ER vs. Surgery

Life as a surgical resident.

Category:

Film & Animation

Tags:

• xtranormal
• surgery
• ER
• resident
• residency
• Sajid Ismail
• consult
• surgical

[sergiogodoy]

If you consult a surgeon is because you already hava a diagnosis that needs surgery.

[jrewert]

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.

[osiris0413]

@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!

[retslag1]

Unfortunately this is usually true. ER sees belly pain and runs for surgery.

[jollieollie36]

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

[SubUrbanHunter]

ER docs r universally hated by all services. They can't make a decision to save their lives.

[TheHomey7854]

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!

[pocapaypay]

@drunkchemist - WHOA.... o_O UNSAT!

[pocapaypay]

@sergiogodoy - IN THEORY! and i'm ob/gyn...

[pocapaypay]

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...

[FFFVaderPanyFFF]

@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.