dumb people

[drmota]

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are we gonna have to treat patients like this?

-mota

 

[riceman04]

are we gonna have to treat patients like this?

-mota

What will happen is that that lady will have an underdeveloped baby with all kinds of disorders and then sue the city for millions claiming that those jackhammers made her baby sick.

 

[JourneyRn-MD]

dr mota- i have cared for more than one COPDer who leaves the floor (after being admitted with pneumo) to go smoke a few. IT BURNS ME. i would like to know why the h*** these people come to the hospital at all for treatment.

and of course they are always full codes...it is a one way ticket to being on the ventilator...

 

[eram]

welcome to the interweb 😳

 

[NRAI2001]

Dumb people produce dumb children.

 

[Paws]

Great picture, I am surprised the photographer (or her editor) did not notice the discrepancy.

Patients? oh yes, we'll have to treat buckets full of people like this. 🙂

 

[antihero94]

are we gonna have to treat patients like this?

-mota

As frustrated as I know you are. You will need to treat people with dignity and respect regardless of the intelligence, situation, etc. If you approach a smoker with lung cancer and say "they got what they deserved," or even think less of them than the non-smoke with lung cancer, you will be a terrible physician. People do all sorts of stupid things. It is your job as a physician to look past that, treat them with the dignity inherent to them, and find a way to get the best outcome. Not all your patients will be college educated. In fact, you will find many don't know about the risks of smoking. The smoking industrial machine spends millions on advertising, and individuals are inundated with it every day. You get 10 minutes with your patient to convince them otherwise.

 

[Slackenerny]

As frustrated as I know you are. You will need to treat people with dignity and respect regardless of the intelligence, situation, etc. If you approach a smoker with lung cancer and say "they got what they deserved," or even think less of them than the non-smoke with lung cancer, you will be a terrible physician. People do all sorts of stupid things. It is your job as a physician to look past that, treat them with the dignity inherent to them, and find a way to get the best outcome. Not all your patients will be college educated. In fact, you will find many don't know about the risks of smoking. The smoking industrial machine spends millions on advertising, and individuals are inundated with it every day. You get 10 minutes with your patient to convince them otherwise.

He's making a joke....sheesh. I have no doubt the OP is aware of the difficulties of the social work aspect of medicine.

For the record, mota, I found your post hilarious!!!!!

 

[FutureDocDO]

What I don't get is doctors and nurses that smoke.

 

[Depakote]

I have actually seen patients leave hospital rooms after having received total body irradiation based conditioning regimens (basically removing any trace of their immune system)... to go outside for a smoke.

And mota, that is hillarious. Oh the ironing.

 

[TypeA]

I saw this picture a while back on Leno and it is just as (insert adjective here) as it was then. 😱 🙄

What I don't get is doctors and nurses that smoke.

From someone who is overweight (and totally not proud of it, nor blaming anyone for it), I don't get docs and nurses that are overweight. While I don't believe it is grounds for discrimination, I do believe that setting a good example is the best way to teach...and treat.

 

[BooMed]

What I don't get is doctors and nurses that smoke.

And respiratory therapists!

Seriously, working in a hospital is what convinced me that smoking is truly awful. I just don't want to die like that.

 

[FrkyBgStok]

the plastic surgeon I shadow and his urology partner smoke easily 1-2 packs a day. neither are really overweight. The hospital i volunteer at will, starting July 1, be completely smoke free. In order to smoke you will need to go about 3 blocks from the hospital. I think it is a great idea, but we aren't really talking about smoking. Mota- awesome post.

 

[BklynWill]

did you get this picture from the internets?

😀

 

[oldman]

just to show how powerful the addiction is. caffeine, etoh, and tobacco are the most abused drugs in the country.

 

[BaylorGuy]

What I don't get is doctors and nurses that smoke.

just to show how powerful the addiction is. caffeine, etoh, and tobacco are the most abused drugs in the country.

