Attending on home call is occasionally inebriated

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Ummmm. Then maybe the fellows should post if this is really a concern and the poster should NOT BE SOMEONE WHO NEVER ACTUALLY SPOKE WITH THE ATTENDING IN QUESTION?
Given your claims that SDN users are being outed right and left, I wouldn’t be surprised if the OPs spouse preferred not to post about it.

Regardless of the reason, we all know that spouses are sometimes concerned for us. She never mentions ruining someone’s career and has taken the advice graciously.
 
Ummmm. Then maybe the fellows should post if this is really a concern and the poster should NOT BE SOMEONE WHO NEVER ACTUALLY SPOKE WITH THE ATTENDING IN QUESTION?
I'm the spouse of a physician. My wife does not read or post on SDN or any similar forums. If she encountered a similar situation, I'd probably post a thread, much like OP did.

Not sure how that would be so crazy. OP's post is fine.
 
I have never had issues with this specific problem. However, I can recall many times being on call and getting called by someone junior to me, where I probably sounded "out of it" or even "drunk", when in actuality I was exhausted, sick, up all night doing work etc.

I will try to make this as basic as possible for some people here. Very basic.

Imagine you're an attending on back up call and you're sick, exhausted, at a party drinking(maybe even drinking too much) etc. You get a call from a resident/fellow about a patient in the middle of the night and you handle the situation perfectly because you know whate you're doing and you can handle issues on call. You may sound like a disaster on the phone, but you knew what you're doing. Weeks later you are called in by administration because some spouse who you have never even met in any capacity, let alone professionally, may have told the wrong person they thought were you inebriated and somehow that info got relayed to people at the hospital you work at (not a unlikely scenario). Medicine is a very small world. Word can travel quickly. How absurd is that? A physician can potentially have their career in the toilet based off a statement by someone who they don't even work with? Im not sure why this concept is so difficult for SDN users to comprehend.

The fact that the OP went on this website to voice their concern shows they are stepping out of their lane and have the potential to pursue this further. If you didn't witness it personally and have had no direct professional contact with the doctor in question, you need to know your role. Human dynamics are incredibly complicated and thinking you have have a gauge on a situation based off of what your spouse relayed to you is absurd. If the decision making by the attending was so impaired that the patient(s) were negatively affected, then the doctor who actually interacted personally with that attending should learn to become an adult handle the situation themselves. If you're not directly involved in the patient care of a patient, your opinion of everything about the interaction of the doctors involved is worthless.

Another basic example: If you're a doctor and you're spouse performed a surgery with an attending and complained to you about some poor decision making with an attending during surgery. Would it be acceptable for you (who was not even in the surgery and probably not even in that field of medicine) to voice your concerns in a public forum? No. You weren't there. You didn't witness the situation first hand. Sit down.

Not sure how much more basic I can make this argument, but I tried.
 
I have never had issues with this specific problem. However, I can recall many times being on call and getting called by someone junior to me, where I probably sounded "out of it" or even "drunk", when in actuality I was exhausted, sick, up all night doing work etc.

I will try to make this as basic as possible for some people here. Very basic.

Imagine you're an attending on back up call and you're sick, exhausted, at a party drinking(maybe even drinking too much) etc. You get a call from a resident/fellow about a patient in the middle of the night and you handle the situation perfectly because you know whate you're doing and you can handle issues on call. You may sound like a disaster on the phone, but you knew what you're doing. Weeks later you are called in by administration because some spouse who you have never even met in any capacity, let alone professionally, may have told the wrong person they thought were you inebriated and somehow that info got relayed to people at the hospital you work at (not a unlikely scenario). Medicine is a very small world. Word can travel quickly. How absurd is that? A physician can potentially have their career in the toilet based off a statement by someone who they don't even work with? Im not sure why this concept is so difficult for SDN users to comprehend.

