- Joined
- Apr 10, 2003
- Messages
- 282
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- 14
hahaha, have seen you that there is one anesthesiologist with an IQ about 60?!
whoa this guy must be a beast when he has still made it through medschool!
What?
Re-read your previous statement, that's what.
Don´t have to. Still stand to it. But thanks for being an *******! (NOT)
He was pointing out your grammatical errors on a post about someone being unintelligent (irony). Relax.
Apparantly it´s a tradition to publish lighthearted or entertaining articles in the christmas edition of the bmj.
http://itre.cis.upenn.edu/~myl/languagelog/archives/005246.html
does the phrase "strong as an ox..... and almost as smart" mean anything to you?
LOL just kidding..
I always find it interesting that orthopaedic surgeons play up to the stereotype of the dumb jock. Everyone knows that you guys are very smart, disciplined students. Why not embrace your intellectual prowess, as well as your physical strength? Is it so repugnant to the ortho community to be thought of as smart jocks, than dumb jocks?
We "play up" the dumb jock angle because we should not be managing acute and chronic medical conditions outside of the field of orthopaedics. We do not have the training during our residency to keep up to date with treatments. Just because your cardiologist is really smart and did a surgery rotation in medical school doesn't mean they should perform your appendectomy.
We "play up" the dumb jock angle because we should not be managing acute and chronic medical conditions outside of the field of orthopaedics. We do not have the training during our residency to keep up to date with treatments. Just because your cardiologist is really smart and did a surgery rotation in medical school doesn't mean they should perform your appendectomy.
This.
And...why should I admit the 65yo female with an isolated hip fracture and a host of medical problems that are "stable"? I can tell you why we don't....no one wants these train wrecks sitting on your service for days when we can just simply place a hemi in there, do two dressing changes and call it a cure.
We "play up" the dumb jock angle because we should not be managing acute and chronic medical conditions outside of the field of orthopaedics. We do not have the training during our residency to keep up to date with treatments. Just because your cardiologist is really smart and did a surgery rotation in medical school doesn't mean they should perform your appendectomy.
You don't place a hemi, you slam one in. Gotta sound more macho.
Also my experience is that medicine consults do not pay as close attention as medicine primaries. If my wife's grandma broke her hip (mine are dead) I would want a medicine admit.
I agree with you in principle -- however far too often we get calls like "this patient is on a bunch of home meds" and want us to take over even when all of the patient's other medical issues are completely stable. Continuing the home regimen of a patient on 20 different meds that are all stable and dont require any kind of dosing changes should NOT lead to a transfer of service or a consult. If a patient's other medical problems rise to the surface following surgery, then by all means order a consult or transfer service.
It would be similar to me ordering an orthopedics consult on a 50 year old guy who was admitted for chest pain because he had a hip replaced 2 months ago and "we dont know anything about how to manage his hardware."
You don't place a hemi, you slam one in. Gotta sound more macho.
Also my experience is that medicine consults do not pay as close attention as medicine primaries. If my wife's grandma broke her hip (mine are dead) I would want a medicine admit.
I agree with you in principle -- however far too often we get calls like "this patient is on a bunch of home meds" and want us to take over even when all of the patient's other medical issues are completely stable. Continuing the home regimen of a patient on 20 different meds that are all stable and dont require any kind of dosing changes should NOT lead to a transfer of service or a consult. If a patient's other medical problems rise to the surface following surgery, then by all means order a consult or transfer service.
It would be similar to me ordering an orthopedics consult on a 50 year old guy who was admitted for chest pain because he had a hip replaced 2 months ago and "we dont know anything about how to manage his hardware."
I agree completely with you. Its disheartening for me to round with my ortho attendings who consult IM on (literally) every patient - its not that hard to circle the "C" on the med sheet to continue home meds. The way I see it is that the ortho guys have no incentive to manage this stuff, even if they wanted to. We can consult medicine, which results in 1) less work with equal pay, and 2) the IM guys are generally happy because they can get paid for seeing an easy patient that took all of 10 minutes to see/dictate an H&P. I would like to think that after having been through med school I had the competency to manage these basic things, and as Socrates25 mentions, if problems arise after surgery then get a consult.