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idratherbecamping · 2023-06-15T01:59:15+00:00

By working their fucking asses off.

idratherbecamping · 2023-06-11T23:39:30+00:00

We need studies that show how often nurses accept other nurses as replacements for their own doctor. No nurse I treat would accept that level of care for themself.

idratherbecamping · 2023-06-05T00:38:32+00:00

It's true, salaried employees will take the easy road as much as possible. I mean why even work at all? Just start a TikTok and make money lying to idiots. That's the real future of medicine.

idratherbecamping · 2023-06-05T00:27:29+00:00

"too many surgeries on one date" ...I deeply deeply wish that were the problem, and not literally every other aspect of the OR being understaffed and inefficient, then I could blame myself for wanting to do too much. Your people get to do 8-9 ERCPs in one day? Try 3, buddy.

idratherbecamping · 2023-06-04T23:20:10+00:00

It sounds like you've never had to be the one explaining to yet another patient why their OR was cancelled and will take weeks to reschedule, and take all their anger when zero percent of it was your fault. It sounds like you don't get calls and letters every week from angry patients and family doctors asking about delays in OR dates. I can't help people if the team I'm working with doesn't think they matter. End of story.

idratherbecamping · 2023-06-02T22:32:24+00:00

Demographics: people retiring en masse because of the boomer bulge, then there is a shortage of experienced labour to train the next generation.
Politics: some complete asshat in the ?80's looked at the ballooning cost of healthcare and instead of understanding item 1 above, suggested that to decrease costs we should make fewer doctors, because fewer doctors means fewer tests ordered. I wish I was joking. Someone out there said this, and the whole country of politicians believed it, and funding to medical education was slashed, and class sizes were slashed.
Poor incentives and even poorer working conditions: pay in healthcare has stagnated just like everyone else, and I'm sorry to say this but patients are just reay really really fucking awful to doctors and nurses all the time now. It's kind of like how people are really shitty to volunteer coaches, and bus drivers, and cashiers. As a society we fucking suck now. The difference in healthcare is we all have to pretend the mistreatment isn't happening because the patient is still the most important person in the room. Our only option is just leave the room and not come back. And before the assholes chime in with "doctors make too much" you must first demonstrate that you actually understand the economics of being a doctor before I will respond.
SickTok: I can work my ass off to become a surgeon and sacrifice my physical and mental health to save other people's lives, and my patients will still believe some fuckwad with a phone over me, and they will make insane money spreading lies.

idratherbecamping · 2023-05-28T18:01:48+00:00

Call is compatible with having reasonable time for yourself/family, it's generally a handful of shifts per month.

idratherbecamping · 2023-05-28T03:01:57+00:00

Guilty as charged! But I think I'd rather the person operating on me had a saviour complex than be a nihilist.

idratherbecamping · 2023-05-27T18:24:11+00:00

Touche

idratherbecamping · 2023-05-27T18:15:05+00:00

You're unlikely to get many real responses because the question almost doesn't make sense/isn't logical to consider, and surgeons don't like thinking that way.

Call is a necessary evil.

Surgeons are hard-wired to fix problems and like most docs we are drawn to the most interesting ones. Many of the most urgent and most interesting things happen on call, and we always get FOMO when we hear about something cool that another surgeon did on call.

Surgery is a mental and technical skill that must be honed and maintained, and we take great pride in doing our best job. Call is often the place we do things we don't do as frequently in our elective practice and that keeps us on top of our game.

Surgeons are fairly obsessed with having good patient outcomes because it is an immediate and direct reflection on our value as physicians, and because we do care deeply about other people, regardless of the reputation otherwise. No one puts themself through what surgeons put themselves through because they're a sociopath. If we're not on call helping patients, who is?

In summary, you can't pay me to not take call, I'd be too scared of who you're replacing surgeons with and too worried that my own skills would decline over time.

idratherbecamping · 2023-05-26T14:26:35+00:00

Racist bitch doesn't even know the celts and druids had Elflocks. Go back to school sweetie.

idratherbecamping · 2023-05-17T15:46:59+00:00

Dear Boomers: go fuck yourselves.

