tag:blogger.com,1999:blog-22584268.post2714298286070864886..comments2007-05-06T09:29:35.576-07:00Charity Dochttp://www.blogger.com/profile/04096425256928751601noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-22584268.post-15074173298997190612007-05-05T22:23:00.000-07:002007-05-05T22:23:00.000-07:00Why in the world did the RT think it was ok to a)refuse a non-harmful order from a doc and b) refuse to give comfort care to a patient? It doesn't matter if they're hospice or not, they still need to breath comfortably.<BR/><BR/>I fully agree with your feelings on calling the ambulance for a DNR patient. Here in Detroit, even if I have a signed DNR at home and the family agrees, if someone else (neighbor, confused auntie)has panicked and called EMS or the cops, they will insist on an ambulance.TDubnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-35366282173484985482007-05-03T17:40:00.000-07:002007-05-03T17:40:00.000-07:00The one from the prison shrink - I've worked in max setting myself, with a large MH population. Yes, all those things he mentioned CAN happen - if you're careless. One or two might happen to even the most highly security-minded but for him to have gone through all that, he's just careless about security. He's working in his head instead of in reality.Babs RNhttp://www.blogger.com/profile/16604068110452745043noreply@blogger.comtag:blogger.com,1999:blog-22584268.post-6281454920357021332007-05-03T07:25:00.000-07:002007-05-03T07:25:00.000-07:00To Carol<BR/><BR/>BB is no longer blogging. I emailed her twice and she has responded both times. She's completely focused on work now but retains a sense of humor in her emails.Cholerajoenoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-54160288115475111352007-04-28T07:06:00.000-07:002007-04-28T07:06:00.000-07:00If Genie really did work with BB it sounds like she's got a severe case of sour grapes and is trying to cause trouble. There are thousands of radiological images published on the web and in journals without patient consent.<BR/><BR/>I'll call it as I see it:<BR/><BR/>Genie is a troll.Mattnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-50952328373173239422007-04-27T15:58:00.000-07:002007-04-27T15:58:00.000-07:00I'm not a medical person, but don't you triage patients? It makes sense that you'd first tend to the GSW that obviously had a chance to make it instead of the GSW patient that probably won't. I read a lot of books about wars and that's what doctors in the arena constantly do, without regard to 'scumbag' status.<BR/><BR/>However, all that aside, I'm glad you tended the policeman. They have a more thankless job than ER doctors!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-23237594426450003942007-04-26T21:04:00.000-07:002007-04-26T21:04:00.000-07:00Your favorable comments far outweigh the bad. It's hard, but try to focus on the good rather than the bad. Don't let the bastards grind you down.Melissahttp://www.blogger.com/profile/08075729636505487627noreply@blogger.comtag:blogger.com,1999:blog-22584268.post-37058163957520617232007-04-26T16:59:00.000-07:002007-04-26T16:59:00.000-07:00Do we really want to live in a place where the Docs help the scumbags first when they have to choose?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-86916197998116135152007-04-25T12:12:00.000-07:002007-04-25T12:12:00.000-07:00I just don't understand these people who say that you should have helped the scumbag over the police officer. What kind of thinking is that? You did exactly what you should have. Ignore the idiots.Mitchnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-88148339119222966712007-04-25T09:13:00.000-07:002007-04-25T09:13:00.000-07:00hey charity doc... as a suburban ER MD myself, i can definitely relate to your stories of being the only MD on call with limited nursing staff and resources.<BR/><BR/>i was very sad to hear of your taking time off due to administration issues. however, i know how this job can get you down.<BR/><BR/>not everyone can understand what we go through. sometimes, not even the nurses who work with us. after all, we are the ones making the decisions that are often life and death and we are the ones who have to deal with the consequences.<BR/><BR/>i have only been working out of residency for about two years now and i am already jaded and burnt out. with one frivolous lawsuit pending from my residency days and the scores of rude, "scumbag," ungrateful people that we have to deal with day in and day out, it is a miracle that we even have doctors anymore.<BR/><BR/>i probably would have chosen the police officer as well. we are not gods, but a lot of really tough decisions are placed in our hands. anyone who argues with that without having been through it is just plain ignorant, in my opinion.<BR/><BR/>hoping to see you do well and find a niche that suits you. you sound like a great physician.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-71806352451315611352007-04-25T03:53:00.000-07:002007-04-25T03:53:00.000-07:00Hey Doc,<BR/>Just happened to click on your blog - just loved the story about the scumbag. Used to be an ED RN and your story sure rang true to me! We didn't have to deal with many gunshot wounds though in our rural setting.<BR/><BR/>Can't wait for your next post!<BR/>Tired and jaded mum of twin boys,<BR/>LisaLisa - Mum to Mitch &amp; Harryhttp://www.blogger.com/profile/03320425362354530949noreply@blogger.comtag:blogger.com,1999:blog-22584268.post-23005801157050363572007-04-24T23:55:00.000-07:002007-04-24T23:55:00.000-07:00Also a big fan of BB - wondered what happened to her. Her blog says "invited readers only"... you have to email her to ask for an invite... but don't have an email address. Any ideas would be appreciated. Enjoy her *almost* as much as you and would love to be able to continue reading her. :) By the way, I failed your 1 question IQ test. Boy did I feel stupid.Carolhttp://www.blogger.com/profile/09666653533892142478noreply@blogger.comtag:blogger.com,1999:blog-22584268.post-79991534380902350262007-04-24T22:35:00.000-07:002007-04-24T22:35:00.000-07:00Charity Doc,<BR/><BR/>As the son of a police officer and nursing student, I have to say I'm conflicted about your story regarding the shooting.<BR/><BR/>I doubt I would feel any different in your shoes, nor act any differently in caring for the officer. I feel like the expectation is we should be above such things as personal involvement or human responses. But we're human, aren't we? Wouldn't it be more worrisome to ignore the emotional foundation our professional education is built on?Markiehttp://markontheworld.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-24394469515376286612007-04-24T22:20:00.000-07:002007-04-24T22:20:00.000-07:00I am a paramedic and a PA working in medicine for a long time- i love your blog. I was reading the posts from the nurses and others- and all i can say is that i have never laughed so hard or been so happy to hear a MD say the things that the midlevels think all they time but cannot always go through with. Just because we have healthcare facilites and trained staff in the US does not mean that everyone is deserving of care- sorry but that is the truth. I wouldnt have lifted a finger for the guy who shot the cop either- nor would most of my co-workers. Ambulances do the same that they can- 14g needles, two lines, bumpy rides, whatever- and it seems like it is always floor nurses who are all up in arms about things- not the nurses in the ED who actually work with all the patients. <BR/>So basically- i have loved reading your blog, i have actually learned a lot and i hope that you keep posting and practicing like you have.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-22584268.post-16350240311752215002007-04-24T20:13:00.000-07:002007-04-24T20:13:00.000-07:00Amen.<BR/><BR/>And when you get comments like those, you can always borrow the biker code:<BR/><BR/>"If I had to explain it to you, you wouldn't understand...."Bohemian Road Nurse...http://www.blogger.com/profile/02136803397641401011noreply@blogger.com