F****** Doctor

[GlennSter]

smooth: easy ka lang pare. masyado kang mainit. naiinitidihan ko ang puntos mo. pero no need to ask kung napalaki ng maayos ng magulang ang isang tao.

again, masyado kang minit. pahangin ka muna sa labas.

[ts1n1ta]

Nde ko kinakampihan yung lady doctor.. pero masisisi nyo ba siya?

[H1Tman]

sometimes it's not really what is being said, it's how you say it that matters.

>boy dapa: hindi ka siguro pumasa sa upcat?

[boydapa]

ako din hot! kaya ayan naginit na naman yun aking mga skulmates. peace na! hindi ko na lalahatin. yun mga liars nlng pala este lawyers. hindi na kasama mga doctors. siguro wla na magrereact ksi totoo naman. joke!

hwag na natin ipa air yun side niya ksi di naman sya member dito. and most of all dito sa mundo ng tsikot tayo lng ang laging tama! hindi sila na outsiders!
kaya kng ano sabihin natin yun ang tama! dun nlng sya sa kabilang forums mag air.

yari na naman

[OTEP]

yari na naman

At least you know what's coming. :lol:

Saang kabila? Peyups.com ba yan? Ok naman dun dati. Don't know kung ano na bago sa site now.

[rod_reta]

hmmmmm.....my point parehong party...ung isa safety while ung isa legality..pero i think dpat priority p rin safety.la lng....hehe

[moe]

No names were given. Nor did the thread starter intend to demolish the reputation of his errant (a subjective observation) medical colleague. What it was was simply a venting out of frustrations. No explanations need be given since (imo) the facts relayed were enough to point to the fact that there was an over abundance of rudeness in that situation. Some may think that coming to the rescue of their friend/acquaintance/hospital colleague makes them appear noble but we should not stray too far from reason. Ethics will always trump protocol. Professional ethics moreso. When we forget ethics, good manners, proper conduct for the sake of protocol then that's just plain sad. If we say that doctors at the PGH are stressed out due to the enormous number of patients, well that's a given. They knew what they were getting into. That is no excuse. Nobody forced them to work there. Everybody can have a bad day but still that is not a valid excuse.

However, Doc Otep was quick to point out that it may have been an isolated case, which may be true. A generalization from him would be forgivable (in my eyes) yet he took the high road.

Everyone can vent here, I'm actually just waiting for a vent-worthy situation. Disclosure is vital to one's existence.

ps: my dad studied in up, man was he poor. but he's a good man hehe.

[A121]

sometimes it's not really what is being said, it's how you say it that matters.

>boy dapa: hindi ka siguro pumasa sa upcat?

don't feed the TROLL!

[OTEP]

I'd also like to add that it's not about one-upmanship. That I'm more senior, that I'm better at the job, that I have more training, etc....

It's just about how you relate with a peer. Yes, working in PGH is tough. wiretap_md even had to reduce the number of his girlfriends from five to one. But it's no excuse to be rude. Even my job is no walk in the park. Up to ninety six hours on straight duty, scooping people that fall off buildings, doing CPR in a condo stairwell. Yet I still find no excuse to be rude especially towards my peers. I have to admit that I am a bit rude to ambulance tailgaters...

When I have a bad day, sometimes I just post here to vent out. Or call up my pals and grab a couple of sodas and drown in chips.

Lahat naman ng bagay nakukuha sa maayos na usapan. Pero kung hindi naman, pinipilit ko na lang hindi makipagsabayan sa init ng ulo nung isa.

Even in Aeromed's base hospitals we sometimes have conflicts with the ER team but no shouting match has ensued yet so far. The one thing I learned in this job is diplomacy and understanding.

Last night, we were working with the Rega Swiss Air Ambulance [ http://www.swiss-air-ambulance.ch/ ] team facilitating the transport of a patient via a Lufthansa commercial flight to Frankfurt (where the Rega Air Ambulance is waiting to take the patient to Switzerland). But the MIAA Airport Police was giving us a hard time. Denying tarmac/ramp access to the Swiss physician we had on board. Hurling technicalities at us one after another. Gives us the feeling na nagaantay lang ng padulas ang mga iyon. But in the end, we did manage to get through the situation without getting fuming mad. The Rega staff were a bit pissed since this was a properly coordinated medivac mission but even they maintained their conduct.

[bangus236]

PGH ba yan kamo?

eh malamang taga u.p. yan graduate. pcensya ka na doc ksi sa iskwelehan-ng-mga-poor-na-trying-hard-yumaman-at-gagawin-lahat-para-yumaman-kahit-magnakaw -at-mangagrabyado-sa-kapwa which is u.p. ang training puro I.Q. lang at hindi kasama ang E.Q. development lalo na sa mga matataaas ang pinag aralan. lalo na yun mga produktong doctors, lawyers, professors. kaya yun doctorate ang level dyan na grumadwayte ang mga katangian nyan is a impatient, judgemental, at mapang mata ng kapwa etc. yan ang mga E.Q. core values na nadevelop sa kanilang pagkuha ng phd.



pag pasensyahan mo nlng.

at isa ka sa mga produkto ng institusyong ito? ano student number mo? adik ka siguro no?

