tag:blogger.com,1999:blog-2760353953251845523.post198346117972408103..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Annals of Wasted ResourcesJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-2760353953251845523.post-91665893068211859722009-12-07T17:00:46.802-05:002009-12-07T17:00:46.802-05:00If the family doctor was a consult on the case (wh...If the family doctor was a consult on the case (which I'll assume since you performed the surgery and were probably primary admit), he should have called you with his concerns before ordering a septic workup on this patient. Nothing beats a well-timed conversation.<br /><br />Thanks for a great post and great perspective.StorytellERdochttps://www.blogger.com/profile/14371229500424449124noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-9423751981582528282009-12-04T01:32:44.078-05:002009-12-04T01:32:44.078-05:00i would be severely offended if a doctor usurped m...i would be severely offended if a doctor usurped my post operative patient. this would not happen where i come from.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-91620709326414348382009-12-02T07:58:02.408-05:002009-12-02T07:58:02.408-05:00I have the same question as RJ: I'm assuming t...I have the same question as RJ: I'm assuming the patient was primarily a surgical patient, and that the medicine team was following more like a consult. How did they order all those tests without at least a passive-agressive "We recommend..." in the chart? Where I did my surgery rotation, the surgeons would have dressed down the hospitalist for even dreaming of it.<br /><br />For Tom: I'm an MS3, work hard, did well on my surgery rotation...but no one ever told me that WBCs could be reactively high post-op. I don't think I saw it happen during my rotation. So I've learned something today prior to my own medicine rotation.KSnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31461258656595872132009-11-30T14:00:01.719-05:002009-11-30T14:00:01.719-05:00Funny how some surgeons want the hospitalists to a...Funny how some surgeons want the hospitalists to admit and discharge all the patients with surgical (not medical) issues. The same surgeons get angry if we do anything else during the admission...<br /><br />Still - an abnormal lab warrants a phone call to the doc who did the operation before doing a mega-workup unless the pt is unstable.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67311836683635019802009-11-25T14:40:19.240-05:002009-11-25T14:40:19.240-05:00Just wondering if a patient HAS to pay for this un...Just wondering if a patient HAS to pay for this unnecessary testing?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-3621019467221543832009-11-16T01:26:45.414-05:002009-11-16T01:26:45.414-05:00In these instances do you bother to talk to the ph...In these instances do you bother to talk to the physician that ordered the tests to let him/her know what to do in the future?Khttps://www.blogger.com/profile/06085551514647174816noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-27658001153850033562009-11-08T11:47:41.132-05:002009-11-08T11:47:41.132-05:00Buckeye - Hmmm. Wonder if regional variations in c...Buckeye - Hmmm. Wonder if regional variations in care really do contribute to skyrocketing medical costs.......Only 1 explanation for this scenario. Our country has a bad, bad system. I can guarantee you that things like this happen in thousands of hospitals across the country every day. I can't imagine any other business sector where it would be considered acceptable to make decisions like that PCP did without checking with the boss running the show (you). Ridiculous.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-86397534702327924802009-11-06T20:58:33.994-05:002009-11-06T20:58:33.994-05:00I'm an ID specialist and I hate these brain-st...I'm an ID specialist and I hate these brain-stem reflex consults. Waste of time for all concerned.<br /><br />Why is another doctor ordering consults and invasive tests on your patient without discussing it with you beforehand? Did you ask for a consult, or do they just routinely see all of your post-op patients?RJnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67779532553514750232009-11-05T21:13:54.553-05:002009-11-05T21:13:54.553-05:00An intelligent 3rd year med student shouldn't ...An intelligent 3rd year med student shouldn't make that mistake.Tom MS2noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-26472858172776590222009-11-05T02:05:21.381-05:002009-11-05T02:05:21.381-05:00see, all those things are perfectly fine knee-jerk...see, all those things are perfectly fine knee-jerk responses to an abnormal lab value. <br /><br />something that an internist trained to look up lab results and order tests at the same computer before they actually go see the patients might do. <br /><br />modern medicine. <br /><br />later,<br />radincradincnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-17490611588746891592009-11-04T19:59:14.579-05:002009-11-04T19:59:14.579-05:00Had an ICU issue between, GI, Gen surgery and IM a...Had an ICU issue between, GI, Gen surgery and IM a while back. As a student I could barely keep up with the D/Cs, restarts, overrides as well as neglect of BG and cardiac. My RN was a float, and reluctant to rattle the cages as a good ICU RN should. I mumbled (to self) WTF? at my computer in the middle of it, so frustrated (almost in tears... I know, LOL) to have to reinsert the NG that was just D/C'd against my better judgement on my suffering GI bleed patient. What a bloody mess. I ended up reporting the situation to the Top Dog as he could lip read and was standing next to me, who knew?!<br /><br />-SCNSAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-49182826461978712662009-11-04T12:39:31.112-05:002009-11-04T12:39:31.112-05:00Well he obviously wasn't 'euboxic'. He...Well he obviously wasn't 'euboxic'. He says with sarcasm.mark's tailshttps://www.blogger.com/profile/08097539019772913051noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31682688098245393412009-11-04T11:21:26.697-05:002009-11-04T11:21:26.697-05:00A waste of money and harm to the patient. You real...A waste of money and harm to the patient. You really need to get better internists up there. What a joke!!HudsonMDhttps://www.blogger.com/profile/05955328271938173408noreply@blogger.com