@retslag1 If any of the residents around here tried to pull that, you can be sure the attendings would be all over them. Our department has a great relationship with surgery and doesn't get them out of bed for a tummyache. I guess it depends on the institution - I wouldn't want to work for an ED that didn't know how to work up stomach pain before a consult!
I work in the ED (ER) and as *nursing staff* we get most of the tests organised *for* the Docs and all they have to do is add their signature to the order!!! Most (if not all) of this is done *before* any specialist service is called to see the pt, unless it's a "trauma call" when all services are in the ED at the same time to consult on the pt at the time of their arrival in order to save time and co-ordinate services and stop doubling up on tests. Even *then* the nurses order the bulk of tests
Would be nice to work with an ER doc who will actually physically exam a patient make a working diagnosis, and then call us..Surgery. And every pt with abdominal pain does not need a CT scan!
This is silly. We get along with our surgeons well. In our hospital, we try to protect their sleep as much as possible. They take lots of call. We know that. If we get an unperfed appy, hot gallbladder, choledocho in the middle of the night, we write tuck ins, start abx, pain meds, and they come later in the AM. We only call them in for level 1 traumas or real emrgencies. Most nonspecific abdominal pains, we send home and have them come back in 12 hours for a recheck. We don't CT most kids.
Being a doctor is like being a mechanic. These people have spent years studying how the parts work and fit together. That doesn't guarantee that they're exactly bright at anything else.
@MrEthekyaa I resent that. I suggest that you look at the requirements for just getting into medical school before you imply that we're stupid. Elsewhere, we study it for years because the amount of material requires years of study to learn.
That's not how it happens, usually in the ER we have all the labs and scans that we feel is enough to warrant a surgery consult then surgery comes down and asks for everything b4 they even c the pt, once they c the pt unless its an obvious presentation they ask for more scans like an US before they admit them to their services or they say want us to "stabilize the pt" becuz their BP is 150/90. I'm a PA fyi.
Most of the ER guys I know will at least put their hand on the abdomen and run some labs before calling for a consult. But there are the odd 1 or 2 that would reach for the phone first like the brown cartoon character.
Due to quibbling with a surgeon, which the ER physician did not even know was necessary, the patient could have died from internal bleeding, or the condition further injuring the patient.
Unfortunately this is usually true. ER sees belly pain and runs for surgery.
retslag1 4 months ago
@retslag1 If any of the residents around here tried to pull that, you can be sure the attendings would be all over them. Our department has a great relationship with surgery and doesn't get them out of bed for a tummyache. I guess it depends on the institution - I wouldn't want to work for an ED that didn't know how to work up stomach pain before a consult!
osiris0413 4 months ago
I work in the ED (ER) and as *nursing staff* we get most of the tests organised *for* the Docs and all they have to do is add their signature to the order!!! Most (if not all) of this is done *before* any specialist service is called to see the pt, unless it's a "trauma call" when all services are in the ED at the same time to consult on the pt at the time of their arrival in order to save time and co-ordinate services and stop doubling up on tests. Even *then* the nurses order the bulk of tests
jollieollie36 4 months ago
ER docs r universally hated by all services. They can't make a decision to save their lives.
SubUrbanHunter 6 months ago
Would be nice to work with an ER doc who will actually physically exam a patient make a working diagnosis, and then call us..Surgery. And every pt with abdominal pain does not need a CT scan!
TheHomey7854 6 months ago
This is silly. We get along with our surgeons well. In our hospital, we try to protect their sleep as much as possible. They take lots of call. We know that. If we get an unperfed appy, hot gallbladder, choledocho in the middle of the night, we write tuck ins, start abx, pain meds, and they come later in the AM. We only call them in for level 1 traumas or real emrgencies. Most nonspecific abdominal pains, we send home and have them come back in 12 hours for a recheck. We don't CT most kids.
jrewert 8 months ago 6
nothing like that page to the ER to consult on the abdominal pain that's been there for a YEAR! SMH man....make ya wanna choke somebody...
pocapaypay 8 months ago
Being a doctor is like being a mechanic. These people have spent years studying how the parts work and fit together. That doesn't guarantee that they're exactly bright at anything else.
MrEthekyaa 11 months ago
@MrEthekyaa I resent that. I suggest that you look at the requirements for just getting into medical school before you imply that we're stupid. Elsewhere, we study it for years because the amount of material requires years of study to learn.
FFFVaderPanyFFF 10 months ago
HAHA, in my hospital the ER just sends them to the floor without calling us. Useless bastards! But I love you guys.
drunkchemist 1 year ago
@drunkchemist - WHOA.... o_O UNSAT!
pocapaypay 8 months ago
I'm sorry but I have absolutely no medical training and I think this is ridiculous.
I agree that its amazing that people like her are able to obtain a license to practice medicine.
twilightacolyte 1 year ago
If you consult a surgeon is because you already hava a diagnosis that needs surgery.
sergiogodoy 1 year ago 9
@sergiogodoy - IN THEORY! and i'm ob/gyn...
pocapaypay 8 months ago
That's not how it happens, usually in the ER we have all the labs and scans that we feel is enough to warrant a surgery consult then surgery comes down and asks for everything b4 they even c the pt, once they c the pt unless its an obvious presentation they ask for more scans like an US before they admit them to their services or they say want us to "stabilize the pt" becuz their BP is 150/90. I'm a PA fyi.
Vyse500 1 year ago
Hahaha, great stuff.
Most of the ER guys I know will at least put their hand on the abdomen and run some labs before calling for a consult. But there are the odd 1 or 2 that would reach for the phone first like the brown cartoon character.
Malcolmlee9 1 year ago
Due to quibbling with a surgeon, which the ER physician did not even know was necessary, the patient could have died from internal bleeding, or the condition further injuring the patient.
Foosamon 1 year ago
yeah right. by the time surgery gets around to doing anything, all the work has been done for them.
kaisayshi 1 year ago 2
jajjajajajajajajjaa pasaaaaa asiii!!!!!
Anita0509 1 year ago
Comment removed
ntsawyer 1 year ago
what's the cat scan show... its all you need to know. also, how long have they been npo.
sonymama7 1 year ago
typical...asking for ct and lab results before the phys exam...
lol@surgeons
koed15 1 year ago 3
@koed15 That's because ER always gets a CT before anything else. That's what they do.
rbertellotti 1 year ago 2
@rbertellotti let's be honest, more often than not diagnosis is in the radiologist's hands
chantoke 1 year ago
interesting...I bet you have it so hard.
tuh8er 1 year ago