RaceMedic Posted October 23, 2011 Posted October 23, 2011 How do you change your thing from like EMTCity Freshman to something else ? I want it changed to "Resident Hypocrite" ...
flamingemt2011 Posted October 23, 2011 Author Posted October 23, 2011 Wow, over 3,000 views, but only 20 responses (by only 3-4 members). Come out of the bushes folks !
Chief1C Posted October 23, 2011 Posted October 23, 2011 I tell my patients they need to lose weight and cut out jink food, right after i scarfed down a quarter pounder, fries and a coke. How about smoking ? you smoke and tell your patients they need to quit ? I mentioned alcohol. Do you drink? you know thats bad for you. i bet you also tell people they need to not drink dont you? I can do all that at the same time, while drunkenly tripping over the rug just inside my mud room door. If that were a patients house, I would lecture them on the dangers of throw rugs. 80% of falls in the home are attributed to throw rug use. But I'm still going to pick myself up and neatly situate my Philly Phanatic rug for the next time I stumble in. (true, but supposed to be funny)
RaceMedic Posted October 23, 2011 Posted October 23, 2011 HAHAHAHAHA.... exactly my point... He is calling me a hypocrite, so i was just demonstrating how we all are hypocrites Race
DwayneEMTP Posted October 24, 2011 Posted October 24, 2011 I think part of the issue Flaming is that you're unwilling to discuss the issue. People are not interested in spending their time to reply only to be fodder for you to restate your original opinion with additional exclamation points. I know that that is why I'm not participating any more. I showed you the respect of pondering your questions, spent significant time creating what, to my little pea brain, was a thoughtful response, and then you showed me the disrespect of simply ignoring it, and the next one too. Address some of the comments in an adult manner and I think that you'll find that many more people will want to participate. Dwayne
flamingemt2011 Posted October 24, 2011 Author Posted October 24, 2011 There is a reason that things are done the way that they are done despite your need to try and wrap the entire process up into a healthcare wide system designed exclusively to protect stupid medics. And if I believed as you claim to, though I doubt actually do, I would still follow the process based on the likelihood that a gazillion years of moral/ethical/educated/committed Drs and nurses and psychologists and philosophers before me have likely come up with a better plan than I'm able to based on a few years of EMS service. Dwayne Fair enough Dwayne, you imply that the current system is not broken, because you divulge your mistake to a Doctor or Nurse, who then buries the mistake in the ER. I would state that is a very broken system. How did you feel when the whole Ford Explorer / Firestone Tire thing was going on ? How do you feel when you hear that 50 people across the US die from a food-borne infection, and upon inspection the feds find a plant that is horribly unsanitary ? Why should our mistakes be treated as "special" versus any other industry, especially since lives are on the line. Again, I am not asking you to admit when you did something that causes no harm and is minor, I am talking about real mistakes. I can give you a real life example; my fatherinlaw when into a clinic for a simple non-life threatening procedure, and was perfectly healthy. 2minutes into the procedure he is in cardiac arrest, due to the physician pushing an air embolus into his body during the procedure. Their initial story was that it must have just been a freak heart attack, only after pushing the cardiologists in the ICU did we finally learn about the embolus. The Doctor never admitted to his mistake, nor apologized. If I did not have the medical training that I have, I would have believed that freak heart attack crap like my relatives did. That is your idea of a system that works, Health "professionals" covering for other "professionals" (term used very loosely).
DwayneEMTP Posted October 24, 2011 Posted October 24, 2011 I've never claimed that the system was perfect, never in fact even hinted at that. Only that it is better than anything that I can come up with with my microscopic view of the issues. You want to explain the elephant to the patient yet you've only touched the ear. And if you're a professional, and have the training to understand what happened to your father in law that allowed an air embolus to kill him within two minutes, I'd love to hear the physiology behind that. And why was a perfectly healthy person undergoing a procedure? Particularly a procedure that would cause/allow an embolus of that size? Again man, it's cost/benefit, like everything else. We MUST have reporting if we're going to have improvement, and we won't have reporting if every tiny error comes with a lawsuit. Also, we'll never have aggressive providers willing to do what they think is best to provide the best care. Because being aggressive means that sometimes you're going to screw the pooch when you work alone. We've all said that over and over. Why do you insist on continuing to queer the conversation by pretending that people are arguing for hiding life ending errors? Could you PLEASE quote for me where anyone has claimed that that is legal, moral, ethical, or has their support. And if you can't do that, then stop making shit up to pretend that you have a point, ok? Enough bullshit Flaming. I'm sorry about your father in law. But shame on your for trying to make his death another reason that the world is against YOU. News flash hotshot, the world doesn't revolve around you. You are arrogant, delicate, childish, and completely full of shit sometimes, but all of that combined doesn't make you the center of the universe. And you know why all of this pisses me off? Because I believe that you can do better, but you instead choose to take the crybaby's way out hoping that someone is going to come running to you to hold your hand. If you need to cry about your father in law, say so. We've got a bunch of wonderful, softhearted souls on this board that have a terrible habit of coddling those that just want to whine but don't want to grow. If you want to debate the issue at hand, then lets do that. But stop trying to do one while pretending to do the other, ok? Alright...Let's try again. Please quote from the posters that, as you claim, have made the argument that it's good to hide life ending mistakes in order to protect other medical providers. And/or, and this should be easier yet, make the argument from my posts that I believe that the system is perfect. Thanks you for your participation. Dwayne
flamingemt2011 Posted October 24, 2011 Author Posted October 24, 2011 He didnt die, he amazingly survived despite his healthcare professionals best attempts. He had kidney stones that were too big to pass. Instead of having them blasted, he opted for a procedure where they insert some kind of tube and drain them out, we never found out the exact way the embolus was introduced (through medication or part of the procedure to dialate the kidney), since no one would own-up to the mistake. But the cardiology team agreed that there was no MI or any other ailment that would have caused sudden cardiac arrest. And as liberals usually do, when you have no arguement founded in logic, you insult the person. So I ask you, in Dwayne's or anyone else's world, what scientific or moral formula do you use to decide if your mistake is worthy of reporting or not ?
akflightmedic Posted October 24, 2011 Posted October 24, 2011 Having been treated myself for stones, I found the procedure described interesting enough to read up some more on my own. http://ehealthmd.com...-stones-treated I had no idea they would actually cut into the kidney, I thought it was always sound waves, laser beams or basket removal (which I had)...regardless, the cutting part does not sound very minor to me but meh...I am no kidney specialist. How do they know it was an air embolus, was it still present? Where was it located? Did they pop the bubble?
flamingemt2011 Posted October 24, 2011 Author Posted October 24, 2011 They did not find an "embolus", but all of the tests performed ruled out everything else. It occured shortly after "air" was injected into what they thought was the kidney (guessing), but was also not long after sedation was administered. Again, hard to say when you can't read the chart, assuming the truth was documented. Of course, he is old and trusts his doctor, so he never sued to find out what really happened.
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