kind of lost my cool the other day with a consultant... maybe it's just my institution, but some of the consultants, almost invariably surgeons, think that they can talk themselves out of a consult. Inevitably they huff and puff, talk to you with a condescending tone that gets my blood pressure shooting up 40 points, slam the chart down as they state "there's no surgical issue here" and leave. I usually bite my tongue during these situations and pick my battles, but sometimes can't help but calling them out on their ridiculous behavior. Any thoughts on how to deal with difficult consultants? Any good stories out there? How do we change the perception of surgery that we are triage nurses/incompetent doctors? My institution has some serious cultural issues that have been simmering for a long time... you'd think that we'd be accepted after a decade!