I’m taking a break from my usual silence (I think i’ve flogged the welfare crackwhore/dumbshit patient enough) to comment on a few important points. Social sites and you.
Thats right, Facebook, Twitter, etc and the drama/flak they cause (as well as the laughs).
I want to start with a story. When I was a lowly intern, I was at a very large hospital being the beating-boy for the medical team comprised of a few residents, an attending, myself (go pharmacy!) and a dietitian (wtf?). We were examining a scrotal hydrocele case that was admitted. The attending flings back the curtain, and the guy is laying there with his legs spread, and what looked like 2 large grapefruit between his legs. The attending said “HOLY SHIT THOSE ARE THE BIGGEST BALLS I HAVE EVER SEEN”. I laughed, the other residents were stone-faced. The patient looked at me and the attending laughing, got a sense of pride in his crotch-fruit, and laughed. He completed the exam (including one of the residents who really wanted to stick a needle in them) and left. The most senior resident said as we were walking the halls “THAT WAS THE MOST UNPROFESSIONAL EXAM I HAVE EVER SEEN”. The attending, in true Dr Cox style, said “Listen, you need to laugh or you’ll go crazy, sure it was off-color, but thats what makes us relate to the patient in a way that makes them feel not like they are some rat on an exam table”. The patient, after his nuts drained and looked like prunes again, personally gave his thanks to the attending to making him feel like ‘one of the gang’. Word got around the hospital about the nut-of-the-year award, and although no names were dropped and not personal information was given out, it was something that pharmacy and medicine could open dialog about.
Thats one of those lessons that you can’t be taught in a classroom.
The second part of this rant is some Twitter drama involving @mommy_doctor and (although a valid point) a bullshit article written by DrV. Realize that I follow a lot of MD’s, mostly from the ER who say some pretty damn funny things regarding their profession. Much like myself, they give an insiders look at really goes on in the world of medicine. In fact, I view these angry doctors with a ton of respect, mostly because they make us in pharmacy realize that we’re not alone in dealing with idiots; and their sense of humor/rants about their job makes them (in my eyes) someone who you can hang out and have a beer with.
Before I go further, let me explain about @mommy_doctor (herein known as m_d). I’ve been following her for a few years now. Shes an anesthesiologist (obviously she is a female, hence mommy). Her job is rough. She puts her ass on the line day in and day out to save people. She deals with surgeons, scared patients, and is a really really stand-up woman. Her tweets are funny, usually clean, and show how much she cares. She gives us an inside look at the crazy mixed up hybrid of pharmacy and medicine. I view her with a huge heaping of respect and admiration for doing what she does on a daily basis.
Anyways, I got a major case of blue-balls when I saw that link, because I immediately thought that ole @BurbDoc was under fire for one of his many hilarious (and totally true) tirades about the unwashed masses. However reading the holier-than-thou rant just got me pissed off. I really wasn’t pissed off at the whole concept, but at the bullshit cliquish high-school drama that took place in the realm of Doctors.
First off, DrV, in an article about the lack of ethics, decided to copy/paste screen-captures of the tweets of @mommy_doctor treating a priapism case, one that she obviously felt empathy and sorrow for. The tweets weren’t crass, funny, or even note-worthy. However the MD fanboy population decided to textually masturbate themselves about how unprofessional this was. Mind you these seem like the MD types who will DAW-1 everything, not give you the benefit of a clarification, and refuse to speak with pharmacists. You know, the MD’s that us as pharmacists HATE dealing with.
Rather than using the text as an example (and blurring out the name), he unethically decided to just drive the bus over her and publish the tweets unedited. Ironic that in an article about unprofessional behavior, he commits an unprofessional act by doing something that she obviously had the moral-high ground to not do. Pin something to an individual vs a concept/idea. In the comments he stated “Regarding outreach, I don’t engage anonymous people.” So wait, you dont engage anonymous behavior except when it benefits your argument? How does that work?
Second: This whole clusterfuck over something absolutely stupid makes me realize how much MD’s are gunning at each other. How quick and petty they are to nail someone on the cross over something that (in the grand scope of whats out there) a non-issue. Yes, she made a joke about pripiasm, but I’m sorry, dicks are funny, and a 36 hour boner (although a medical emergency) is going to get SOME reaction. If I had a boner for 36 hours, after the 10 tubes of KY jelly and the absolute destruction of my wifes vagina, I’d painfully tweet about it on my way to the ER. If she were a male would this be an issue? Of course not. @BurbDoc doesn’t get thrown under the bus for the outrageous things he says, but her being a female the rules were obviously changed. How unprofessional.
This is the same sort of shit that Scrubs is made of. Do the masses think doctors are “unprofessional” after watching Scrubs? Do they think that House is unprofessional? No! If the doctor is anonymous, and writes a few crude humor lines on a medical condition that could happen to say, ANYONE, whats the harm? The poor gal was probably on call, stressed out, and wanted to get some sort of outside reaction from a case that us, anonymous internet medical people, would get a chuckle about. Do I feverishly check all of twitter about the patient with a horrible case of hemorrhoids the moment I leave the doctors office? Of course not! The humor on twitter could happen ANYWHERE, yet the MD population thinks that it can be narrowed down to ONE office out of 10000000 in the United States (if she is from there) instantly.
I’ll be blunt here. Voicing your frustration means you care. Your patients aren’t perfect, their conditions aren’t perfect, and sooner or later you are going to have to blow off some steam and vent to those who are in the trenches with you. If you just saw patients, collected your paycheck, and went home without a care in the world, you dont care about your patients because they didn’t have a personal impact on your life. The world is far from perfect, and yes, I bitch about crackwhores/welfare/shitty state of pharmacy because I do care. I do care about those abusing the system or the crackwhore mother who obviously cares more about her early norco refill than her child who is ignored. I can’t solve the worlds problems and that gives me frustrations. I bleed the relief valve on twitter and on here to keep myself from going insane. Burnout is huge in the medical world, and if we; the faceless medical community from all races, specialties, locations, etc, are unable to joke, laugh, and support each other then thats just going to separate US from our patients. All of us have been the butt of jokes, all of us are patients in one form or another but as long as nobody is singled out and no harm is done (intentional or unintentional), whats the harm?
But what do I know, to these MD’s im just a fucking pill counter who gets yelled at because Solodyn is 500 bucks and the patient cant afford it.
Oh, and to close this off, heres an awesome twitter quote: If I had a 36hr priapism and Dr. V was attending, one thing’s for sure: There’d be two prominent dicks in the room.
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