Yea, I mean it happens ALL the time and as a fellow, I just have to politely go see the patient. When residents do it, I say examine the patient and call me back.
Depends hungry you are. If he truly is the only game in town he might get away with it
I am truly the only game in town.
Nope. Just a cardiologist and IR doc.
How is it being the only game in town? That’s what I am looking to do so any pointers would be appreciated.
Haven't started yet. Give me a year.
Fair enough
Got a consult last week for a bruise on the thigh. “Suspect blood vessel injury”. Patient is not on anticoagulation and it is a run of the mill bruise.
Got the consult canceled when I saw a pic of the patient’s leg in EMR.Well, their suspicion was correct..... Hope you told them that in the consult
Got a consult last week for a bruise on the thigh. “Suspect blood vessel injury”. Patient is not on anticoagulation and it is a run of the mill bruise.
Because that is way easier than just calling the other attending's cell phone.
I am glad you posted this very nice response. Not at all the tone I expected that post would get. Kudos for being classy and not stooping to their level.
I am going to guess the kind of call being vented about is stuff that I have seen also (in my town the hospitalists admit everyone that comes in through er, I didn't start the tradition and I am not going to be the one to stop it if they hospitalists are happy to get those rvus) like being called about something the hospitalist is managing because they also have a question about the dressing or something. Havr also had the nurse call me for something they know the hospitalist is supposed to be called about but they haven't answered the page.
It's why outside of academic centers, everyone should be paid on production. It cuts down bitching about consults by probably 99%.
This is how it should be as opposed to a ct that gets done for something else and shows some vascular calcifications done without contrast so rads says"can't exclude mesenteric ischemia" and the person calling the consult hasn't done an abdominal exam (because following up the ct was signed out to them or because calling the consult was delegated to them or whatever).
This is every mesenteric ischemia consult. Plus, the patient is obese and has had zero weight loss or post prandial pain.
Of course you do. That’s a good quarter of surgical training. The goal is to teach you that once you get out, only about 10% of your practice is something the data (or malpractice attorney) tells you you have to do. The rest is just a $&@king loosely-guided-by-education free for all. For the first couple years you’ll look at the guy across town with your same title and wonder how that @$$hole graduated medical school. Then you’ll realize that not everything you were taught is handed down from God, and then you’ll eventually find yourself deviating your practice from what you were explicitly taught - at least in some circumstances.
It was implied, Daniel-san
m.imgur.com
The family laughed. Mystery solved. Luckily they were tears of relief since her first surgery had to be aborted and we were able to fix her up this time.
Yep. So glad I'm an attending now and don't have to deal with that cray-cray. Seriously, that stressed me out more than receiving a herniating patient. At least with the herniating patient I knew what to do!
I got a panic call today on my ICU post-op "I think she's leaking CSF out of both of her ears!" While I'm thinking, "Okay, that's not physiologically possible since we were no where near any mastoid air cells," I had a good inkling what was going on since it's not an uncommon call that we get for this exact scenario while I sauntered over to the room as I was just down the hall. The "CSF" was actually tears...from her eyeballs...and it was tracking down her face and pooling in her ears. Cause...she was crying.
