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Comments on: Consultants and Transfers

Ramblings of an Emergency Physician in Texas

Last Build Date: Sat, 02 Dec 2017 13:18:31 +0000


By: Surgical Diversions

Fri, 18 Mar 2005 17:50:30 +0000

Consultants and Transfers

By: Anonymous

Fri, 31 Dec 2004 16:34:32 +0000

Just another concern on the same topic. I was a surgical RN for 5 years before I realized being verbally abused by the surgeons wasn't part of my job description. We had a well known plastic surgeon that very good and no doubt he worked long hard hours. He also cussed us up one side and down the other every time we went into an OR with him. In the beginning I thought he was a nut case and should not even be operating on people. Then I started paying attention to what he was doing and realized all this cussing and screaming was his stress reliever for the tedious work he accomplished. The hospital put up with him because he was such an excellent surgeon and we soon learned we had no choice but to put up with his abuse as well. I never got used to it and eventually transferred out of OR. I do understand that it was never anything personal but it just wasn't something I was willing to listen too. I wondered if the tables were turned and I was having a really stressful demanding day, if it would ever be alright to call a surgeon a sorry bastard? I doubted it very much..

By: GruntDoc

Wed, 29 Dec 2004 20:58:37 +0000

Darren, I'd really like to hear how you got that done.

By: Darren

Wed, 29 Dec 2004 15:06:06 +0000

I like to think we have "evolved" to a better system where the consultants take all these calls, day and night, for any transfers. They used to bitch and moan AT us for accepting every train wreck in the state. Now they bitch and moan TO us because they have to stay up all night accepting every train wreck in the state. We just smile and nod. No moral high ground here, just deep seated satisfaction.

By: White Dude, M.D.

Wed, 29 Dec 2004 12:34:05 +0000

Grunt Doc: You must be at a tertiary or academic center, where you must accept transfers from the LMDs at the small St. Elsewheres. Nobody's very happy with these; train-wrecks abound. When I was interning at Charity Hospital New Orleans, I tried to impress the ortho resident on call, who exhorted me to get " hips, hips, I must have hips." I accepted a "hip" that night from the boonies. It was a hip alright. It was also a day 3 post-op blunt trauma on the respirator, with a large penrose to the the lesser sac. Nowadays,of course, I can't just accept a transfer and hand it off to the surgeon on-call. I must convince him, after the patient arrives, that he should take over and admit: often a difficult task of persuasion. The only thing the ER doc (me) can do is present the case honestly, funded or not. The only thing the consultant can do is accept the case, or offer some help at making a disposition.

By: Goat Whacker

Wed, 29 Dec 2004 00:51:54 +0000

I'm probably stirring the pot here, but I have worked full time ER and also full time family practice. In my experience, I have had much more trouble with ER docs who've called me than I had with consultants I called while working the ER myself. Just my own experience, some one else's may be the opposite.

By: Jim H

Wed, 29 Dec 2004 00:30:49 +0000

Game, set, match - GD!! What do you expect from a squid Doc who use to hang around with the Corps? a carpet?!?! Sheesh, some people!!! :-)

By: GruntDoc

Tue, 28 Dec 2004 23:08:12 +0000



Tue, 28 Dec 2004 22:29:42 +0000

Grunt Doc- Your point is well taken and I agree with you wholeheartedly- there is never an apppropriate time to be rude or disrespectful of a colleague. Please don't my take my post as a justification of that kind of behavior- it is clearly unjustifiable. My point was merely to humanize the individual at the other end and remember that if you understand us better you might be more inclined to forgive us. Many, many times I have been that mean, nasty person as I pull my tired brain out of Stage IV sleep and I always regret it. Do I know that life is unfair? Yes, but I only get through the day hoping that it will get better. It is not about me and my collections or my sleep or my family-- I agree-- it is about simple respect and courtesy for everyone we work with and doing our best for our patients. Sometimes, however, we reach our limits and in those situations- if I don't apologize for it then, I am doing so now.

By: GruntDoc

Tue, 28 Dec 2004 21:04:53 +0000

Dear JDB, You presume too much. I get paid NOTHING if my patient pays nothing. I, and all my colleagues in my ED practice live on what we collect: we get no subsidy. Therefore, I monthly give away 40% of my efforts. Cry me a river about your one private-pay patient. Secondly, this isn't a payment issue, it's a "grown-up" issue. How is "my life is hard" any doing of the ER doc, and what makes the ER doc the designated target of your selfish whining? Be a man (or a woman), be a professonal, and keep your crying to yourself. You don't get paid to whine, I don't get paid to listen to anyone but patients whine, so it's just lost, lazy effort. Trust me, nobody 'forgives' you for having to listen to the kind of purile whining we're all subjected to. Just say thanks, or even OK. That's all that's necessary. BTW, the moral high ground is lost fastest by whining about how unfair your life is to me (see above).