Welcome to the ERbook.net:  the Web's foremost site for Emergency Room stories.
Discussing the specialty of emergency medicine, medical school, academic success, and unusual true Emergency Room stories.

Quick Search  
Advanced Search

Site map

Home


My Books

How to get any
book of mine free

True ER Stories

Free download

Love & Lust in the ER


Free download

Fascinating Health Secrets

Weight Loss Made Easy
How to Lose Weight Without Dieting, Drugs, Herbs, Exercise, or Surgery

The Science of Sex

Too many sex books are filled with fluff. This one isn't. Cast away your preconceptions of sex books as being a rehash of things you already know and hence a waste of time. By reading this book, you will learn things that Dr. Ruth and other sexologists have never considered.

 

 

Cancer: Life & Death

 

Gas Saving Tips


My blog

Reviews of other ER books

Contact me

Submit a question

Submit an ER story

Have an interesting ER story?  If I use it, I'll give you a free book.


Question & Answer pages

For more Q & A, see my
www.er-doctor.com site

ER crossword puzzle

Interview with Dr. Pezzi

ER-MCAT

Test your knowledge of ER terms by solving my ER crossword puzzle that was featured in the Prudential Securities Healthcare Group 2002 calendar.  Or take the ER-MCAT to see if you have what it takes to be an ER physician.


My favorite ER memories

Pictures of me

Biography

My personal pages

Including my:
Medical Inventions page
Misc. Inventions page
Snowmobile page

Accelerometer page
Smart Seat page
"If I had a hammer" page
"Sheds I've Built" page
Dremel bit holders page


ER stuff
 ER stuff
A mold to make ER cookies and ER Jell-O!  Or how about a glow-in-the-dark chest x-ray?


My postings on ER forums

ER links

Bad news about Accutane

Amy's Corner

Amy reviews ER computer games

Stop-Burglars.com

Introducing a clever new way to safeguard your home from burglars that is inexpensive, easy to use, and even more effective than elaborate security systems.

 

Tell a friend about this page by e-mail

Recent magazine interviews

Some of my other sites

Do you care if wild animals needlessly suffer and die during wintertime? If so, see www.shelteranimals.org.


Dr. Kevin Pezzi presents an
Interesting essay from a former nurse who is now a doctor

If you're a nurse who thinks I'm being overly critical of nurses, you might want to read this discussion by a person who was a nurse before he was a doctor.  Therefore, he's been on both sides of the fence.


I'm probably wading in pretty deep, but here goes.

Many years ago before I was a doctor, I was an ER nurse.  When I realized that what I really wanted was to take the responsibility for the entire patient, I went to medical school because that's the way things work in this country.  While a nurse, I never felt any "collegiality" with the doctors they had their duties, I had mine, and we both worked for the benefit of the patient.  If they had things to teach me, great.  I was a willing student and learned much.

But familiarity breeds contempt, or at least a "shared equality" which is anything but equal.  In the last few weeks I've had nurses tell me, "I knew you should have intubated that patient earlier," "I knew that patient had a dissecting aorta" (when nobody, including the intensivist, cardiologist, or surgeon knew any such thing), and, when a patient last Sunday suddenly dropped his pressure and went into a-fib, "I thought that was a pulmonary embolism when he hit the door" (with a set of vague complaints which matched absolutely nothing).

The retrospectoscope is a marvelously accurate tool.  Unfortunately, it's of no help in the present tense, and causes mostly resentment if used in the past tense.  I would love nothing more than to be right 100% of the time in the present tense, but that will never happen.  That's why I subscribe to Emergency Medical Abstracts, Audio-Digest, Topics in Pediatric Emergency Medicine, Critical Decisions in Emergency Medicine, Medical Letter, Journal Watch, Annals, AEM, JEM, EM News, etc.  That's why there are well-thumbed copies of Rosen & Barkin, Tintinalli, Roberts & Hedges, Nelson's Pediatrics, etc. on shelves in my ER (and rarely looked at by the nurses, I might add).  That's why our department on-line computer has bookmarks for emedicine, eMedHome, NEJM, BMJ, Pub Med, NCEMI, etc. (if I can get access to it, in which case the comment is "There's Mark...playing on the computer again").  That's why I am active in Emergency Medicine organizations at the local, state, and national levels.  That's why I'm on this list . . .

. . . and that's why my malpractice insurance runs about $30,000 / year, because I can never be right 100% of the time.

I've worked with some damn good nurses whose opinions I've learned to respect and trust, but they had to earn that trust.  I expect to earn trust and respect from nurses in the same manner.  But this malarkey about "Listen to the nurse, because the nurse knows" is hard to swallow.

And yeah I wasn't going to say anything, but this IS a topic which needs to be discussed.


Incidentally, when I wrote to request permission to quote him, the author of the above discussion wanted anonymity.  His reason for that is quite pithy:  "Anonymous only, please, but you may quote.  Remember Rule #1 of the ER:  1. Nurses can hurt doctors far worse than doctors can hurt nurses."

He's correct about that, and fear of retribution has kept many doctors from speaking out against nurses even when nurses have made serious errors.  Why can doctors be so cowered?

Rule #2 of the ER:  There are always a lot more nurses than doctors.
Rule #3 of the ER:  Nurses occasionally fight amongst themselves, but if there is discord between a nurse and a doctor you can bet your last dime that the nurses will band together to assail the doctor.
Rule #4 of the ER:  Cognizant of the above, ER doctors bend over backwards trying to avoid conflict with nurses.

Believe it or not, but I'm not anti-nurse, nor are most doctors.  Physicians are generally appreciative of the work performed by nurses and we give respect when it's due.  Personally, I can think of several nurses that I hold in such high esteem that I think their faces should be chiseled into Mount Rushmore alongside those of Presidents Washington, Jefferson, Roosevelt, and Lincoln.

I received this e-mail from another doc who used to be a nurse:

I was a nurse for ten years before I became a doctor.  While I was a nurse, I often thought I knew just as much as the doctors, and so did many of the nurses I worked with.  Then I went to medical school.  Let me tell you, it was hard . . . REALLY hard.  If I'd known as much as I thought I did, I guess it wouldn't have been such a challenge, right?  Having been both a nurse and a doc, I know what nurses know, and I know what doctors know -- and I know there's a world of difference between them.  So, Pez, I have to say I agree with you that doctors do know more.  In retrospect, it's amazing that anyone would doubt something so obvious.  This probably won't set too well with your readers who are nurses, but I have one thing to say to them:  go to medical school, and THEN tell me you really think nurses know as much as docs.

Back to the book reviews

 

ContactMeFree is a dream come true for anyone involved in online dating. If you have your profile posted on a personals site but don't pay for a membership, you know how limited you are in terms of being able to send or receive messages. You probably assume that those limitations disappear if you pay for a membership. Guess what? You are still far more limited than you realize. Frankly, if you knew how limited you were, you would be furious that the personals site was charging you $20 to $50 per month and still keeping the shackles on you! The person who created ContactMeFree was so outraged by those limitations that he decided to do something about it. So he did!

You know that writer's block you get when you sit down to write the essay portion of your personal profile for online dating? And you know the difficulty you have trying to think of a catchy headline? Well, MyProfileWriter allows you to create a profile essay and headline without typing, just by clicking!


Copyright © 1995 – 2011 by Kevin Pezzi, MD • Terms of use