Posted by sdb on December 27, 2007, at 12:42:19
In reply to Re: Silly Doctors!/Ace » stargazer2, posted by ace on December 25, 2007, at 11:06:11
> > I agree with you Ace about going to the ER. I have treated myself at home with Nifedipine and avoided going to the ER, although I advised my husband to call 911 if I went out or something bad happened.
> >
> > Hospitals don't know alot about many things around here (Yale) unless you have a GSW (gunshot wound). They love the excitement of trauma and other more routine maladies get ignored or misdiagnosed in the ER. So avoid them at all costs. MAO treatment will not even register on their radar screens. I went to a highly recommended pdoc at Yale and when I mentioned Nardil his eyes glazed over. He had no clue about doses or anything, his focus was ketamine and research based psychiatry.
> >
> > I do take offense to your comment about inept nurses, since I am one of the more ept ones, based on my background (med-surg, ortho, managed care, psych, homecare), education (BSN) and training (Boston).
>
> Apologies that you took offense. However, while I stress that I feel that some nurses are wonderful, there are quite a few out there who are very inept, who taint the profession.
> I feel some Nurses do not have have enough empathy, and the wrong motivations to be in such a job. You can't learn empathy and love directly from a textbook that's while I feel concern the new generation of nurses.
> Other nurses have a palpable 'nurse-doctor' syndrome. Especially psychiatric nurses from what i have seen. I have seen some actually telling patients what their problems are, and how to cure them. This is absurd, especially in the face of psychiatric illness. They seem to love the (illuion of) power they have over patients.
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> But, this certainly does not apply to ALL nurses...like I stated, some are lovely and wonderfula at their jobs.
>
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> My father was almost killed by an inept MD, when they ordered Haldol for someone on Sinemet, so anyone in the ER can mess you up from the highly esteemed physician to the low paid and unskilled assistants, who made my life as a nurse a living hell.
> i am sorry that your father had that experience.
>
> Physicians are taught with a lot more rigour than nurses and assistants- at least that is the case at the University of Sydney and University of NSW.
> It is inherent in their training and I have seen it. However, this would obviously differ from country to country. Doctors in Australia are indeed held in high esteem/social status here, whereas Nurses and other hospiatal personelle do not share this. This is just a usual silly human situation in my opinion. All I can say is that Doctors go through very stringent tests here- both of a theoretical and practial nature.
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> One aide told me she was trained to get a BP, using a cuff on the forearm and not the upper arm. Also, anytime I checked a BP after an aide took it, it was not even in the same ballpark. So the chain of events in the ER can be incorrectly managed by anyone involved in a patient's care.
> >
> > God help us when all nurses are less educated and trained, as they are quickly moved through a system that is based on numbers of positions to fill not the education, intellignece and training of the candidate.
> >
> > Many excellent nurses have left the profession for a variety of reasons. It is a thankless job, but the motivation for many today is money, which was never there years ago,when I started out.
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> I agree very much with both the above paragraphs- you make good points, and it is good you are airing them!
>
> > Only recently has the pay increased to fill a demand for nurses but this is not the best reason to go into a field that has to have strong compassion and people skills, besides techinical knowledge.
> >
> > My last job in nursing confirmed the continuing decline of a profession that has stooped to fill positions with individuals that are motivated by money. Many nurses didn't understand why I would talk to the psych patients. Figure that one out. By talking with them you just created more problems for yourself, or so that was the rationale behind that comment.
>
> This is very much the same with doctors here too. My GP (I don't see a psychiatrist...not anymore!) and me were speaking about this. he is quite old now. A very good doctor. He stated that too many med students are going into the job for all the wrong reasons- money, prestige etc. He said most don't realise it is not as glamorous as it seems and it involves some messy work. This doctor also agreed with my sentiments with regards to the amount of unethical, diturbed psychiatrists. And he has known a lot of them in his years. Actually he stated that he rarely meets any stable psychiatrists- and one psychiatrist he knew well, who appeared very well balanced, warm and caring, ended up shooting his wife, two children and himself. I here about psychiatrits suicides' a far amount through my uni. It's a problem.
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> > Like I said before, God help us...Merry Christmas and the best advice I can give all of you is "heal thyselves".
>
> Very true...Responsibilty must start with oneself. Even if this means that one is responsible to seek out help from others.
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> > Still on Nardil 45 (down from 60 a week ago). All my doing, my pdoc is just an observer and advisor of sorts, but he is amazed with my ability to go beyond and figure things out for myself. Especially after my history with TRD, treated since 1985on every psych medication known to man.
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> It doesn't suprise me that you are good at figuring things out yourself- you are very insightful.
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> Stick with Nardil- you must know I feel strongly about this strong. i truly hope it works miracles in you life.
>
> And everything I expressed above is my opinion...please feel free to disagree- anyone!
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> > Stargazer
>
> >
> You take good care!
> Ace:)
>I think you are right saying you can't really learn empathy. I would like to state that studying medicine is very costly in many countries. A lot of people in the so called 1st world could never afford it. They introduced entrance tests to medical studies which is a failure in my opinion. A doctor really does not need to be a genius. I agree with tirone here:
http://50plus.com/display.cfm?t_offset=2&libraryID=106&cabinetID=323&documentID=5789
poster:sdb
thread:802272
URL: http://www.dr-bob.org/babble/20071225/msgs/802911.html