[nicolodeon]

at isa ka sa mga produkto ng institusyong ito? ano student number mo? adik ka siguro no?

This is insult is uncalled for. Boydapa already said that he had it coming. Don't start flaming.

[smooth]

It's just smear-negative TB. It's not hard to defend. It's not hard to endorse. And as with all patients we conduct [except house/scene calls], we do call ahead before we conduct. However, it was not her that was the receiving MD [the MROD put in a different name] and when I nicely asked her where I can locate the said MD she said she didn't know such doctor and she started her litany on me. And to think I even greeted her a good day. If I had a hat, I'd probably tip it, too.

I did try to explain the case, but she was to busy getting riled up. If the triage officer had simply said that it would not be possible to roll in the patient, we could've just gotten her back in the bus again and hooked to a main tank.

No. Of course not. That's why we asked the triage officer if it was ok. Ok being would you allow us in. I already gave her a run over of the case, it's SOP already when at any hospital we visit. How would I know there was a higher being at play? The triage officer did not say anything and she was the one sitting at a counter greeting everyone that came in.

Again, the reason I vented is because of the undue rudeness and unprofessional conduct of the other doctor. Face it, the public has a stereotype for different classes of people. I would still like to think that what happened was more of the exception rather than the rule as I've previously posted. But people outside the profession may see things differently and regard such conduct as 'normal'. Which is not exactly another feather in our cap.

I'm not a fanboy, but I do have high regards for PGH as an institution and this incident has not changed that.

1st, my apologies to you otep. looking back, my post was too sarcastic. ang dapat na point ko lang talaga is we ought to get the side of the ER officer. i suppose my post got way out of hand (yup, way too out of hand).

2nd, sorry about the "ipinagmamalaki" part and the "paano ka ba pinalaki" part. that was uncalled for on my part. again, my apologies

lastly, as to the incident that transpired in the ER, things do get out of hand over there. i suppose its the nature of working there. people are always pretty stressed. but i have to point out some things:

a) a smear-negative TB in a 77 y/o intubated patient isn't a simple thing. firstly, why did she require intubation? any ruptured bullae? is the patient in any cardiac drugs? is her TB multiple drug resistant? does she require isolation? we might be exposing the other patients in the ER at risk. personally, if i was the ER officer, i would freak out if i suddenly see your patient in "my" ER without my knowledge. there are so many things to consider, including the welfare of the other patients, like if your patient has meningococcemia for example.

b) its always possible that the MROD (or, rather, the pulmo fellow) could ask just as many questions from the ER officer, which might be the reason for the ER officer's stress and need for further info from you

c) what did the triage officer do when he/she saw you with the ER officer? hindi kaya intern ang napagtanungan mo?

d) ever so lastly, i did have my run-ins in the ER during my residency. at one point, sinagawan na din ako ng SOD (surgery resident on duty). but hopefully you'll be able to keep in mind that these are mostly because of work and the stress that these people are being exposed to. i still see this guy (former SOD) around and we are good friends. after work, we do our high fives in the mall (okay, OA na yan -- a casual "kamusta pare" is more like it)

[pup2]

In fairness, kahit private hospitals madaming masungit na employees -- and this is not even limited to doctors. Minsan nga feeling ko mas malaki ang hospital mas masungit ang mga tao eh. It's often a struggle to find a good balance between bedside service and manners and completeness of facilities and services.

I'm not sure but I prefer if ALL hospital peronnel get some training on bedside and good manners. Mahirap kasi lahat ng nandun either may sakit o kamag-anak ng may-sakit o stressed out employees. Ito pa namang si Dr. House nagpauso ng masungit at rude pero magaling na doctor.

IS it all about saving lives? IMHO, it's also all about the quality of the life you manage to extend.

[moe]

no defense has to be made, no justifications nor rationalizations are needed as i see it. things are better perceived in black and white (this time at least, imo). reactions may be stress related but still that is no excuse. we may say "we're mere mortals (tao lang)", but that doesn't change what transpired. is it better to make excuses for the doctor or hypothesize for that matter? we weren't there, we don't know what she was thinking at that time. but the thing is, the shitty situation happened. justifying what transpired is simply unnecessary, but that's just me.

[OTEP]

smooth,
Apologies accepted, no harm done.

a) Without the patient sheet we carry, its pretty hard to remember the details. Offhand, AFAIK the patient had no comorbities (no HPN, no DM) and was not on any cardiac medication. The patient is also not MDR. She has been on anti-TB for the better part of two weeks already. The patient's medical expenses are shouldered by a distant relative working as an OFW in Europe. The immediate family requested a transfer to a government hospital probably out of 'hiya' to their relative who is helping them.

2) It is possible. But then again, she doesn't have to blow her top on me.

3) People in PGH don't really come with labels on their foreheads. If you're the person sitting in the reception desk, you're the one I go to to ask permission from and to ask help from to locate our contact person. What did she do? She just went out and sat on her desk again...

