Current Events > I think being a Doctor is the hardest job in the whole world...

(+) Yeah! (+)

Hey, while I got Dr. CE on the line...
Is a slightly abnormal DRVVT something I should be particularly concerned about? Grandma got diagnosed with antiphosolipid syndrome, everyone in the family got bloodwork done, and I ended up diagnosed with fibromyalgia somehow.

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"
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megamanfreakXD posted...

MrPeppers posted...

pres_madagascar posted...

Nope. Multiple family members are nurses in hospitals. Lots of lazy doctors who hate being disturbed.

"DOC, this baby needs to be delivered NOW, she's gonna be a c-section I've been working here for 15 years and it feels like a c-section"

"What does the data say? Where's your evidence?"

*Head explodes*

I won't ever forget this story a friend told me.

This guy was bleeding the shit out of his ass and his hemoglobin dropped like 3 points within 2 hours and needed immediate blood transfusion.

The nurse was suppose to help him, but she said "NOPE, I AM ON MY LUNCH BREAK FIND SOMEONE ELSE"

#nyc

My friend doesn't do that shit, nor does she smoke lol. She will actually forgo her lunch entirely if necessary. She's won awards from the hospital for being a great nurse, and is one of the few nurses respected by Dr. Lazy dick ass, because she stands up to him and calls him on his shit.
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pres_madagascar posted...

No, shit like the doctors have to put in the orders for stuff for patients, and hate being asked to do so by nurses

That's an effect of the system. Used to be you could give verbal orders. Now they make you find the nearest computer and go through 50 screens, menus, and check boxes to be able to give fucking PRN tylenol. Meanwhile, while that doctor got asked to put in some menial order, they have an admission they still have to see, a procedure to do in the room, and every chart from the day to catch up on, and all of that needs to be done, like, 5 minutes ago.

Of course there are lazy doctors, but you're literally basing the anecdote of a few nurses that, "hey there was a lazy doctor, once a upon a time, I guess they're all lazy fucks who take all our credit, right!?"
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MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

Clinic is boring as fuck. But the lifestyle is good.
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MrPeppers posted...

megamanfreakXD posted...

I won't ever forget this story a friend told me.

This guy was bleeding the shit out of his ass and his hemoglobin dropped like 3 points within 2 hours and needed immediate blood transfusion.

The nurse was suppose to help him, but she said "NOPE, I AM ON MY LUNCH BREAK FIND SOMEONE ELSE"

#nyc

It's like that everywhere, man. Good nurses are hard to find. The worst are the ones who think they don't need doctors and they go rogue. We had a fuckin' nurse try to deliver a patient.

Then you get the ones who call you to confirm explicit orders that were painstakingly written out. "Doc, your note says labetalol for BPs >160/100. Her systolic is 162, should I give it?"

Like, why the fuck are you calling me.

My friend is an amazing nurse. Doesn't go rogue. Is respected by most of the doctors. It's like you're unwilling to accept that some doctors are shit.
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Soviet_Poland posted...

pres_madagascar posted...

No, shit like the doctors have to put in the orders for stuff for patients, and hate being asked to do so by nurses

That's an effect of the system. Used to be you could give verbal orders. Now they make you find the nearest computer and go through 50 screens, menus, and check boxes to be able to give fucking PRN tylenol. Meanwhile, while that doctor got asked to put in some menial order, they have an admission they still have to see, a procedure to do in the room, and every chart from the day to catch up on, and all of that needs to be done, like, 5 minutes ago.

Of course there are lazy doctors, but you're literally basing the anecdote of a few nurses that, "hey there was a lazy doctor, once a upon a time, I guess they're all lazy fucks who take all our credit, right!?"

No. 90% of the doctors at my friends hospital are great. Hell, her fucking sister is a doctor there. There are just those 10% that suck and she happens to have one on her floor.
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pres_madagascar posted...

My friend is an amazing nurse. Doesn't go rogue. Is respected by most of the doctors. It's like you're unwilling to accept that some doctors are shit.