They are easy stress relievers...same thing with those who are overweight. think about it for a bit, what is the easiest way to get away from the rigors of medicine, day in and day out....some have hobbies, some travel, some smoke, drink, drugs, or eat lots of food.

Yes, i think it does seem hypocritical that doctors/pre-meds do these things (myself and perhaps 2/3rds of this board included), but it doesn't mean that they are horrible doctors or inherently bad people.

As for mota, awesome picture....seen it before, but still made me laugh 👍 👍 👍

 

[whyworldhateme?]

This is what happens when we circumvent natural selection.

 

[BOBODR]

This is what happens when we circumvent natural selection.

In the hospital I work at you can only smoke in these little glass boxes outside. YOu will literally see 10 people clumped in a 10x10 space in a giant cloud of smoke. Including lung cancer patients who are dragging their IV pole around for chemo....

 

[ShyRem]

I spent about 4 minutes looking for the beer can in that picture to go along with the cigarette.

My personal favorite of the perpetual patient? The folks that are on oxygen for COPD, still smoking, and light one up with the O2 on their face. They're always so surprised when the oxygen blows up (heck, one guy I ran on as a medic blew out two walls of a hotel doing this). You'd think they'd learn from that lesson - especially when everyone tells them they can't smoke while they've got oxygen on/running - it blows up. And yet I've run on at least 5 people who have blown up their oxygen more than once. One guy five times. No kidding. And two weeks later I saw him outside his house smoking with his oxygen on.

Look at it this way - those folks are the reason we will never be out of a job. They're going to allow us to pay our student loans.

 

[cfdavid]

That's why as a physician, a quick path to burn-out is caring too much when you have no control of an outcome. I think we'll have to learn to do our very best under the circumstances and move on, trying not to get bent out of shape by that portion of the human population that simple doesn't get it and never will.

What an idiot that lady is.

 

[inflamesdjk02]

A man comes into the ER and yells, "My wife's going to have her baby in the cab!" I grabbed my stuff, rushed out to the cab, lifted the lady's dress, and began to take off her underwear. Suddenly I noticed that there were several cabs, and I was in the wrong one.

- Dr. Mark MacDonald, San Antonio, TX

 

[inflamesdjk02]

One day I had to be the bearer of bad news when I told a wife that her husband had died of a massive myocardial infarct. Not more than five minutes later, I heard her reporting to the rest of the family that he had died of a "massive internal fart".

- Dr. Susan Steinberg, Manitoba, Canada

 

[Hoberto]

Not only will we be treating them, we'll be working with them, too.

 

[Zoom-Zoom]

My favorite are the women who go into the ER with abdominal pain only to find out that they are delivering a baby. "Derrr....I'm pregnant?" Yes...good thing you havn't been smoking lots of crack lately, right? Really reminds you that humans are just animals...sad but true.

 

[becca3us]

I don't think the O2 blows up...if there is a flame it burns faster. Perhaps you get the same effect.

I spent about 4 minutes looking for the beer can in that picture to go along with the cigarette.

My personal favorite of the perpetual patient? The folks that are on oxygen for COPD, still smoking, and light one up with the O2 on their face. They're always so surprised when the oxygen blows up (heck, one guy I ran on as a medic blew out two walls of a hotel doing this). You'd think they'd learn from that lesson - especially when everyone tells them they can't smoke while they've got oxygen on/running - it blows up. And yet I've run on at least 5 people who have blown up their oxygen more than once. One guy five times. No kidding. And two weeks later I saw him outside his house smoking with his oxygen on.

Look at it this way - those folks are the reason we will never be out of a job. They're going to allow us to pay our student loans.

 

[BaylorGuy]

In the hospital I work at you can only smoke in these little glass boxes outside. YOu will literally see 10 people clumped in a 10x10 space in a giant cloud of smoke. Including lung cancer patients who are dragging their IV pole around for chemo....