The fact that the OP went on this website to voice their concern shows they are stepping out of their lane and have the potential to pursue this further. If you didn't witness it personally and have had no direct professional contact with the doctor in question, you need to know your role. Human dynamics are incredibly complicated and thinking you have have a gauge on a situation based off of what your spouse relayed to you is absurd. If the decision making by the attending was so impaired that the patient(s) were negatively affected, then the doctor who actually interacted personally with that attending should learn to become an adult handle the situation themselves. If you're not directly involved in the patient care of a patient, your opinion of everything about the interaction of the doctors involved is worthless.

Another basic example: If you're a doctor and you're spouse performed a surgery with an attending and complained to you about some poor decision making with an attending during surgery. Would it be acceptable for you (who was not even in the surgery and probably not even in that field of medicine) to voice your concerns in a public forum? No. You weren't there. You didn't witness the situation first hand. Sit down.

Not sure how much more basic I can make this argument, but I tried.


dude, you need to let it go...what on earth is your point of constantly coming on here and harping on this poor spouse.

you have your opinion, have voiced it and most of us here don't agree with it...do you think if you keep beating this dead horse, we are going to change our minds?...or are you the "inebriated" attending in question?
 
I have never had issues with this specific problem. However, I can recall many times being on call and getting called by someone junior to me, where I probably sounded "out of it" or even "drunk", when in actuality I was exhausted, sick, up all night doing work etc.

I will try to make this as basic as possible for some people here. Very basic.

Imagine you're an attending on back up call and you're sick, exhausted, at a party drinking(maybe even drinking too much) etc. You get a call from a resident/fellow about a patient in the middle of the night and you handle the situation perfectly because you know whate you're doing and you can handle issues on call. You may sound like a disaster on the phone, but you knew what you're doing. Weeks later you are called in by administration because some spouse who you have never even met in any capacity, let alone professionally, may have told the wrong person they thought were you inebriated and somehow that info got relayed to people at the hospital you work at (not a unlikely scenario). Medicine is a very small world. Word can travel quickly. How absurd is that? A physician can potentially have their career in the toilet based off a statement by someone who they don't even work with? Im not sure why this concept is so difficult for SDN users to comprehend.

The fact that the OP went on this website to voice their concern shows they are stepping out of their lane and have the potential to pursue this further. If you didn't witness it personally and have had no direct professional contact with the doctor in question, you need to know your role. Human dynamics are incredibly complicated and thinking you have have a gauge on a situation based off of what your spouse relayed to you is absurd. If the decision making by the attending was so impaired that the patient(s) were negatively affected, then the doctor who actually interacted personally with that attending should learn to become an adult handle the situation themselves. If you're not directly involved in the patient care of a patient, your opinion of everything about the interaction of the doctors involved is worthless.

Another basic example: If you're a doctor and you're spouse performed a surgery with an attending and complained to you about some poor decision making with an attending during surgery. Would it be acceptable for you (who was not even in the surgery and probably not even in that field of medicine) to voice your concerns in a public forum? No. You weren't there. You didn't witness the situation first hand. Sit down.

Not sure how much more basic I can make this argument, but I tried.

sdnbruh
 
only tangentially related, but I really need to stop instinctively saying "oh sh-t, I'm on call tonight?" when I get an evening call from the residents.
I do the same...but it's when the answering service pages me. The fact that I'm often on my 2nd (of 2...max) after work drink at that moment (we all cover our own calls until 7pm) makes the "oh s***" moment a little harder.
 
I do the same...but it's when the answering service pages me. The fact that I'm often on my 2nd (of 2...max) after work drink at that moment (we all cover our own calls until 7pm) makes the "oh s***" moment a little harder.

It was valentine's day dinner with the wife this last time. She was more annoyed than I was.
 
only tangentially related, but I really need to stop instinctively saying "oh sh-t, I'm on call tonight?" when I get an evening call from the residents.
Why I picked a field where I don’t have call. I cannot imagine what people who take call go through.
 
Why I picked a field where I don’t have call. I cannot imagine what people who take call go through.

