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	<title>Comments on: Split Personality</title>
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	<link>http://trismus1.wordpress.com/2007/11/19/split-personality/</link>
	<description>My experiences as an ER doc</description>
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		<title>By: kimmy</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-7385</link>
		<dc:creator>kimmy</dc:creator>
		<pubDate>Wed, 17 Sep 2008 12:52:27 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-7385</guid>
		<description>i don&#039;t care about respect from the other specialites, i think it&#039;s all a sham and truly pathetic and each one of the specialities hide in their 6x7 box that they control and congratulate themselves like idiots that they have achieved mastery and conquered their 6x7 box, and thus thinking that everyone are idiots because it makes them feel so smart. Geeks! happy in their false sense of security. ther real reason they have &quot;no respect&quot; for ER physicians is to hide the fear and incompetence and also to hide their laziness. they just do not want to see or admit patients! Simple. While the phiposophy of ER docs is to save as many lives as possible and fix as many people as possible in one day, the other specialties aim to exist in their little boxes and never have any perspective.
in my opinions, ER physicians are courageous,smart, cool, capable of broad lateral thinking and really make a difference to people&#039;s lives.</description>
		<content:encoded><![CDATA[<p>i don&#8217;t care about respect from the other specialites, i think it&#8217;s all a sham and truly pathetic and each one of the specialities hide in their 6&#215;7 box that they control and congratulate themselves like idiots that they have achieved mastery and conquered their 6&#215;7 box, and thus thinking that everyone are idiots because it makes them feel so smart. Geeks! happy in their false sense of security. ther real reason they have &#8220;no respect&#8221; for ER physicians is to hide the fear and incompetence and also to hide their laziness. they just do not want to see or admit patients! Simple. While the phiposophy of ER docs is to save as many lives as possible and fix as many people as possible in one day, the other specialties aim to exist in their little boxes and never have any perspective.<br />
in my opinions, ER physicians are courageous,smart, cool, capable of broad lateral thinking and really make a difference to people&#8217;s lives.</p>
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		<title>By: Dragonfly</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6487</link>
		<dc:creator>Dragonfly</dc:creator>
		<pubDate>Wed, 09 Apr 2008 05:20:13 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6487</guid>
		<description>That is hilarious.</description>
		<content:encoded><![CDATA[<p>That is hilarious.</p>
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		<title>By: Heather RN</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6449</link>
		<dc:creator>Heather RN</dc:creator>
		<pubDate>Thu, 03 Apr 2008 07:50:01 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6449</guid>
		<description>No doubt, Lumpy!!  I will never forget being yelled at by a patient&#039;s father for not being able to call the physician @ 2200 for an Rx for head lice shampoo (so Medicaid would pay) on a Friday night for a case of head lice that had been going on for 3 months...  or a physician yelling at me because he couldn&#039;t figure out how his pager worked...  or a young mother asking if it really was okay to bother the doctor even though her baby had been &quot;kinda blue&quot; and not eating well...  or having one doc on one line yelling at me and another on a different line calmly speaking with the most profanity I&#039;ve ever heard from a professional...

Being an answering service operator, unit secretary, etc., takes a lot of skill, patience, and charm...  kudos to you :)</description>
		<content:encoded><![CDATA[<p>No doubt, Lumpy!!  I will never forget being yelled at by a patient&#8217;s father for not being able to call the physician @ 2200 for an Rx for head lice shampoo (so Medicaid would pay) on a Friday night for a case of head lice that had been going on for 3 months&#8230;  or a physician yelling at me because he couldn&#8217;t figure out how his pager worked&#8230;  or a young mother asking if it really was okay to bother the doctor even though her baby had been &#8220;kinda blue&#8221; and not eating well&#8230;  or having one doc on one line yelling at me and another on a different line calmly speaking with the most profanity I&#8217;ve ever heard from a professional&#8230;</p>
<p>Being an answering service operator, unit secretary, etc., takes a lot of skill, patience, and charm&#8230;  kudos to you <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>By: Lumpy</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6115</link>
		<dc:creator>Lumpy</dc:creator>
		<pubDate>Sat, 16 Feb 2008 17:16:11 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-6115</guid>
		<description>Try being an answering service operator, cry me a river people *wink*</description>
		<content:encoded><![CDATA[<p>Try being an answering service operator, cry me a river people *wink*</p>
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		<title>By: Dr. Tom Bibey</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4370</link>
		<dc:creator>Dr. Tom Bibey</dc:creator>
		<pubDate>Tue, 20 Nov 2007 10:47:06 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4370</guid>
		<description>Came across your site and enjoyed.  I am a middle aged F.P., and my Dad was a country Doc.  I have all respect for E.R. Docs because I remember small town life before they came along, and what the change meant to my Dad.  Before full time ER coverage, he had to go to the E.R. whenever someone showed up.  If you fell asleep and left your phone was off the hook, the operator would send the sheriff out to the house to fetch you.  
     It might sound like Mayberry, but I thought it was going to do him in.  Nowadays I always tell me E.R buddies I don&#039;t know exactly how many lives they&#039;ve saved today, but at least they saved mine! 
     Visit me at drtombibey.wordpress.com.  As far as I know it is the world&#039;s first physician bluegrass fiction writer&#039;s weblog in the history of the world.

