tag:blogger.com,1999:blog-31146535.post4043871327765588849..comments2023-09-19T11:02:50.976-04:00Comments on Ob/Gyn Kenobi: Annoying Thingsdr. whoo?http://www.blogger.com/profile/10315615480530297472noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-31146535.post-52424033129534731052009-02-01T12:59:00.000-05:002009-02-01T12:59:00.000-05:00Hi Ashley, bless you for working the ER, because t...Hi Ashley, bless you for working the ER, because to me, it is the ninth circle of hell. However, in my post, I was specifically referring to the patients in whom there were no findings...including no ovarian cysts. <BR/><BR/>Nevertheless, even when there are no radiologic or physical findings, certain physicians will still just assume that the problem has to be "female" in nature. ie "All your tests are negative, so you must have had a cyst rupture." A fine point, I know, but that really gets my goat. Keep fighting the good fight, and thanks for reading.dr. whoo?https://www.blogger.com/profile/10315615480530297472noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-86083524951940388892009-01-31T23:09:00.000-05:002009-01-31T23:09:00.000-05:00This is way late, but I thought I'd comment on the...This is way late, but I thought I'd comment on the whole cysts thing. In the ED we are, unfortunately, required to WORK UP those phone calls you get. Yes, they show up at our door and we have to make sure they are not gonna die. Women often get a pelvic u/s (r/o ovarian torsion, ectopic) which turns up cysts. The radiologists report, of course, always reads that this should be followed. Thus, we have to relay that to the patient. Or be responsible for breaking some great chain in the diagnosis of (yet another) ovarian cyst. Also, when we're done working them up (no appendicitis, no UTI, no gallbladder disease, no ectopic, cyst on ovary) we like to give them an idea of what MAY have caused their pain. If we tell them, "Don't know what caused it, sorry, see your doctor" they get all pissy when they get the bill and then our Press-Ganey numbers come back crappy. You know what that means? Well, amongst some of my friends that can mean that their contract won't be renewed. Yup, they'll lose their job over a few shitty PG comments.Ashleyhttps://www.blogger.com/profile/10805744649826929349noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-55056899271058716232008-09-10T15:29:00.000-04:002008-09-10T15:29:00.000-04:00I have always wished that my Doc could bill for ph...I have always wished that my Doc could bill for phone calls. He always calls me with test results as soon as they are in! I understand. I am a consultant and even bill for the time driving to a client - you deserve better!!!Unknownhttps://www.blogger.com/profile/03934761842884494348noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-89027988585344415232008-09-08T18:20:00.000-04:002008-09-08T18:20:00.000-04:00you will appreciate this!http://www.youtube.com/wa...you will appreciate this!<BR/>http://www.youtube.com/watch?v=uiA4RIWUMTkAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-28631848843166961892008-09-07T14:53:00.000-04:002008-09-07T14:53:00.000-04:00Everyone at some point has a list of legitimate gr...Everyone at some point has a list of legitimate gripes. It's lovely that you have found a place to let it out!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-49914287353377576472008-09-05T20:02:00.000-04:002008-09-05T20:02:00.000-04:00carrie ann, I remember a book about a minister's d...carrie ann, I remember a book about a minister's daughter who said that "Daddy called the people who really annoyed him, 'also a child of God.'" It does help me when people are really on this FP's case to recall that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-51235855333219073662008-09-05T06:00:00.000-04:002008-09-05T06:00:00.000-04:00Seriously.You need to publish that and have passed...Seriously.<BR/>You need to publish that and have passed out as required reading before all routine prenatal and gyn patient exams.<BR/><BR/>takingheart.blogspot.comTaking Hearthttps://www.blogger.com/profile/11582706569774851613noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-40243767590575272612008-09-04T19:29:00.000-04:002008-09-04T19:29:00.000-04:00Doctors have the right, just like anyone else, to ...Doctors have the right, just like anyone else, to get annoyed and frustrated. I will soon be entering full-time ministry. People do similar things to church workers. They forget that ministers also have families and other obligations People want to be respected and treated well but forget that others want to be treated the same way. <BR/><BR/>Dr. Whoo, best wishes in your upcoming transitions. I pray that your new job will be more supportive and a better fit.Carrie Annhttps://www.blogger.com/profile/17723411880249670376noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-50714115403219371212008-09-03T17:06:00.000-04:002008-09-03T17:06:00.000-04:00I hope that your next career move is OUT of medici...I hope that your next career move is OUT of medicine - you sound incredibly fed up and angry. I hope I never get a doc as burned out as you sound. So sorry that you find that some of your patients do not fit into your ideal. What would that be? Low-need, already knows everything about their condition, pretty much just needs you to write a prescription or something? Gee, maybe not everyone knows what you do - perhaps it's your job to educate them. Or is that also NOT your job?