I take home call only like 6 days the entire calendar year and have to work one weekend per year. It's part of the reason why call always catches me by surprise.
 
I have never had issues with this specific problem. However, I can recall many times being on call and getting called by someone junior to me, where I probably sounded "out of it" or even "drunk", when in actuality I was exhausted, sick, up all night doing work etc.

I will try to make this as basic as possible for some people here. Very basic.

Imagine you're an attending on back up call and you're sick, exhausted, at a party drinking(maybe even drinking too much) etc. You get a call from a resident/fellow about a patient in the middle of the night and you handle the situation perfectly because you know whate you're doing and you can handle issues on call. You may sound like a disaster on the phone, but you knew what you're doing. Weeks later you are called in by administration because some spouse who you have never even met in any capacity, let alone professionally, may have told the wrong person they thought were you inebriated and somehow that info got relayed to people at the hospital you work at (not a unlikely scenario). Medicine is a very small world. Word can travel quickly. How absurd is that? A physician can potentially have their career in the toilet based off a statement by someone who they don't even work with? Im not sure why this concept is so difficult for SDN users to comprehend.

The fact that the OP went on this website to voice their concern shows they are stepping out of their lane and have the potential to pursue this further. If you didn't witness it personally and have had no direct professional contact with the doctor in question, you need to know your role. Human dynamics are incredibly complicated and thinking you have have a gauge on a situation based off of what your spouse relayed to you is absurd. If the decision making by the attending was so impaired that the patient(s) were negatively affected, then the doctor who actually interacted personally with that attending should learn to become an adult handle the situation themselves. If you're not directly involved in the patient care of a patient, your opinion of everything about the interaction of the doctors involved is worthless.

Another basic example: If you're a doctor and you're spouse performed a surgery with an attending and complained to you about some poor decision making with an attending during surgery. Would it be acceptable for you (who was not even in the surgery and probably not even in that field of medicine) to voice your concerns in a public forum? No. You weren't there. You didn't witness the situation first hand. Sit down.

Not sure how much more basic I can make this argument, but I tried.
How on earth are you defending the hypothetical partying attending? If that was really what was going on it would be perfectly reasonable for the attending to be in trouble because even if they gave correct instructions but the patient had a bad outcome, the lawyers would be very interested in the others at the party who saw the attending drinking and the person who got the phone call thinking the attending was drunk as well as anyone they told about it.

As for your second question I would have no issue with the spouse coming here to ask what they should tell their loved one that came home talking to them about a surgery where they worried about some decisions made during it. You seem unable to distinguish between someone asking how they should advise their spouse and someone making unfounded accusations.
 
only tangentially related, but I really need to stop instinctively saying "oh sh-t, I'm on call tonight?" when I get an evening call from the residents.
Have done that So. Many. Times. Made more funny/awkward since I’m an addiction medicine physician.
 
Report. (Anonymously). This person sounds dangerous. And probably in need of help.
 
Well the hypothetical doc being seen getting hammered while on call probably could do with being reported. Maybe that is what this poster was talking about :shrug:

Yet we have no proof there was anyone hammered on call. As was hashed out earlier, but instead we get this guy throwing in a comment that repeats earlier posts...

You know, I don't think we've had a thread this short that's required so many bruhs...
 
Yet we have no proof there was anyone hammered on call. As was hashed out earlier, but instead we get this guy throwing in a comment that repeats earlier posts...

You know, I don't think we've had a thread this short that's required so many bruhs...
I just meant perhaps he was commenting on the new scenario discussed. You might be right and he just threw out a response to the op without reading the thread in which case your bruh is appropriate.
 
Maybe this guy has some issues of his own. His responses certainly are over the top.

Seriously, the question of impaired doctors and what to do about them a serious one, but most everyone agreed that there wasn't enough to act on at this point (and that the fellow would need to be one to voice any concerns, not the spouse). Nothing too controversial.
 
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