" - Me:"uh, I've gotten deeper flesh wounds from wearing wool."

I've had multi-drug OD suicide attempts in the MICU that, when the psych floor is full, psych thinks is "safe for discharge."
Click to expand...
Yep, seen that too. Goes to show you that they really shouldn't be managing patients with any medical problems.😛

No, Gen Surg to medicine is a rare occurrence in my experience. In reality, we probably dump more patients to you than the other way around. Of course, that's because we don't do surgerizationing.
Click to expand...

The term, in deference to DrDre, is surgericalization.
 
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