Jenny Rant

[wareagle726]

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Ah yes, another day, another encounter with a Jenny. At this point, there’s no rational response except a deep sigh and the solemn acknowledgment that this is the hand we’ve been dealt.

So, I’m on a family vacation, standing in line for a rollercoaster, just trying to enjoy some wholesome, non-medical PTSD-inducing fun. Unfortunately, the universe had other plans.

The couple behind us strikes up a conversation. I’m not sure how we got here because, like any good ER doc, I am fundamentally opposed to small talk with strangers. But suddenly, the guy proudly announces:

Guy: “She’s a doctor”

Me: “Oh really? What field?”

Lady: “Family practice.”

Me: “Nice! We need more of you.”

Lady: “Well, I’m actually a nurse practitioner, but I work in the ER too.”

Me: Internally bracing “Yeah, I know what that’s like. I’m an ER doc.”

Lady: Perking up “Oh really? I’m actually getting my doctorate soon, so I’ll technically be a doctor too.” (cue ominous thunderclap in the distance) “By the way, I’d love to pick your brain about a case I had.”

At this point, my body is physically still in line for a rollercoaster, but my soul has fully detached and is floating above, watching helplessly.

Me: “Uhh… okay?”

Lady: “So, would you ever use a Foley as a chest tube if you didn’t have a chest tube available?”

Me: Deep inhale “No. But… let’s back up. Why would this even be a situation?”

Lady: “Well, they had a pericardial effusion and there were no chest tubes in the ER.”

Me: Processing… buffering… 404 ERROR “You… don’t do a chest tube for a pericardial effusion.”

Lady: “Right, but let’s just say you had to.”

 

[JacobMcCandles]

36F chest tube to the heart and call it a day.

 

[emergentmd]

Lady: “Well, I’m actually a nurse practitioner, but I work in the ER too.”

Me: Internally bracing “Yeah, I know what that’s like. I’m an ER doc.”

Dude, sorry but you set yourself up. I don’t think I have ever told anyone what I did unless asked directly. Actually once in the plane when they asked if there was a doc on board.

 

[Saddleshoes]

NEVER let them know you are in healthcare when out in public!!!!!

I say I work in a cement plant. It makes life simpler.

 

[RustedFox]

NEVER let them know you are in healthcare when out in public!!!!!

I say I work in a cement plant. It makes life simpler.

I tell people I'm a Christmas tree farmer .

 

[EctopicFetus]

To be fair.. a chest tube for a pericardial effusion could be useful. If she enters the pericardium and perhaps the myocardium the patient would become very very stable in a few minutes.. pulse and bp would not change for the rest of eternity. Perhaps this future doc knows more than we give her credit for.

also, I agree I never tell anyone in almost any circumstance im a physician.

 

[Tenk]

Ah yes, another day, another encounter with a Jenny. At this point, there’s no rational response except a deep sigh and the solemn acknowledgment that this is the hand we’ve been dealt.

So, I’m on a family vacation, standing in line for a rollercoaster, just trying to enjoy some wholesome, non-medical PTSD-inducing fun. Unfortunately, the universe had other plans.

The couple behind us strikes up a conversation. I’m not sure how we got here because, like any good ER doc, I am fundamentally opposed to small talk with strangers. But suddenly, the guy proudly announces:

Guy: “She’s a doctor”

Me: “Oh really? What field?”

Lady: “Family practice.”

Me: “Nice! We need more of you.”

Lady: “Well, I’m actually a nurse practitioner, but I work in the ER too.”

Me: Internally bracing “Yeah, I know what that’s like. I’m an ER doc.”

Lady: Perking up “Oh really? I’m actually getting my doctorate soon, so I’ll technically be a doctor too.” (cue ominous thunderclap in the distance) “By the way, I’d love to pick your brain about a case I had.”

At this point, my body is physically still in line for a rollercoaster, but my soul has fully detached and is floating above, watching helplessly.

Me: “Uhh… okay?”

Lady: “So, would you ever use a Foley as a chest tube if you didn’t have a chest tube available?”

Me: Deep inhale “No. But… let’s back up. Why would this even be a situation?”

Lady: “Well, they had a pericardial effusion and there were no chest tubes in the ER.”

Me: Processing… buffering… 404 ERROR “You… don’t do a chest tube for a pericardial effusion.”

Lady: “Right, but let’s just say you had to.”

 

[EMhawkeye]

Ah yes, another day, another encounter with a Jenny. At this point, there’s no rational response except a deep sigh and the solemn acknowledgment that this is the hand we’ve been dealt.

So, I’m on a family vacation, standing in line for a rollercoaster, just trying to enjoy some wholesome, non-medical PTSD-inducing fun. Unfortunately, the universe had other plans.

