There is this thing in the ER that everyone knows about. It’s the on-call list. It means that we’re supposed to call the on call person if the pt is unassigned unless they or their PMD requests someone else.
HOWEVER, we may occasionally go off the list for various reasons. If we have a choice, it’s usually because a certain MD is nice to us and makes themselves available to us. Or because a certain MD is a complete arrogant asshole, grossly unethical, or incompetent.
Basically, if you are nice to us, we refer you the nice, normal, insured patients. If you’re a dick, we’ll either only call you when you’re on call for uninsured or we’ll send you the insured nut-jobs or whiny pts. with Fibro, CFS, or chronic pain.
Have fun with that. Be nice to us next time and we’ll send you the cherries.
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Feb
Of course, this way you’ll end up making the ass-holes even more dickish :) Well, that’s life, I guess.
I can’t wait to be out of academic medicine, or at least in hospital without residents where they push back as hard as they can about every fricken admission. It will be nice when people acutally WANT to have patients admitted to their service.
Lots of decent people without insurance…..laid off, downsized, etc. Why penalize them?
They are not penalized. They get whoever is on call regardless.
CFS and Chronic pain is just as real and needs just as much, if not more, tender and helpful care as anybody. My dear friend with severe and out of control crohn’s disease, for example, would back me up on that. I would back me up on that, and I don’t even suffer from either.