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-57074406248687448902008-09-02T11:25:00.000-04:002008-09-02T11:25:00.000-04:00Shout out to doctors who still take call and answe...Shout out to doctors who still take call and answer the phone and put up with all kinds of crap while everyone else is relaxing! Hope you get a day off to compensate!<BR/><BR/>I worked Memorial Day and my own parents couldn't understand why I was so grumpy and wanted to be a hermit the entire weekend. <BR/><BR/>We need more like you to set us straight!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-48725777961172548632008-09-01T23:03:00.000-04:002008-09-01T23:03:00.000-04:00As a psychiatrist, I find this the most annoying:"...As a psychiatrist, I find this the most annoying:<BR/>"Doc, I can't asleep, I don't know why, I take a few naps during the day, I don't know, maybe seven hours total? But I just can't sleep at night. Can you give me some Ambien?" <BR/>Good grief! Get a job! Stay awake during the day!Just mehttps://www.blogger.com/profile/15431890182148979589noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-65066170029817015142008-09-01T12:54:00.000-04:002008-09-01T12:54:00.000-04:00I am enjoying your blog (I'm a new arrival to it)....I am enjoying your blog (I'm a new arrival to it). As a CNM, I can totally relate to some of those obnoxious phone calls, not just from patients but also from staff nurses, i.e. "your patient had lates for ten minutes but they went away after I changed her position and the strip looks great now" at 3am. Um, thanks.<BR/><BR/>Anyway, keep up the good fight, or at least keep blogging as I enjoy it!Ciarinhttps://www.blogger.com/profile/01265859556543021100noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-69162595106170924602008-08-31T20:33:00.000-04:002008-08-31T20:33:00.000-04:00Hey now, no picking on the lawyers :) Just kidding...Hey now, no picking on the lawyers :) Just kidding! Your level of patience must be ten times higher tham mine to put up with those kinds of phone calls. I am rarely tracked down at home and if I am it is usually a friend of a friend gave me your number situation. My pediatrician actually does charge more for after hours / weekend visits. I doubt this would do much to discourage those who are going to abuse the system anyway though.<BR/>Good luck with all your transitions. I had major angst when I decided to go solo, but it was the best thing I ever did and in hindsight I should have done it a lot sooner.<BR/>Amy in OHAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-79182115659035824812008-08-31T17:03:00.000-04:002008-08-31T17:03:00.000-04:00One of the OB's I work with said that she got a ca...One of the OB's I work with said that she got a call on a Saturday night about 2 a.m. from a drunk college student who thought she might have a developed a UTI a few days ago. Why she thought it would be a good idea to call her MD at 2 a.m. is beyond everyone. I feel for you guys.Nurse Lochiahttps://www.blogger.com/profile/07137987823813922532noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-57075309824607567402008-08-30T21:38:00.000-04:002008-08-30T21:38:00.000-04:00ESPECIALLY the ones who want you to change their d...ESPECIALLY the ones who want you to change their diagnosis so insurance will pay for the visit. Whaddya want me to do, make up a problem? I'm an FP and have had to convince people before that there is such a thing as a physiologic cyst (yes, of course you have a cyst, everybody who ovulates gets these about once a month). PS I think men who come with their partners for their pelvic exams are just plain creepy and I have discharged a couple from my practice because they just gave me the creeps so bad.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-28165612161481240062008-08-30T21:17:00.000-04:002008-08-30T21:17:00.000-04:00oooh, I hear you. I am a surgeon, and I once got ...oooh, I hear you. I am a surgeon, and I once got a call at 2 am from a patient who had had a hernia repair a few days before...he and his girlfriend had just noticed that his left nut was higher that the right, but before surgery it was the other way 'round. and just the other day I had a guy come in for a hemorrhoid consult, whose wife came in the exam room with him...I don't argue if he seems ok with it, but I'm sorry, that is weird.