Hey people,
No , I am not Baba Ranchodhdas Chancha bragging. These are little things I learnt in first year of my residency.I've been post poning this post like my wedding plans. But this blog at least will see daylight!
Here it goes
Unless its a skill and you're thinking of ways to improvise on it.
I see . Stabilise a patient. Patient is up for discharge. they're polite , thank me.
I Write down the charges . Send the attendant to the billing, and quietly wait for the after effects! BAM! the rant starts! Aapne kiya kya?
Man ! I made your sick kin my priority, treated him over everybody else when your consultant was busy treating the prebooked 20 cases and had no time for your kin as you landed uninformed from space!
I got the entire Xray machine in the ER for your kin when the entire radiology department was with non emergent cases.
I got your blood evaluated before anybody else! Because Damn! your sick kin was my priority!
I did a quick efast to find what was wrong. I made the specialists stop their routine business to see your sick kin when they had dozens of people waiting for him.
Finally, I triaged and let you in even after having an option to kick you out.
You better be grateful.
Unfortunately, my department taught me good manners. So , I politely say. Sir , ask me justification about the treatment ... why these are priced in certain way , that's not my department.
Being ER physician is like a full time mom! You're trolled for your upbringing , no matter how much you have tried. Now imagine having triplets or Quadruplets ! Hell right, Imagine a polytrauma , seizure , heart attack , cardiac arrest arriving at the same time. You have limited resources, limited help . You gotta manage because you gotta manage... the traumatized family , the anxious attendants , the curious relatives , the ranting staff , the lazy housekeeping , the grumpy attendants, your colleague who will probably turn up late, your temper!
At the end of the day, youre happy , angry , traumatized, sorry , yelled at , appreciated and trolled.
4)You become straight forward , less human to save more human.
You try to hold your nerves , explain the attendants that their loved one died. In midst of the counseling you see a stretcher heading towards the crash area. You excuse yourself and run!!!
If you dont intubate for 2 weeks , then its time to recollect your 7Ps of intubation and drug dosages.
7)Think about 7 things you can do rather than ONE thing you cannot do.
You are amazing. Blessed .Rarest of the humankind. Not even 1% people in the world are as blessed as you are. Not every case requires intubation. If you can manage rest of the 80% cases in the ER in your initial 1-2 year then you're doing decent enough.
Its ok you acquire a skill when you have to , time will teach.
You might have missed something major for a patient. Now the patient has been shifted to ICU. Forget about it after giving the handoff , but make not of it next time.
9)You cannot know everything.
You need not know it either. Thats why need people need doctors, doctors need food , food needs farmers. Relax!
Everybody has an opinion. Giving a deaf ear to them is a sign of arrogance. Listen , weigh pros and cons then do the appropriate thing.
Smile at them. Laugh at them when they yell . Trust me it kills them better than Lysol! Forgive and Forget!
So far so much!
bye!
No , I am not Baba Ranchodhdas Chancha bragging. These are little things I learnt in first year of my residency.I've been post poning this post like my wedding plans. But this blog at least will see daylight!
Here it goes
1)Don't dwell on your short comings
Unless its a skill and you're thinking of ways to improvise on it.
2)A good patient remains to be a good patient unless handed over the bill.
I see . Stabilise a patient. Patient is up for discharge. they're polite , thank me.
I Write down the charges . Send the attendant to the billing, and quietly wait for the after effects! BAM! the rant starts! Aapne kiya kya?
Man ! I made your sick kin my priority, treated him over everybody else when your consultant was busy treating the prebooked 20 cases and had no time for your kin as you landed uninformed from space!
I got the entire Xray machine in the ER for your kin when the entire radiology department was with non emergent cases.I got your blood evaluated before anybody else! Because Damn! your sick kin was my priority!
I did a quick efast to find what was wrong. I made the specialists stop their routine business to see your sick kin when they had dozens of people waiting for him.
You better be grateful.
Unfortunately, my department taught me good manners. So , I politely say. Sir , ask me justification about the treatment ... why these are priced in certain way , that's not my department.
3)Everyday is appreciation cum Troll day
Being ER physician is like a full time mom! You're trolled for your upbringing , no matter how much you have tried. Now imagine having triplets or Quadruplets ! Hell right, Imagine a polytrauma , seizure , heart attack , cardiac arrest arriving at the same time. You have limited resources, limited help . You gotta manage because you gotta manage... the traumatized family , the anxious attendants , the curious relatives , the ranting staff , the lazy housekeeping , the grumpy attendants, your colleague who will probably turn up late, your temper!
At the end of the day, youre happy , angry , traumatized, sorry , yelled at , appreciated and trolled.
4)You become straight forward , less human to save more human.You try to hold your nerves , explain the attendants that their loved one died. In midst of the counseling you see a stretcher heading towards the crash area. You excuse yourself and run!!!
5)Rule#101 : Iron and your skills rust if left unused!
If you dont intubate for 2 weeks , then its time to recollect your 7Ps of intubation and drug dosages.
6)You become the most cubersome patient.
7)Think about 7 things you can do rather than ONE thing you cannot do.
You are amazing. Blessed .Rarest of the humankind. Not even 1% people in the world are as blessed as you are. Not every case requires intubation. If you can manage rest of the 80% cases in the ER in your initial 1-2 year then you're doing decent enough.
Its ok you acquire a skill when you have to , time will teach.
8)Its okay to let go!
You might have missed something major for a patient. Now the patient has been shifted to ICU. Forget about it after giving the handoff , but make not of it next time.
9)You cannot know everything.
You need not know it either. Thats why need people need doctors, doctors need food , food needs farmers. Relax!
10)Believe in yourself more than others.
Everybody has an opinion. Giving a deaf ear to them is a sign of arrogance. Listen , weigh pros and cons then do the appropriate thing.
11) Don't let people walk into your mind with dirty feet .
Smile at them. Laugh at them when they yell . Trust me it kills them better than Lysol! Forgive and Forget!
12) Hungry patient is the worst critic.
These are usually the priority 3 cases , that are going to make you write a million explanation to the HR about your certain action that they didn't like !
13)Those who judge never understand, and those who understand never judge !
14) Give bad news in bits and pieces.
That will reduce the rebound emotional flush flow.
15) Having closed loop communication is the key.
So far so much!
bye!
Very well written
ReplyDeletethank u so much 😀
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