Ha, do you work at MD Anderson Cancer Center....that place is a mess

 

[BozoSparky]

He's making a joke....sheesh. I have no doubt the OP is aware of the difficulties of the social work aspect of medicine.

For the record, mota, I found your post hilarious!!!!!

i didn't! i thought it was pathetic.

 

[TUgrl04]

As frustrated as I know you are. You will need to treat people with dignity and respect regardless of the intelligence, situation, etc. If you approach a smoker with lung cancer and say "they got what they deserved," or even think less of them than the non-smoke with lung cancer, you will be a terrible physician. People do all sorts of stupid things. It is your job as a physician to look past that, treat them with the dignity inherent to them, and find a way to get the best outcome. Not all your patients will be college educated. In fact, you will find many don't know about the risks of smoking. The smoking industrial machine spends millions on advertising, and individuals are inundated with it every day. You get 10 minutes with your patient to convince them otherwise.

I think you're absolutely right...we will all see patients that are not educated at all and, to say the least, might not have access to getting informed as easily as the educated ones. But, to be a good physician is to treat patients with the knowledge that you know and with a heart. The last thing we should all be doing is judge because that's not what becoming a physician is for. In the end, if people make stupid mistakes, health-wise, we're suppose to try to help them better themselves by getting them on a correct path. No one said becoming a physician will be easy..because that's the last thing it will be. 🙁

 

[hardy]

Dumb people produce dumb children.

The real problem is that dumb people produce a lot of dumb children while smart people produce not as many children.

 

[drmota]

The real problem is that dumb people produce a lot of dumb children while smart people produce not as many children.

truest comment i've read in a while.
-mota

 

[NRAI2001]

The real problem is that dumb people produce a lot of dumb children while smart people produce not as many children.

So true.

 

[drmota]

another probleM:

-mota

 

[Chris127]

That looks Photoshopped.

 

[hardy]

That looks Photoshopped.

NO???? REALLY????? 😱

 

[hardy]

another probleM:

nah... all part of the same problem.

 

[BaylorGuy]

another probleM:

-mota

This can be filed underneath the dumb parents one

 

[MN81]

Dumb Parents: The reason not to go into Peds.

 

[cfdavid]

I think you're absolutely right...we will all see patients that are not educated at all and, to say the least, might not have access to getting informed as easily as the educated ones. But, to be a good physician is to treat patients with the knowledge that you know and with a heart. The last thing we should all be doing is judge because that's not what becoming a physician is for. In the end, if people make stupid mistakes, health-wise, we're suppose to try to help them better themselves by getting them on a correct path. No one said becoming a physician will be easy..because that's the last thing it will be. 🙁

Sure, everyone makes mistakes. We all have bad habits. But, the woman that lives in the United States and smokes while pregnant is a sad excuse for a human being. Bottom line. Don't make excuses for her. (Although, sure, if she were my patient I'd tell her how damaging it was to her baby and try to pursuade her to quit.)

 

[tacrum43]

Not all your patients will be college educated. In fact, you will find many don't know about the risks of smoking. The smoking industrial machine spends millions on advertising, and individuals are inundated with it every day. You get 10 minutes with your patient to convince them otherwise.

You honestly think smokers have never heard that it is bad for them? Maybe in 1950, but now everybody knows it's bad for you. Some might not realize how bad, but it is widely known that it is unhealthy. It even says so right on the carton. Cigarette companies are much more restricted in their advertising now, and any kid who watched TV at all must have seen at least one of those "TRUTH" ads.

I agree with your point about respecting every patient, but they are not blameless here either. They still choose to smoke.

 

[happydays]

The real problem is that dumb people produce a lot of dumb children while smart people produce not as many children.

We need our work-horses, too. How would you feel if we had 100,000 more people applying to med schools? We need to have people of all backgrounds to make our social system work.

As far as those who put themselves in danger, we do the only thing we can do: warn them, nag them, and treat them.

 

[jebus]

Dumb people are cool because they put out. Just keep your sword sheathed and you won't have to worry about jackhammers.

