Friday, February 5, 2016

Exasperating moments in medicine

This is less of a humorous entry and more about some serious situations I've seen in medicine.

-Finding out a patient was never told they have heart failure

-Finding out a patient was never told they have hepatitis C

-Finding out a patient was never told they have HIV

-Finding out someone else's notes were wrong and the patient actually has a pack-year smoking history longer than the years they've been alive

-Patients telling you they don't have any medical problems but chart review shows things like DM, HTN, HIV, HCV

-Trying to get critical information about a patient while pressed for time but they can't remember what year they had major surgery or when they finished chemotherapy

-Hearing your patient say they stopped taking the HIV medication or any other medication because "they felt better" even though being told they needed to be on it for life

-Consult service being rude to you for no reason (you have a good reason for consult and everything)

-Being shouted at by patients who are not yours, demanding a sandwich or juice

-Secondary gain.  'Nuff said

-People telling you they're in "excruciating pain" while playing on their phone comfortably and not even looking at you, asking for morphine

-People going to the ER instead of going to see their PCP they're scheduled to see in 2 days for a total non-emergency

-Getting screamed at by patients who then start making a scene because they want dilaudid and not PO pain medicine for their "2/10" headache

-People telling you they have 11/10 pain while talking on the phone to someone else

-People reacting with disgust when you tell them there's no indication for surgery

-People saying things like "my intestines are popped or something, I need to be in the hospital."  When their physical exam and all imaging and labs are normal

-People showing up to the ER because they are not taking their medication

-People showing up to the ER because they want prescriptions refilled

-Working in a specialty clinic and the patient complains about things that are out of your scope of practice even though you keep telling them that

-People who superficially Google searched symptoms and think they know more than you and they start demanding ridiculous and contraindicated interventions

so much more.

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