The couple behind us strikes up a conversation. I’m not sure how we got here because, like any good ER doc, I am fundamentally opposed to small talk with strangers. But suddenly, the guy proudly announces:

Guy: “She’s a doctor”

Me: “Oh really? What field?”

Lady: “Family practice.”

Me: “Nice! We need more of you.”

Lady: “Well, I’m actually a nurse practitioner, but I work in the ER too.”

Me: Internally bracing “Yeah, I know what that’s like. I’m an ER doc.”

Lady: Perking up “Oh really? I’m actually getting my doctorate soon, so I’ll technically be a doctor too.” (cue ominous thunderclap in the distance) “By the way, I’d love to pick your brain about a case I had.”

At this point, my body is physically still in line for a rollercoaster, but my soul has fully detached and is floating above, watching helplessly.

Me: “Uhh… okay?”

Lady: “So, would you ever use a Foley as a chest tube if you didn’t have a chest tube available?”

Me: Deep inhale “No. But… let’s back up. Why would this even be a situation?”

Lady: “Well, they had a pericardial effusion and there were no chest tubes in the ER.”

Me: Processing… buffering… 404 ERROR “You… don’t do a chest tube for a pericardial effusion.”

Lady: “Right, but let’s just say you had to.”

I would say “oh you’re a nurse noctor for sure”

 

[AlmostAnMD]

OP brought this on himself

Invalid rant

Just thank her for being a healthcare hero and walk away

I've done it, it's not hard, and it ends convo immediately

Hell my own children's pediatrician doesn't even know I'm a doctor, no one knows unless they goddam need to know

 

[emergentmd]

I see people on linkden and their title is Dr. Jane, DNP. They don't realize that doing that doesn't get them any street cred but people who knows what that means just snicker.

 

[southerndoc]

Lady: “Well, I’m actually a nurse practitioner, but I work in the ER too.”

Me: Internally bracing “Yeah, I know what that’s like. I’m an ER doc.”

Dude, sorry but you set yourself up. I don’t think I have ever told anyone what I did unless asked directly. Actually once in the plane when they asked if there was a doc on board.

Nope. I learned something from my father. "I sell funeral urns for a living." It's a conversation stopper.

 

[ShockIndex]

To be fair, I generally suggest that people stick to the equipment with which they have the most familiarity when performing complex procedures. So yes, a foley sounds perfectly reasonable for her to use. That, or a bowel/fecal management tube…

 

[WhatJobDoIPick]

We were at a child's birthday party where a jenny mom proudly announced that she is an allergist.

Amazing how someone can fit medical school, residency and fellowship into 2 years, while still working full time!

 

[EctopicFetus]

I see people on linkden and their title is Dr. Jane, DNP. They don't realize that doing that doesn't get them any street cred but people who knows what that means just snicker.

This is so dumb.. Dr. Jane DNP is repetitive. I wouldn't put Dr. Ectopic Fetus, MD.

Its either Ectopic Fetus, MD

Or Dr. Ectopic Fetus.

 

[Porfirio]

NEVER let them know you are in healthcare when out in public!!!!!

I say I work in a cement plant. It makes life simpler.

Pipe Fitter here.

 

[Apollyon]

Nope. I learned something from my father. "I sell funeral urns for a living." It's a conversation stopper.

Was/Is your Dad a doc?

 

[southerndoc]

Was/Is your Dad a doc?

No

 

[WilcoWorld]

Was/Is your Dad a doc?

No

He was a funeral urn salesman.

 

[CajunMedic]

NEVER let them know you are in healthcare when out in public!!!!!

I say I work in a cement plant. It makes life simpler.

I'm either a towboat deckhand or a heavy equipment mechanic again

 

[wareagle726]

Well fine thanks for raining on my parade lol. It was at a private thing so I didn't think much of it. I thought it might just be a normal conversation between healthcare people. I wasn't expecting to be asked my opinion lol. It was more of an "I feel your pain" that derailed. I always just tell people "I work at the hospital" but for some reason I thought this was a different convo. Guess I was wrong lol.

The point is you don't put a foley in the pericardium lol.

 

[TooMuchResearch]

Well fine thanks for raining on my parade lol. It was at a private thing so I didn't think much of it. I thought it might just be a normal conversation between healthcare people. I wasn't expecting to be asked my opinion lol. It was more of an "I feel your pain" that derailed. I always just tell people "I work at the hospital" but for some reason I thought this was a different convo. Guess I was wrong lol.

The point is you don't put a foley in the pericardium lol.

Even if the other end is connected to the urinary bladder?

I might have missed that day at Hollywood Upstairs Medical School.

