Psychiatrist at big regional hospital: “The patient is not medically cleared”
Me: “Yes he is, I wrote in in the chart. “Cleared for psych admission”"
Psychiatrist: “No, he has a sodium of 130″
Me: “That’s no big deal. He’s been around that level for over a year”
Psychiatrist: “Well, his EKG is abnormal”
Me: “It always is and he has no chest pain”
Psychiatrist:” There is some blood is his urine. He might have renal cancer.”
Me: “Are you f***ing kidding me?”
Psychiatrist: “What? It could be a major medical problem for him.”
Me: ” Who clears the patient, me or you?”
Psychiatrist:” You”
Me:” I cleared the patient. Take him NOW”
Psychiatrist:”Fine. But if he dies, it’s your fault”
Me:”If you die, it will be my fault because I would have killed you”
Update several days later. I guess my tone of voice has had a positive effect. I managed to “convince” the same doc to take another psych patient without a completely unnecessary Neuro consult.
Aren’t there days when you could just choke these imbeciles ?~!
Him: If he dies, it’s YOUR FAULT.
You: Omnipotence FTW!
What a lazy ass.
Psych doc needs to go back to school…??
yes! haha!
We had a patient finally excepted to a psych hospital, only to have them return him to us the next day for “Hypertensive encephalopathy” for a BP of 140/90 !!!!!!!
Only the VA is worse at accepting transfers.
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