I never once said that. There are plenty of physicians who work at this hospital who I wouldn't send family members to if they were dying and those docs were the only ones in town. We have people who do not practice appropriate evidence-based medicine. But they are by far the exception, mostly because their asses will be on the line if they get sued for malpractice. Good nurses, at least from what I've seen so far, are the exception. And there are great fucking nurses. But at the end of the day no one sues the nurse alone, they sue the medical team and go for the MD's jugular. So that's one yuge reason why so many nurses just turn their brains on autopilot most of the day. They don't particularly need to think critically unless the doc's a massive fuckup.
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MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

To you they seem like simple, obvious questions and the solutions seem really basic.

There is a whole iceberg of information the doctor processed in terms of dozens of other potential diagnoses. When addressing a new concern or problem, you have to know stone cold any medicine you're prescribing in terms of drug-drug interactions.

Yeah, that patient you just gave antibiotics to? You overlooked that they were on warfarin. They trip and hit their head and have a fatal brain bleed. Congratulations, murderer. "That's usually about it."
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Soviet_Poland posted...

MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

To you they seem like simple, obvious questions and the solutions seem really basic.

There is a whole iceberg of information the doctor processed in terms of dozens of other potential diagnoses. When addressing a new concern or problem, you have to know stone cold any medicine you're prescribing in terms of drug-drug interactions.

Yeah, that patient you just gave antibiotics to? You overlooked that they were on warfarin. They trip and hit their head and have a fatal brain bleed. Congratulations, murderer. "That's usually about it."

I had some guy walk in to clinic with an INR of 11. Fucking 11. I couldn't believe it.
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MrPeppers posted...

pres_madagascar posted...

My friend is an amazing nurse. Doesn't go rogue. Is respected by most of the doctors. It's like you're unwilling to accept that some doctors are shit.

I never once said that. There are plenty of physicians who work at this hospital who I wouldn't send family members to if they were dying and those docs were the only ones in town. We have people who do not practice appropriate evidence-based medicine. But they are by far the exception, mostly because their asses will be on the line if they get sued for malpractice. Good nurses, at least from what I've seen so far, are the exception. And there are great fucking nurses. But at the end of the day no one sues the nurse alone, they sue the medical team and go for the MD's jugular. So that's one yuge reason why so many nurses just turn their brains on autopilot most of the day. They don't particularly need to think critically unless the doc's a massive fuckup.

My friend adores her job and takes it very seriously. I do know of some shit nurses, so does she, but there's a lot of people in the medical field in general who have no business being there.
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pres_madagascar posted...

No. 90% of the doctors at my friends hospital are great. Hell, her fucking sister is a doctor there. There are just those 10% that suck and she happens to have one on her floor.

So how did it start as "doctors just take the credit of nurses"?
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MrPeppers posted...

I had some guy walk in to clinic with an INR of 11. Fucking 11. I couldn't believe it.

GOT Spoilers:
https://i.ytimg.com/vi/eQyllSKapSE/hqdefault.jpg
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The biggest issue my friend deals with as a nurse from the bad doctor, is trying to discharge people asap, and they definitely should not be discharged. This same doctor was discharging someone with a crazy heart rate and the patient had a heart attack in the lobby on the way out lol
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Doctoring is one of the most pretentious, egotistical careers on the face of the earth
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Soviet_Poland posted...

pres_madagascar posted...

No. 90% of the doctors at my friends hospital are great. Hell, her fucking sister is a doctor there. There are just those 10% that suck and she happens to have one on her floor.

So how did it start as "doctors just take the credit of nurses"?

I never said they did.
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pres_madagascar posted...

I never said they did.

pres_madagascar posted...

No it's not. Nurses do most of the work. Doctors just give approval.

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pres_madagascar posted...

My friend adores her job and takes it very seriously. I do know of some shit nurses, so does she, but there's a lot of people in the medical field in general who have no business being there.

Dude when you deal with the bad ones so frequently it just jades you. My g/f works in the ICU and a nurse was giving her lip because she asked the nurse very politely to help the patient when he eats. The nurse gave her so much sass about how she has 3 patient's and my g/f should be the one feeding him. My g/f basically told her that she has over double her patient load and about a million other things to do. SO much unnecessary sass with nurses, especially if you don't delude them into thinking they came up with the clinical decision making.
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REMercsChamp posted...

