December 1st, 2009 by Bongi in Better Health Network, True Stories
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A comment on my previous post by undead doctor, reminded me of another story about a lift in the old academic building in the old hospital.
Every morning all the registrars, medical officers and interns in the surgery department would meet in the boss’ office for a report on the previous night’s activities and to deal with whatever other administration had to be taken care of. After this meeting the day’s work would begin. The surgery department was on the seventh floor of the academic building. The lifts in that building were fairly small, so we did what any normal surgeon-type would have done in our situation…we tried to see exactly how many people we could cram into the lifts on the way back down after the meeting. As it turns out the lifts couldn’t take more than thirteen. I know this from the time we crammed fourteen into one lift and it got stuck between floor three and floor four. Read more »
*This blog post was originally published at other things amanzi*
November 27th, 2009 by Dr. Val Jones in Humor, True Stories
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Sometimes it’s hard to know what kind of doctor you’d like to become. The first two years of medical school are devoted to memorizing text books, and then suddenly in third year you are expected to function as part of a team of different specialists, rotating at 2-6 week intervals. At the end of the third year you’d better have a clear sense of what kind of medicine/surgery you’d like to practice for the rest of your life. No changing your mind! (At least, that’s how the process is supposed to go.)
I asked a physician friend of mine how he came to choose family medicine as a career. I expected him to say that he liked the autonomy of figuring out conundrums on his own – to take care of the entire family and be there for them throughout the life cycle, etc… But what he actually told me was a little unexpected. Read more »
November 12th, 2009 by Bongi in Better Health Network, True Stories
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I thought of not telling this story at all. Recently when it was in the news here it seemed wise to rather bury it altogether. But it is something I experienced and, after all, this blog is about my experiences, so…
Six years in a department gives you enough time to do a few things that can be legendary (like this story). This was one that most at the time thought was one. However, at the time it impacted me on a different level.
The surgery department had a fairly intensive academic session every Tuesday. The highlight was a discussion delivered by one of the registrars on some or other topic. He was required to reference the absolutely newest literature and the standard was very high. It was a big deal. Most guys spent a few months putting their talks together. Read more »
*This blog post was originally published at other things amanzi*
October 29th, 2009 by RamonaBatesMD in Better Health Network, Health Tips
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Flipping through the 1908 textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD I found at an antique store last month, I came across the section on ingrown toenails. The causes of ingrown toenails were much the same as one hundred years.
This is a condition in which the edge of the nail, usually of the great toe, by its too close contact with the flesh beneath causes irritation, ulceration, or suppuration. There has been much discussion as to whether the nail or the flesh is the more at fault. This discussion is without profit. It is much better to study the normal conditions, and see what can be done to restore them. Read more »
*This blog post was originally published at Suture for a Living*
October 15th, 2009 by Happy Hospitalist in Better Health Network, Opinion
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Over at the WSJ Health Blog, some academic docs, such as hospitalist Dr. Wachter are suggesting just that.
Punishments such as revoking privileges for a chunk of time tend to be used for administrative infractions that cost the hospital money – things like failing to sign the discharge summaries that insurance companies require to pay the hospital bill. By contrast, hospital administrators may just shrug their shoulders when it comes to doctors who fail or refuse to follow rules like a “time out” before surgery to avoid operating on the wrong body part.
Docs and nurses who fail to follow rules about hand hygiene or patient handoffs should lose their privileges for a week, Pronovost and Wachter suggest. They recommend loss of privileges for two weeks for surgeons who who fail to perform a “time-out” before surgery or don’t mark the surgical site to prevent wrong-site surgery.
This couldn’t have come at a better time. At Happy’s hospital there is a massive witch hunt to crack down on not signing off verbal orders within 48 hours. This has nothing to do with patient safety. It has everything to do with meeting the requirements of CMS so the hospital does not lose their funding. Read more »
*This blog post was originally published at A Happy Hospitalist*
A comment on my previous post by undead doctor, reminded me of another story about a lift in the old academic building in the old hospital.
