Friday, January 23, 2009

The Know-It-All

More proof that just because you have the title Dr before your name or MD after, you don't know EVERYTHING (much to the resident's dismay!)

I had an ER resident argue with me about a little old lady with a head bleed. I did a neuro exam on her.... prior to consenting and doing the checklist for an MRI. I told the resd that she was expressively aphagic and that I was going to contact her husband to help with the MRI checklist. The resident said "oh, she's just a little confused" and wanted me to go ahead with the checklist.

To quote one of my favorite TV characters..... "HOMIE DON'T PLAY DAT!"

I may have spent a year in neuro hell.... but I KNOW my neuro patients and my exam findings. I don't want to take crap from a 3rd year resident who would probably kill the patient if left to her own devices.


Anonymous Anonymous said...

Maybe the patient was just hungry. Aphagia will do that to you.
I'm kidding! Love your blog.

12:58 PM  
Blogger GingerJar said...

Like they think the hubby won't know the wife's history???? Love your blog too, hope you get a little air-time soon, I know that's your first nursing-love.

8:51 AM  
Anonymous Mike said...

Isn't it amazing what happens when folks let a little bit of knowledge and a title go to their head. As with residents there are a number experienced nurses who do the same thing.

I have to admit I do take pleasure watching them when they realize they are wrong. A humbling experience for sure.

10:36 PM  

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