4) I'm at PGH for work purposes at most probably 4 times a month so I doubt if that Dra. and I will ever be 'kumares'.

If there's one person I remember during this incident, it would be one of the drivers at the UST parking lot. As I was backing into a parking slot trying to catch the afternoon mass, I accidentally hit his Starex's side mirror. He was sleeping in the driver's seat and got up fuming mad. I apologized and explained that there was no damage done to his or my vehicle. But he was really smoking so I said time out muna while I hear mass. On my way out he was still standing in front of my vehicle and when he saw me, he came up to me and shook my hand. Pasensya na daw, nagulat lang siya. Alam mo naman ang mga driver minsan pa-macho effect so I was really impressed that he swallowed his pride and apologized to me and in front of the other UST drivers, no less.

I'm not sure but I prefer if ALL hospital peronnel get some training on bedside and good manners.

Some hospitals do give lectures on client care. This is usually given by the public relations department and includes tips on how to diffuse potentially volatile situations.

we weren't there, we don't know what she was thinking at that time.

Heck, I was there and even I didn't know what she was thinking at the time.

[oldblue]

ang alam ko kaya iba sa kanila masungit kasi hindi naman sila 9-5 employees. more than 15 hours ata tarbaho dyan


manood sila ng Grey's Anatomy habang nag-oovernight sa ospital hehehe

[Galactus]

ER personnel are not automatons. As I've said, they're also humans. And like any other human being who live in a "toxic" environment, they get catty, and are prone to "irrational" outbursts.

Methinks that demonizing that ER doctor for this single instance of unprofessionalism is highly unfair. Who knows, baka may nagawa siyang 100 acts of kindness before this. Should she be crucified? Nagkataon lang talaga na she was under a lot of pressure that day, at nataon lang yung outburst niya. Pregnant nga di ba, so maybe she had mood swings. Of course, if the doctor acts like Leona Helmsley all the time, then it's entirely a different matter.

Being mere mortals is not an excuse? Gimme a break! Who hasn't made an irrational outburst here? It's not best to paint this situation in black and white. After all, there are also shades of gray.

Anyway, wiretap has already informed her of the existence of this thread, and hopefully, she'll be more level-headed next time.

[OTEP]

Sometimes first impressions do last, yes it can be unfair kaya nga hindi na ko nagbanggit ng pangalan. We work in an industry where we have to face people day in and day out and we do it while bearing the name of the institutions we represent. As our former resident would say: "Sumigaw ka na lang sa banyo pero huwag sa harap ng ibang tao." :lol: And that's exactly what one of the nurses did!

Last month we were rescuing an obese man who has collapsed in their [small] bathroom. As we were busy getting him out, an elderly lady peers from the second floor overlooking the bathroom and asks us to write our names down [paranoid lady] on a sheet of paper. When we said, we will get the victim out first, she throws a notebook with a pen on it directly at our EMT! She may have been the kindest lil ol lady from Pasadena, but we'll forever remember her as notebook-throwing-mrs. hellfire.

OB: Dapat 'Scrubs' na lang panoorin nila at nang matawa-tawa naman sila. hehehe. 8hour, 24-36 hours ang usual shifting.

[moe]

and who is demonizing the doctor? who is crucifying her? i'd still take the situation in black and white anyday. nobody said she's a robot, an aumaton, or an autobot or decepticon for that matter. but still, her actions spoke for themselves. i have done nasty things due to mood swings or such but i expect no one to come to my rescue and justify my actions. that is what i'm pointing at and that is what i would have wanted you to see. unfortunately, that is not how the world works. one time i delivered a lecture to a group of college students. that day i had an extremely traumatic experience. man, that was a BAD day. i took it out on my students and lambasted them and then walked out of my class. i tried to rationalize what i'd done but at the end of the day i knew i was the one at fault. the next meeting, i offered an apology to the class and they could hardly believe it since teachers don't ordinarily do that. that's what i'm saying. we can always rationalize that it's one of those days, we were having a bad day, **** happened earlier and then rinse our hands. it is hard to accept our shortcomings.

BUT.... we don't know what happened, we don't know what was on her mind. what i know is what doc otep relayed here. and that is what i see in black and white. and that is what i am commenting about, on her behaviour and what i would have done, or should have been done that's why i placed an IMO. Yes, she should be given the benefit of a doubt because she might be a real saint having a really rotten day. but what we are talking about is what transpired. if you don't agree, well, that's understandable.

[lolo pepe]

i would give the lady doctor the benefit of the doubt. i would rather think that she had mood swings during that time that doc otep was there in her ER. would somebody (....paging wietap_md...) bring the lady doctor and doc otep together to kiss and make up (no offense to the lady doctor's husband!)?

sagot ko na ang meryenda for the whole PGH ER staff plus doc otep's ambulance crew. plus 1 dozen of baby diapers for the lady doctor's baby. just PM me.

lolo_pepe at your service (frustrated doctor - specialty OB GYNE)