                      Best wishes,
                      Dr. B</description>
		<content:encoded><![CDATA[<p>Came across your site and enjoyed.  I am a middle aged F.P., and my Dad was a country Doc.  I have all respect for E.R. Docs because I remember small town life before they came along, and what the change meant to my Dad.  Before full time ER coverage, he had to go to the E.R. whenever someone showed up.  If you fell asleep and left your phone was off the hook, the operator would send the sheriff out to the house to fetch you.<br />
     It might sound like Mayberry, but I thought it was going to do him in.  Nowadays I always tell me E.R buddies I don&#8217;t know exactly how many lives they&#8217;ve saved today, but at least they saved mine!<br />
     Visit me at drtombibey.wordpress.com.  As far as I know it is the world&#8217;s first physician bluegrass fiction writer&#8217;s weblog in the history of the world.</p>
<p>                      Best wishes,<br />
                      Dr. B</p>
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		<title>By: Sines</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4357</link>
		<dc:creator>Sines</dc:creator>
		<pubDate>Mon, 19 Nov 2007 23:54:24 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4357</guid>
		<description>So true, we get no respect from any other specialty. But guess who gets called when medicine can&#039;t intubate their patient or OB doesn&#039;t know how to code their SOB s/p C-section?!</description>
		<content:encoded><![CDATA[<p>So true, we get no respect from any other specialty. But guess who gets called when medicine can&#8217;t intubate their patient or OB doesn&#8217;t know how to code their SOB s/p C-section?!</p>
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		<title>By: Dr. Greenbbs</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4356</link>
		<dc:creator>Dr. Greenbbs</dc:creator>
		<pubDate>Mon, 19 Nov 2007 23:06:56 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4356</guid>
		<description>Had a lady today who came in from the NH with afib/rvr and obvious right sided heart failure. 

her PCP didn&#039;t come to the hospital, so after the appropriate workup and initiation of the cardizem gtt, called cardiology hoping they&#039;d admit.

BUT NO!  from the cardiologist:  &quot;WHY CAN&#039;T MEDICINE ADMIT?  I&#039;d be happy to consult, but I won&#039;t admit this patient because I don&#039;t want to manage her other co-morbidities&quot;

talk about inappropriate.  we try to do what&#039;s best for the patient, like getting a specialist to manage a specialty problem, but then get it shoved in our faces that it&#039;s inappropriate.</description>
		<content:encoded><![CDATA[<p>Had a lady today who came in from the NH with afib/rvr and obvious right sided heart failure. </p>
<p>her PCP didn&#8217;t come to the hospital, so after the appropriate workup and initiation of the cardizem gtt, called cardiology hoping they&#8217;d admit.</p>
<p>BUT NO!  from the cardiologist:  &#8220;WHY CAN&#8217;T MEDICINE ADMIT?  I&#8217;d be happy to consult, but I won&#8217;t admit this patient because I don&#8217;t want to manage her other co-morbidities&#8221;</p>
<p>talk about inappropriate.  we try to do what&#8217;s best for the patient, like getting a specialist to manage a specialty problem, but then get it shoved in our faces that it&#8217;s inappropriate.</p>
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		<title>By: Nurse K</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4349</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Mon, 19 Nov 2007 20:23:33 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4349</guid>
		<description>I&#039;d prefer the public thought we/you were all idiots so they&#039;d go to their &lt;i&gt;smart&lt;/i&gt; primary care physicians or specialists except in, you know, emergencies.  It can be our little secret that we&#039;re really not idiots, K?  K.  

&lt;i&gt;basically glorified triage nurses&lt;/i&gt;

Hey now...</description>
		<content:encoded><![CDATA[<p>I&#8217;d prefer the public thought we/you were all idiots so they&#8217;d go to their <i>smart</i> primary care physicians or specialists except in, you know, emergencies.  It can be our little secret that we&#8217;re really not idiots, K?  K.  </p>
<p><i>basically glorified triage nurses</i></p>
<p>Hey now&#8230;</p>
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		<title>By: shadowfax</title>
		<link>http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4346</link>
		<dc:creator>shadowfax</dc:creator>
		<pubDate>Mon, 19 Nov 2007 13:07:23 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/11/19/split-personality/#comment-4346</guid>
		<description>With some docs it&#039;s even worse than scorn, but active contempt and antipathy: an assumption that the ER doc is an idiot (since I know less about his organ than the specialist does) and mis-directed anger at me for the stuff that walks in the door.  

Frankly, I&#039;d rather have the respect of the general public.  I think they&#039;re more on target on this one.</description>
		<content:encoded><![CDATA[<p>With some docs it&#8217;s even worse than scorn, but active contempt and antipathy: an assumption that the ER doc is an idiot (since I know less about his organ than the specialist does) and mis-directed anger at me for the stuff that walks in the door.  </p>
<p>Frankly, I&#8217;d rather have the respect of the general public.  I think they&#8217;re more on target on this one.</p>
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