Doctoring is one of the most pretentious, egotistical careers on the face of the earth

2nd only to bitching about NEETs
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pres_madagascar posted...

The biggest issue my friend deals with as a nurse from the bad doctor, is trying to discharge people asap, and they definitely should not be discharged. This same doctor was discharging someone with a crazy heart rate and the patient had a heart attack in the lobby on the way out lol

Okay, that's just hospital politics. The administration breathes down on the necks of doctors literally to a point of being harmful for the patient. The docs are aware, it's just that refuse to do so for long enough and eventually you're replaced with someone who will toe the administration's line.
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Let's get down to business here. 99% of all doctor/nurse related problems are more or less related to the problems with the American health care system and being run as a business and not a service, and malpractice suits.
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Soviet_Poland posted...

Okay, that's just hospital politics. The administration breaths down on the necks of doctors literally to a point of being harmful for the patient. The docs are aware, it's just that refuse to do so for long enough and eventually you're replaced with someone who will toe the administration's line.

I mean it might just be a private physician who doesn't care anymore. There's more of that than you want to know, lol ;_;
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MrPeppers posted...

pres_madagascar posted...

My friend adores her job and takes it very seriously. I do know of some shit nurses, so does she, but there's a lot of people in the medical field in general who have no business being there.

Dude when you deal with the bad ones so frequently it just jades you. My g/f works in the ICU and a nurse was giving her lip because she asked the nurse very politely to help the patient when he eats. The nurse gave her so much sass about how she has 3 patient's and my g/f should be the one feeding him. My g/f basically told her that she has over double her patient load and about a million other things to do. SO much unnecessary sass with nurses, especially if you don't delude them into thinking they came up with the clinical decision making.

I deal with bad nurses at my job all the time, then I see ones like my best friend or my aunt, and I get hope
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Soviet_Poland posted...

pres_madagascar posted...

I never said they did.

pres_madagascar posted...

No it's not. Nurses do most of the work. Doctors just give approval.

Nurses do most of rhe *dirty work. That's what I meant
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MrPeppers posted...

I mean it might just be a private physician who doesn't care anymore. There's more of that than you want to know, lol ;_;

Ah yeah, that's true.

pres_madagascar posted...

Let's get down to business here. 99% of all doctor/nurse related problems are more or less related to the problems with the American health care system and being run as a business and not a service.

1,000% agree with you on this.
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Soviet_Poland posted...

MrPeppers posted...

I had some guy walk in to clinic with an INR of 11. Fucking 11. I couldn't believe it.

GOT Spoilers:
https://i.ytimg.com/vi/eQyllSKapSE/hqdefault.jpg

I've seen an INR of 19

Only time I've ever ordered KCentra since it's like a hundred thousand dollars a dose or some ridiculously insane price
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Just wanna say.. This topic has been very educational
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Soviet_Poland posted...

Okay, that's just hospital politics. The administration breaths down on the necks of doctors literally to a point of being harmful for the patient. The docs are aware, it's just that refuse to do so for long enough and eventually you're replaced with someone who will toe the administration's line.

That definitely plays a part of it. But a good chunk of it does stem from this weird resentment a surprising amount of nurses have for doctors. I get some of it; docs are like the lead singers of the band and get the most praise, but the band doesn't work with only vocals.

But nurses are not trained to make these clinical decisions. They're trained to push meds, directly care for patients, and keep their eyes peeled for suspicious orders. You don't need a degree to get into nursing school, only some nurses have BSNs, and even then it's 2 years of undergrad and 2 yrs of nursing school.

MDs and DOs essentially need a bachelor's degree to be accepted to school, then it's 4 yrs of med school, and 3-7 yrs of residency depending on specialty. Then you have to be board certified, and you have to generate a case list for oral boards if you're in a surgical field. It's not an intelligence thing per se, just extensive training that nurses will never get exposure to.

But that's not to slam nurses. I just think that's where a bunch of the friction comes from. They have a bunch of years' worth of experience and want to be clinicians when the reality is that they're not. And watching a nurse get flustered as fuck when the diagnosis they're convinced of is nowhere near what the actual mark was, on a routine basis, makes you shake your head when those ones give you attitude no matter how nice you are.
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I had a nurse sign an order under my name for 8mg Zofran IV on a dude with a QTc of almost 600

"But she was nauseous and you didn't care!"