 

[Apollyon]

Well fine thanks for raining on my parade lol. It was at a private thing so I didn't think much of it. I thought it might just be a normal conversation between healthcare people. I wasn't expecting to be asked my opinion lol. It was more of an "I feel your pain" that derailed. I always just tell people "I work at the hospital" but for some reason I thought this was a different convo. Guess I was wrong lol.

The point is you don't put a foley in the pericardium lol.

Dude, it's SDN. What ELSE would you expect??

 

[xaelia]

Even if the other end is connected to the urinary bladder?

I might have missed that day at Hollywood Upstairs Medical School.

It's like a VP shunt – but a PU shunt, instead.

 

[TooMuchResearch]

It's like a VP shunt – but a PU shunt, instead.

*vigorously takes notes and nods enthusiastically*

 

[Arcan57]

Nope. I learned something from my father. "I sell funeral urns for a living." It's a conversation stopper.

I tell them "I regret my life choices". Then spin some shaggy dog story about one eyed Russian sailors and Singaporean knife fights. Downside- I'm a terrible liar. Upside- I've never had this conversational gambit lead to having to learn a stranger's stance on vaccines or about this weird rash they have.

 

[CoolDoc1729]

NEVER let them know you are in healthcare when out in public!!!!!

I say I work in a cement plant. It makes life simpler.

Luckily as a woman if I say I am “in healthcare” they assume I’m a nurse. I just nod blandly. People like nurses, but they don’t really ask them to look at rashes, I’ve noticed.

 

[Apollyon]

Nope. I learned something from my father. "I sell funeral urns for a living." It's a conversation stopper.

See, if he had a high powered job that might engender people looking for free advice, this is funny and right for this thought train in this thread. If this is actually what he did, it's not funny. Just factual.

 

[southerndoc]

See, if he had a high powered job that might engender people looking for free advice, this is funny and right for this thought train in this thread. If this is actually what he did, it's not funny. Just factual.

No, he had nothing to do with the funeral industry... he had a career that he didn't talk about.

One time on a flight back to work, he told the guy next to him on the plane that's what he did. The guy owned a funeral home... and the conversation started to take a weird turn. Finally my dad said he just told him bluntly what he did for a living and the guy thought he was lying. Either way, it stopped the conversation.

 

[Apollyon]

Now that makes more sense. Thanks.

 

[HemeOncHopeful19]

I work for Vandelay Industries, I’m an importer/exporter

 

[DeadCactus]

36F chest tube to the heart and call it a day.

I hear it cures vampirism... or porphyria or something...

 

[WilcoWorld]

I hear it cures vampirism... or porphyria or something...

The old ones did. These new plastic ones suck.

 

[Old_Mil]

Established Titles

Since everyone else involved in medicine seems to be hell bent on adding things on the end of their names, perhaps we need to start adding things to the the beginnings of ours.

(No relation to this outfit. This is not my exit plan.)

Lord Ectopic Fetus, MD sounds better than Ectopic Fetus, MD FACEP.

 

[EctopicFetus]

Established Titles

Since everyone else involved in medicine seems to be hell bent on adding things on the end of their names, perhaps we need to start adding things to the the beginnings of ours.

(No relation to this outfit. This is not my exit plan.)

Lord Ectopic Fetus, MD sounds better than Ectopic Fetus, MD FACEP.

Having FACEP after my name would be an embarrassment

 

[xaelia]

Xaelia BSc(Hons) MD(Hons) MSc FACEM FACEP AFAIDH PgDip ABPM(ClinInfo)

💪

 

[Apollyon]

Xaelia BSc(Hons) MD(Hons) MSc FACEM FACEP AFAIDH PgDip ABPM(ClinInfo)

💪

There's a nurse coming up in your rear view mirror!!

 

[xaelia]

There's a nurse coming up in your rear view mirror!!

You joke, but that's how my name appears in the register at the local NZ medical school – everyone has all their post-nominals attached.

 

[JacobMcCandles]

Xaelia BSc(Hons) MD(Hons) MSc FACEM FACEP AFAIDH PgDip ABPM(ClinInfo)

💪

PgDip sounds like a bacon-based dip. I'm in.

 

[Apollyon]

Pork chop is "pig porterhouse"!!

 

[CoolWhipp]

Lady: “So, would you ever use a Foley as a chest tube if you didn’t have a chest tube available?”

Me: Deep inhale “No. But… let’s back up. Why would this even be a situation?”

Lady: “Well, they had a pericardial effusion and there were no chest tubes in the ER.”

Me: Processing… buffering… 404 ERROR “You… don’t do a chest tube for a pericardial effusion.”

Lady: “Right, but let’s just say you had to.”

You had an opportunity here and you let it go. d

You cold have said something like, "Thats interesting, I guess I haven't been in that situation. But I have used a chest tube 40 fr as a foley catheter because we ran out of foley's."