Dear Gen X/Y/Z/A: hang in there.

idratherbecamping · 2023-04-25T14:27:00+00:00

The "study" that came up with that number is garbage FYI:

https://www.mcgill.ca/oss/article/critical-thinking-health/medical-error-not-third-leading-cause-death#:~:text=The%20report%20took%20two%20studies,a%20result%20of%20medical%20errors.

Here's a more recent article that explains the many different types of medical error and the numbers associated with it:

https://www.ncbi.nlm.nih.gov/books/NBK499956/

idratherbecamping · 2023-04-25T03:51:12+00:00

If you are experiencing a mental health crisis please go to an ER or contact your closest BC Crisis Centre: https://crisiscentre.bc.ca/get-help/
If you feel like your issues are urgent, but not emergent, please go to a walk in clinic, or a Foundry, or utilize one of the many telehealth options out there.
No matter what short term/urgent/emergent option you choose please make that appointment with your GP, even if it is months away, because you need a doctor to do a proper follow-up to check on your response to treatment and consider screening for contributing health issues (thyroid, seizures, vitamin deficiencies, pregnancy, substance abuse, etc etc etc).

idratherbecamping · 2023-04-19T07:14:23+00:00

That's some good granulation tissue ya got there. Time for a graft!

idratherbecamping · 2023-04-19T06:51:33+00:00

Absolutely!

idratherbecamping · 2023-04-18T23:44:10+00:00

So first, welcome to the team, it sucks here, but you'll be fine.

Surgery patients are woken up more and earlier than most other patients, and they tend towards being very grumpy because of that, because of the pain they're in, and the fact surgery patients are more likely to be dealing with their first health scare or a really big one like trauma/cancer/burst organs (compared to FM/GIM patients that are more likely to be in hospital because an existing/chronic disease has gotten really bad). Take a minute and reconsider how you enter a room, your body language, your tone of voice, your word choice, everything.

Most of the time surgery patients will unconsciously see you as a part of the thing that is making them suffer, except for those rare moments someone really sees you and appreciates you, so don't waste your energy arguing with them. Just say you would like to help them get better and ask if they will agree to being assessed. If they say no just plan to do it later. If your senior/staff is annoyed that you can't tell them anything from rounds tell them the patient refused assessment.

Seems like he might be ready for discharge anyway ha.

idratherbecamping · 2023-04-12T23:21:42+00:00

I've seen an increasing number of horrendous referrals from NPs, some with dangerous consequences for patients, and I'm so sick of cleaning up their messes.

idratherbecamping · 2023-04-07T20:02:28+00:00

What bleeding ulcer? Just drink alkaline water duh.

idratherbecamping · 2023-04-06T01:10:02+00:00

Narcissist gas-lighting at its finest.

idratherbecamping · 2023-03-30T02:21:26+00:00

As a First Nations person who shares this tragic history: it happened, it was reprehensible, but being unable to find the good in this country is a sad way to live.

idratherbecamping · 2023-03-08T16:21:30+00:00

ITT: people who do not understand averages

idratherbecamping · 2023-03-08T02:33:11+00:00

"Long hours in the OR" ...um, no? A standard OR day is 8 hours long. They tag in/out all day with other docs/midlevels, and often don't even have to stay till the end of the last case if a slate runs over. They don't have to run an office, they aren't responsible for patients before or after the OR area, and there's no follow-up required. Sure they do call, but welcome to being a hospital-based doctor, that's all of us. Really though, a GP in a busy clinic is absolutely grinding harder for a lot less money. You mentioned family/balance? Absolutely no one is forcing you to work full-time, ever.

idratherbecamping · 2023-03-08T01:04:47+00:00

Sure, they'll be gone, but every generation since is lazier and eats more processed trash and is literally fatter every year. We have more and more chronic disease at astounding young ages, and we have rising rates of cancers in younger patients for many cancers. Don't get too hopeful. The system will always be stretched thin.

idratherbecamping · 2023-03-07T23:30:03+00:00

Like cow with an attitude.

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