Recap of Last Week’s ER: The TV Show
A guy and a girl get in a bad car wreck. Unbeknownst to ER staff, they had just stolen tens of thousands of dollars worth of jewelry. The girl decompensated, and ended up in cardiac arrest. After undergoing an unsucessful emergency thoracotomy the team was ready to call the code. Not so fast, said the guy, brandishing a gun and ordering the team to keep trying. They recommended surgery, but having barricaded them in the trauma bay he refused them access to the OR. No surgeons no OR no problem, the ER team tried the operation themselves but unfortunately without much success. Meanwhile, word of the hostage situation made its way though the hospital, resulting in a mass evacuation and activation of law enforcement. Finally, it was clear that the girl wasn’t going to make it. After an emotional and tearful goodbye, the guy gave up his gun, whereby he was promptly shot in the head by a SWAT sniper.
Recap of Last Week’s ER: My Life
It’s 1:30 in the morning and there are only a few patients in the department. A quietness abounds, augmented by its unusualness, penetrated only by the hum of the fluorescent lights and occasional idle chatter. The nurse-who-likes-to-listen-to-music puts on some terrible sugary soulless 80’s tunes that I secretly like.
An old man with a history of constipation checks in because he can’t poop. After asking a few questions I have him roll over on his side, pants down below his hips and a chux pad underneath. I lube up the index finger of my double-gloved right hand and place it in his rectum. Sure enough, I meet some resistance and start pulling out chunks of hard dark brown stool. Again and again I keep digging until finally there’s none left. Using some wet gauze I scrub his bottom clean and then pull his pants back up around his waist. He now feels much better and is ready to leave.
I take a few minutes to offer a sincere apology to my index finger, who wonders what the heck happened as up until then we had been contentedly clicking our way across the internet. Meanwhile, after being kind enough to dispose of the stool-loaded chux the nurse starts emptying cans of air-freshener trying to cover up the smell of poo now emanating throughout the entire department.
No, actually it really isn’t much like the TV show.
May 6, 2008 at 2:24 pm
It was only 0130, not yet the 0200-0400 vaginal discharge and drunk/lac rush. At least by 0300, there is someone screaming at the top of their lungs to break up the silence somewhat.
May 6, 2008 at 3:42 pm
On the bright side, no one got shot in the head at the end of your story.
May 6, 2008 at 3:53 pm
This is why the Hubby won’t watch certain shows or movies with me. He can’t stand it when I critique how things really operate in an emergency situation (for me, firefighting…).
May 6, 2008 at 5:34 pm
No one should ever watch any TV or movie about their profession, without expecting errors.
They, meaning Hollywood and/or TV show producers always get “it” wrong. Regardless of what “it” is. Some come close, but they still miss.
Watch the show, understand that all show are either SF or fantasy and just go with the flow.
May 6, 2008 at 6:33 pm
You mean there isn’t someone constantly brandishing a gun, very attractive models coding, nurses with short skirts, and doctors with perfectly-mussed hair?
Geez, I’ve been fooled all this time!
On second thought, my clinical patient this week had just been given large amounts of kayexalate, and I think that may have changed my preconceived notions about the medical field
May 6, 2008 at 8:41 pm
Bless your heart. I bet you made that guy’s day. My father-in-law was eighty-one and slowly dying of lung CA. I had to drive thirty miles every day or two to do the impaction routine for him. The local ER would have done it, but he was too weak to go there and wait. I guess it is about the first nursing activity we get to do —- luckily we do sort of get used to it, but we’ll never be on TV digging out poo.
May 6, 2008 at 9:29 pm
this is priceless….. It ain’t TV that’s for sure. Patients often comment this isn’t like ER on TV is it? For one thing the doctors are no where near as good looking….hahahahaha
May 6, 2008 at 9:34 pm
Snort! Good post.
May 6, 2008 at 9:55 pm
Excellent post!
May 6, 2008 at 10:36 pm
this is priceless….. It ain’t TV that’s for sure. Patients often comment this isn’t like ER on TV is it? For one thing the doctors are no where near as good looking….hahahahaha
May 6, 2008 at 10:52 pm
The index finger apology was priceless.
May 7, 2008 at 4:03 am
As one of our ED docs once told me, “I don’t watch medical shows because none are anywhere near to real life, with the exception of ‘Scrubs’.”
May 7, 2008 at 1:01 pm
Oh, I love the spam you got above. Nice. (Spammed it, it’s gone)
Someone above said that the doctors aren’t anywhere as good looking and I disagree! Every time I have ever been to the hospital they all have been too good looking to the point that I get sort of flustered because I wasn’t expecting that.
May 7, 2008 at 1:27 pm
Good one. If they really made a medical show that was realistic, no one would want to watch! If “they” only knew that it takes a painfully long time to make the proper diagnosis in most cases and we don’t bark out orders and schedule the OR stat! (I wish…) Great story, enjoyed it.
May 7, 2008 at 7:10 pm
Too true! I remember watching ER several years ago with my cohorts in ICU and laughing my a$$ off!
May 7, 2008 at 9:23 pm
We had Harbor UCLA ER residents rotate thru the VA MICU where I worked in the early 90s. These guys (and occasional gal) were plenty damn attractive. We joked that they should have been on the cover of GQ. They certainly were good looking enough to be on TV. Perhaps part of what made them so attractive was that they were well trained, knew their stuff, could do procedures in their sleep; they put the VA residents to shame. Nothing makes an ICU nurse happier when the intubation/line/resuscitation goes smoothly.
May 8, 2008 at 12:55 pm
ah, the glamorous side of a REAL er. lol
May 10, 2008 at 1:10 pm
I used to watch these shows to come up with examples of bad ACLS, for those taking ACLS.
On ER they have actually dunked a patient’s face in ice water to convert SVT.
If a patient’s heart is beating at a very fast rate, the normal response is to accelerate the respiratory rate to try to maintain oxygenation. Putting the head of a hyperventilating patient under water is likely to produce entertaining results and possibly convert the rhythm. That does not make it good medicine.
If the patient aspirates an ice cube, the fun is only beginning.
I suspect that this would also have a negative effect on the Press Ganey scores.
May 14, 2008 at 11:23 am
Yea, uh, thanks for sharing! But are you as cute as Dr. Kovac???!?
May 18, 2008 at 7:52 am
Loved the juxtaposition of Hollywood and the mundane. I read this out loud to my husband.