 

[tulane06]

Dumb people are cool because they put out. Just keep your sword sheathed and you won't have to worry about jackhammers.

 

[riceman04]

As frustrated as I know you are. You will need to treat people with dignity and respect regardless of the intelligence, situation, etc. If you approach a smoker with lung cancer and say "they got what they deserved," or even think less of them than the non-smoke with lung cancer, you will be a terrible physician. People do all sorts of stupid things. It is your job as a physician to look past that, treat them with the dignity inherent to them, and find a way to get the best outcome. Not all your patients will be college educated. In fact, you will find many don't know about the risks of smoking. The smoking industrial machine spends millions on advertising, and individuals are inundated with it every day. You get 10 minutes with your patient to convince them otherwise.

you can chill on the speech on morality here: I am pretty sure people are aware of what their responsibilites will be as a healthcare professionals.

 

[gujuDoc]

My favorite are the women who go into the ER with abdominal pain only to find out that they are delivering a baby. "Derrr....I'm pregnant?" Yes...good thing you havn't been smoking lots of crack lately, right? Really reminds you that humans are just animals...sad but true.

Yeah I heard a story like this from a rural doctor about 30 minutes from where I live. She was a guest speaker at a forum, and she told us this story.....

So there was a woman who came into this rural clinic with pain and delivered on the spot. The problem was that in that particular situation the patient was a migrant worker with little to no education, and who didn't have the money to afford proper healthcare. The doc was telling us that in migrant worker areas the patients rarely see a doctor accept when they are right about to deliver or it is truly serious because they can't afford to stop working to provide for their family and can't afford good healthcare.

 

[gujuDoc]

you can chill on the speech on morality here: I am pretty sure people are aware of what their responsibilites will be as a healthcare professionals.

Agreed.

 

[Benzo4every1]

Dumb people produce dumb children.

😱

 

[JohnyWalker]

My favorite are the women who go into the ER with abdominal pain only to find out that they are delivering a baby. "Derrr....I'm pregnant?" Yes...good thing you havn't been smoking lots of crack lately, right? Really reminds you that humans are just animals...sad but true.

Sometimes they can't help it. Some women, especially young girls, because of their really tight abdominal muscles, do not show their pregnancy as much as other women, and simply attribute the small bump to weight gain. Also, some women do continue to have menstruations throughout their pregnancy. Combine these two somewhat common effects and you could have a woman that is unaware of her pregnancy until the fateful moment when a fetus is clinging on to dear life via the umbilical cord.

 

[Flopotomist]

Also, some women do continue to have menstruations throughout their pregnancy.

Uhm - did I miss something in junior high sex-ed class?

 

[Zoom-Zoom]

Uhm - did I miss something in junior high sex-ed class?

that's what I was thinking.


It just seems odd to me. I can tell when I havn't brushed my teeth or when there is a crease in my socks, but some women can't tell they are pregnant 😕

 

[JohnyWalker]

that's what I was thinking.


It just seems odd to me. I can tell when I havn't brushed my teeth or when there is a crease in my socks, but some women can't tell they are pregnant 😕

I did a quick search on this matter and this is what I found.
Here is the link.

http://www.gynalternatives.com/abnormal_uterine_bleeding.htm


Other Causes of Abnormal Uterine Bleeding
Although usually a woman will stop having menstrual periods if she is pregnant, bleeding during pregnancy is not uncommon. If the pregnancy is abnormal, such as a tubal pregnancy or impending miscarriage, the bleeding may be interpreted as being from a menstrual period rather than a complication of pregnancy. Because pregnancy is such a common cause of abnormal bleeding, a pregnancy test should be among the first tests in anyone who is sexually active, even if she is "sure" she couldn't be pregnant!

Thyroid disorders can cause heavy bleeding, as can disorders in which the blood does not clot normally. A physician can test for these problems if they are suspected of contributing to the abnormal bleeding.