Comments on: Another description of Emergency medicine

By: mark Rabold

mark Rabold — Sun, 12 Mar 2006 12:32:50 +0000

As John Wayne said, “Life is hard. Harder if you are stupid”!

By: ds

ds — Thu, 09 Mar 2006 16:34:05 +0000

Gardener gets 4 fingers amputated when he puts his hand in the lawnmower to loosen up an obstruction. Recovers, goes back to work, comes back into ER a few weeks later, mowing grass again, grass gets stuck in mower, he puts his finger stumps into the obstruction….amputated further down.

By: In Stitches

In Stitches — Thu, 09 Mar 2006 01:30:31 +0000

Guy checks to see if his snow blower is still running by sticking his foot into the intake. Loses several toes.

Guy checks to see why the hose at the gas pump isn’t delivering, by sighting down the nozzle. Gets face full of gasoline. Classic x-ray showing air/gasoline level in maxillary sinus.

Guy decides to rub ears with Ben-Gay to “keep them warm” on his delivery route on a -10 degree Minnesota morning. Gets frostbite of the ears.

C’mon. You can’t make this stuff up!

By: Greg P

Greg P — Thu, 09 Mar 2006 00:21:55 +0000

Not an ED doc, but it seems to me it’s not quite funny. Sort of like its creator is working the shallow end of the comedy gene pool.
But if you think that’s not funny, then maybe the original isn’t either.

By: Big Al

Big Al — Wed, 08 Mar 2006 17:15:25 +0000

LOL

Save me a front row seat when you get there Eric!

By: Eric

Eric — Wed, 08 Mar 2006 00:45:15 +0000

Actually, the remark is not far from the truth. No not all ED visitors are stupid, but a fair number of them are.

Job Security
Cigarettes and booze, cars and
Speed – you call, we haul

The ones that are stupid, though are usually too stupid to die! (I’m probably going to hell for that one…)

By: JERRY

JERRY — Wed, 08 Mar 2006 00:41:49 +0000

The news says there is a 4-5% unempoyment rate. Half of my patients are unemployed. Many can’t give an address or phone number nor do they know their social security number.

In the last week I have taken care of a guy that was stuck in a chimney, a lady who smoked meth and drank two 24′s then climbed a ladder to trim a tree and degloved her entire arm when she fell, as well as countless DUI patients, 500 lb hertensive diabetics who don’t take their medication. Recently a husband “goosed” her wife up the ass with a air compressor as a gag and exploded her colon and left her with a colostomy.

Yes, I am a lifeguard in the shallow end of the gene pool.

By: TheNewGuy

TheNewGuy — Tue, 07 Mar 2006 22:14:16 +0000

The two best teachers are pain and loss of money, so mistakes that land one in the ER should theoretically double the learning potential. That said, it’s not the people who make mistakes that are frustrating, it’s when people repeat their mistakes.

2nd or 3rd DUI crash?
Stabbed for the second time, by the same GF, for cheating on her?
Shot while dealing drugs (again)?
Still doing meth despite being badly burned when their prior lab blew up?
The state taking abused child after abused child from the same mom?
Second or third motorcycle accident with no helmet/leathers?
16yo pregnant with her fourth child (and can’t care for the ones she already has)?
Umpteenth ER visit for GC/Chlamydia despite being counseled over and over on how to avoid it?
Repeated ER visits for cocaine-induced chest pain?

Sometimes “shallow end” isn’t that far off the mark, but that’s not where the frustration comes in. I think the frustration is taking your time, doing your best for somebody, exposing yourself to liability, having a heart-to-heart with a patient, only to have them go out and do it again.

It’s no mystery to me why some docs get to the point where they just go through the motions, and don’t really care that much. It’s a defense mechanism, just like any other. It can be difficult to draw that fine line between caring enough to be compassionate, yet not caring so much that the disappointment and frustration become a burden.

By: Goat Whacker

Goat Whacker — Tue, 07 Mar 2006 21:34:40 +0000

Everyone who shows up in the ER is not stupid, but there are a great number who are there because they or someone else did something stupid. I’d also have to say one of the reasons I left emergency medicine was because of the nature of the patients I was continually faced with. Not very PC I guess.

By: Eric Berger

Eric Berger — Tue, 07 Mar 2006 18:55:25 +0000

Allen,

Perhaps I’m a little to grounded in the media world, where we have been accused on more than one occasion of being too politically correct. But the term “shallow end of the gene pool” implies to me that everyone who shows up at the ER is stupid.

I may not necessarily disagree with the sentiment, by the way.

In any case, you do a great job here and I enjoy reading.

Eric