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-41563204690989586282008-08-30T20:08:00.000-04:002008-08-30T20:08:00.000-04:00Also add the people who demand you change their di...Also add the people who demand you change their diagnosis so their insurance will pay for their visit. (code problem visit instead of Annual)<BR/><BR/>Also add people who have stinky feet (don't they realize their feet are right by our noses during an exam) I think you should do a whole post on that topic..... perhaps we could even get awareness bracelets :)RH+https://www.blogger.com/profile/14572908723231120951noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-73035104924405642122008-08-30T16:04:00.000-04:002008-08-30T16:04:00.000-04:00You keep me aware of how I need to be respectful o...You keep me aware of how I need to be respectful of my doctors whether OB or other. Respect, patients want it, but so do doctors.<BR/><BR/>Hope you GET a good weekend off soon!<BR/><BR/>Blessings!<BR/>Dawn<BR/>ps. can you believe my baby girl is almost one Sept.13th? We're still nursing, and she's walking already!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-2577468494521631682008-08-30T14:49:00.000-04:002008-08-30T14:49:00.000-04:00oh yes yes yes. especially on the inane pages. as ...oh yes yes yes. especially on the inane pages. as a family practice doc, lordie, the pages. <BR/><BR/>"my child has a 100.5 degree fever and I am terrified. Oh, you say that's not an emergency? Well, can you tell me everything there is to know about vaccinations while we are on the phone?" at 2:30 in the morning, I think not. Real caller, I assure you. <BR/><BR/>or this one: "my 2-week baby has had a fever for 2 weeks. I decided this is an emergency on Saturday afternoon, and I have a pediatrician appointment for a 2-week check on Monday." Turned out they were taking rectal temps (at. every. diaper. change. which I think is borderline child abuse) and *adding* a degree to the thermometer reading, thus decided that the 99.9 temp that resulted was a fever that required my attention. And she would not believe me that 4 years of medical school qualified me to tell her that she was just converting the temp wrong. I swear, I was on the phone for 45 minutes with this idiot. <BR/><BR/>Yeah, I get your bitterness.Lizardhttps://www.blogger.com/profile/01718844284081950852noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-12002313923050514702008-08-30T11:29:00.000-04:002008-08-30T11:29:00.000-04:00I love my OB, actually all of my docs. Reading yo...I love my OB, actually all of my docs. Reading you has given me such a greater appreciate for all of them!!<BR/><BR/>I used to feel terrible about calling during my pregnancies when I didn't feel the baby move or had a little spotting and it was midnight. Now, I feel terrible for you and all obs who have to deal with abnormal breast size at 1 in the morning!!<BR/><BR/>I can see why all of this annoys you!! I'm so sorry!! That stinks!!<BR/><BR/>Vent AWAY!!Anonymoushttps://www.blogger.com/profile/07859054715459355896noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-21952449722652595232008-08-30T10:38:00.000-04:002008-08-30T10:38:00.000-04:00I can't believe how ignorant some people are. Bot...I can't believe how ignorant some people are. Both about their own bodies and about behaving with an iota of common sense.Colleenhttps://www.blogger.com/profile/17935365838959104217noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-46826764872513817092008-08-29T23:15:00.000-04:002008-08-29T23:15:00.000-04:00YES YES YES on the ovarian cyst issue. A few year...YES YES YES on the ovarian cyst issue. A few years ago Contemporary Ob/GYN had a cover showing an ovary with the headline "Ovaries Make Cysts for a Living". Wish I had framed a copy, maybe one in each exam room. From what I hear from the patients, it would be news to the ER docs and referring docs that ovaries actually produce cysts as part of their NORMAL physiologic function. The belief that an ovarian cyst is significant pathology is rampant. Oh, well, plenty of opportunity for patient education! Thanks, Dr. W!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-32163665813946116832008-08-29T21:38:00.000-04:002008-08-29T21:38:00.000-04:00My goodness, do men really do that? WOW. Glad I ha...My goodness, do men really do that? WOW. Glad I haven't dated one of those...<BR/><BR/>Thanks for the post. Hope things get better soon!!Ceciliahttps://www.blogger.com/profile/06901613446334304832noreply@blogger.com