"No, I didn't want her to go into VTach and die over nausea"
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Coffeebeanz posted...

I had a nurse sign an order under my name for 8mg Zofran IV on a dude with a QTc of almost 600

"But she was nauseous and you didn't care!"

"No, I didn't want her to go into VTach and die over nausea"

That's such a perfect example too.
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http://zdoggmd.com/doc-vader-substance-abuse/
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Most of rhe best nurses work at hospitals and private practices. The worst nurses you'll ever meet are at long term care facilities. Those places are where nurses go to give up on their careers.
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I'm an operating engineer for all the boiler equipment, electric, hvac and medical gasses and shit like that at a hospital and I find this topic interesting and amusing
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pres_madagascar posted...

Most of rhe best nurses work at hospitals and private practices. The worst nurses you'll ever meet are at long term care facilities. Those places are where nurses go to give up on their careers.

Aren't the nurses in those places not real nurses like LPNs or something (Little Pretend Nurse)
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Trigg3rH4ppy posted...

pres_madagascar posted...

Most of rhe best nurses work at hospitals and private practices. The worst nurses you'll ever meet are at long term care facilities. Those places are where nurses go to give up on their careers.

Aren't the nurses in those places not real nurses like LPNs or something (Little Pretend Nurse)

Some are rn's, but yes
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pres_madagascar posted...

No it's not. Nurses do most of the work. Doctors just give approval.

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Underwater welders have to randomly be eaten by sharks.
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RickyTheBAWSE posted...

being a GOOD doctor is hard. effort fuelled by compassion.

then there are the types who care more about the money.

This right here.
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Ive always kind of seen doctors as being one of the worst most stressful jobs to have. Sure you make good money but 80 hour weeks? Having to deal with really sick people and all sorts of nasty stuff? Essentially having lives in your hands some of the time?

Its pretty much comparable to a cop in terms of stressful jobs I couldnt deal with.

Im grateful for what doctors do though.

coldshadowater posted...

Just wanna say.. This topic has been very educational

Yeah agreed. Didn't know CE had so many doctors, gives a good idea of what to expect lol

@DoctorPiranha3
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Reis posted...

coldshadowater posted...

Just wanna say.. This topic has been very educational

Yeah agreed. Didn't know CE had so many doctors, gives a good idea of what to expect lol

I knew we had one, didn't know it was more. I work in Healthcare and have 2 nurses in my family and one that's my best friend so that's where I come from.
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I seem to have hurt the feelings of the doctors of CE. First of all, who the heck knew there were doctors here!? Second, I stand by my statement that nurses do the bulk of the work. Here's why - it's called healthcare and doctors act like they dgaf. I've had maybe 2 docs ever show concern for my situation. They're cold as ice usually.

My golf comment wasn't meant literally. Jeez. Imagine that upsetting someone. How fragile an ego you'd have to have. Anyway, you can't have it both ways guys. You complain that nurses bug you with dumb questions, but then say they make huge mistakes over the simplest things. Take 20 secs out of your day to convey the correct info, especially when they're asking you a simple question. Try to remember they don't read minds and they haven't studied everything you have, so what may seem like an idiotic question to you may be something they sincerely don't know. Also, you weren't born with all your knowledge, people had to teach you too. Try not to be so arrogant because you went to school longer than most people.

If this truly upsets any of you then I apologize, but I'm surprised anyone could be that sensitive tbh.
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Plus you have to deal with always ending up in London with some ditzy sidekick.

pres_madagascar posted...

MrPeppers posted...

megamanfreakXD posted...

I won't ever forget this story a friend told me.

This guy was bleeding the shit out of his ass and his hemoglobin dropped like 3 points within 2 hours and needed immediate blood transfusion.

The nurse was suppose to help him, but she said "NOPE, I AM ON MY LUNCH BREAK FIND SOMEONE ELSE"

#nyc

It's like that everywhere, man. Good nurses are hard to find. The worst are the ones who think they don't need doctors and they go rogue. We had a fuckin' nurse try to deliver a patient.

Then you get the ones who call you to confirm explicit orders that were painstakingly written out. "Doc, your note says labetalol for BPs >160/100. Her systolic is 162, should I give it?"

Like, why the fuck are you calling me.

My friend is an amazing nurse. Doesn't go rogue. Is respected by most of the doctors. It's like you're unwilling to accept that some doctors are shit.

This is literally "I had one bad experience, they're all like that" and just like every other goddamned time it's brought up, it's complete bullshit.
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Coffeebeanz posted...

CensorErik posted...

90s posted...

People: I don't feel too good.

Doctor: Hmmm okay, take some antibiotics. *scribbles words on a small piece of paper* Have a good day. If you don't get better come back.

Yup. And anyone that's ever been hospitalized can tell you the doc comes in to see you in the morning, usually with a team of interns, they check you out and ask questions and leave. Later you might have another doc pop in and ask you exactly the same questions because they don't communicate worth a dang. The one consistent group are the nurses. They get your meds, help you out of bed, listen to you talk about whatever ails you, and they're with you all day or night while the doc is playing golf or maybe seeing patients in his office away from the hospital. I've had to spend a lot of time in the hospital with pancreatitis over the last 6 or 7 years and nurses were the only reason I got through it all.

You got a resident team.

It's how medical education works. Get over it.

And the residents don't have the luxury to play golf. We have 16 hour shifts. We're lucky to get enough sleep. We have 80 hour weeks at very best. Also our salary is ~$50k/year while we try to pay off $300k in loans and feed ourselves.

So you can take your assumptions about us and shove it.

Dang as someone who is thinking about pursing Medical School in the 30s I doubt I could handle the not sleeping portion. I can't concentrate at all when I get no sleep. I do respect you all for making it through that much school and training.

They make a lot of money so idgaf how hard their job is tbh
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Soviet_Poland posted...

MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

To you they seem like simple, obvious questions and the solutions seem really basic.

There is a whole iceberg of information the doctor processed in terms of dozens of other potential diagnoses. When addressing a new concern or problem, you have to know stone cold any medicine you're prescribing in terms of drug-drug interactions.

Yeah, that patient you just gave antibiotics to? You overlooked that they were on warfarin. They trip and hit their head and have a fatal brain bleed. Congratulations, murderer. "That's usually about it."

Okay, so, you have to remember to ask what medicine they are on. Much difficult, such wow, how do they do it.
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MrNintendo1213 posted...

Soviet_Poland posted...

MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

To you they seem like simple, obvious questions and the solutions seem really basic.

There is a whole iceberg of information the doctor processed in terms of dozens of other potential diagnoses. When addressing a new concern or problem, you have to know stone cold any medicine you're prescribing in terms of drug-drug interactions.

Yeah, that patient you just gave antibiotics to? You overlooked that they were on warfarin. They trip and hit their head and have a fatal brain bleed. Congratulations, murderer. "That's usually about it."

Okay, so, you have to remember to ask what medicine they are on. Much difficult, such wow, how do they do it.

I have a pharmacology book thick enough to beat someone to death with and it's just the nursing version.

You have no idea what the fuck you're talking about.
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MrNintendo1213 posted...

Soviet_Poland posted...

MrNintendo1213 posted...

I'd believe that SOME doctors have the hardest job in the world. Just not most. If you work at a Hospital, it's probably pretty bad, but just being a general guy working at the clinic most of the time you just go through the same shit like touching and breathing and asking a couple questions and then saying, "Remember to exercise and eat healthy! And that's usually about it,"

To you they seem like simple, obvious questions and the solutions seem really basic.

There is a whole iceberg of information the doctor processed in terms of dozens of other potential diagnoses. When addressing a new concern or problem, you have to know stone cold any medicine you're prescribing in terms of drug-drug interactions.

Yeah, that patient you just gave antibiotics to? You overlooked that they were on warfarin. They trip and hit their head and have a fatal brain bleed. Congratulations, murderer. "That's usually about it."

Okay, so, you have to remember to ask what medicine they are on. Much difficult, such wow, how do they do it.

Do you even know what an INR is, and when it's a problem with warfarin?

A guy comes in with a subdural hematoma. Says he takes warfarin. His INR is 1. What does that tell you?
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