Comments on: Doctor knows best http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/ My parents left their Mark on the world, and that would be me. Fri, 04 Jul 2008 12:25:42 +0000 http://wordpress.org/?v=MU By: Markie http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1043 Markie Sat, 22 Mar 2008 15:52:17 +0000 http://markontheworld.wordpress.com/?p=142#comment-1043 Well put eJane. Well put eJane.

]]> By: eJane http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1042 eJane Fri, 21 Mar 2008 05:26:05 +0000 http://markontheworld.wordpress.com/?p=142#comment-1042 Sometimes I think we, as healthcare providers, enable these "frequent flyers". They know how the system works and how to take advantage of it. However, pain is what the patient says it is, right? What really gets me is that these patients are taking away insurance dollars from other deserving patients. If healthcare was black and white, we could draw the line somewhere ... Sometimes I think we, as healthcare providers, enable these “frequent flyers”. They know how the system works and how to take advantage of it. However, pain is what the patient says it is, right? What really gets me is that these patients are taking away insurance dollars from other deserving patients. If healthcare was black and white, we could draw the line somewhere …

]]> By: Markie http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1040 Markie Mon, 10 Mar 2008 04:22:12 +0000 http://markontheworld.wordpress.com/?p=142#comment-1040 I agree Jane. I've seen similar stuff from MDs who write an order and disappear for 24 hours. They're not there to witness what they just allowed/enabled/encouraged. I agree Jane. I’ve seen similar stuff from MDs who write an order and disappear for 24 hours. They’re not there to witness what they just allowed/enabled/encouraged.

]]> By: seejanenurse http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1038 seejanenurse Fri, 07 Mar 2008 21:22:58 +0000 http://markontheworld.wordpress.com/?p=142#comment-1038 I happen to see alot of enabling action--I think that promoting self care is one of my biggest goals for many patients. I also see alot of MDs "giving in" to patients demands to avoid confrontation--especially when it comes to pain control. Some patients have it all worked out, ie: Patient: Get my doctor on the phone. I am allergic to Morphine, percocet, toradal, all NSAIDS, I need Dilaudid in a PCA pump with Dilaudid 2mg per hour. I also need a fentanly patch, a nicotine patch, xanex tid. I refuse to get out of bed to the commode can you bring me a bed pan? No we can not cut patients off but I think that some of the enabling should be cut off--to do what is really best for the patient. I do not know. I am still so new at this 1 year now but I think that sometimes the MDs are big pushovers when it comes to manipulative people, and as the nurse you do not want to look or feel like the big meany. I happen to see alot of enabling action–I think that promoting self care is one of my biggest goals for many patients.
I also see alot of MDs “giving in” to patients demands to avoid confrontation–especially when it comes to pain control. Some patients have it all worked out, ie:
Patient: Get my doctor on the phone. I am allergic to Morphine, percocet, toradal, all NSAIDS, I need Dilaudid in a PCA pump with Dilaudid 2mg per hour. I also need a fentanly patch, a nicotine patch, xanex tid. I refuse to get out of bed to the commode can you bring me a bed pan?

No we can not cut patients off but I think that some of the enabling should be cut off–to do what is really best for the patient.

I do not know. I am still so new at this 1 year now but I think that sometimes the MDs are big pushovers when it comes to manipulative people, and as the nurse you do not want to look or feel like the big meany.

]]> By: Change of Shift: Vol. 2, Number 18 // Emergiblog http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1037 Change of Shift: Vol. 2, Number 18 // Emergiblog Thu, 06 Mar 2008 07:21:51 +0000 http://markontheworld.wordpress.com/?p=142#comment-1037 [...] Mark on the World waxes poetic about one of my favorite artists - Norman Rockwell and wonders when “caring” crosses the line to “enabling” as patients dictate their own care in Doctor Knows Best. An artistic, and interesting post. He’s looking for opinions - what’s yours? [...] [...] Mark on the World waxes poetic about one of my favorite artists - Norman Rockwell and wonders when “caring” crosses the line to “enabling” as patients dictate their own care in Doctor Knows Best. An artistic, and interesting post. He’s looking for opinions - what’s yours? [...]

]]> By: Markie http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1036 Markie Tue, 04 Mar 2008 18:36:55 +0000 http://markontheworld.wordpress.com/?p=142#comment-1036 Thanks for coming by! This topic is very close to my heart. I'm still not sure exactly what to think about a lot of it. Markie Thanks for coming by!

This topic is very close to my heart. I’m still not sure exactly what to think about a lot of it.

Markie

]]> By: keepbreathing http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1034 keepbreathing Tue, 04 Mar 2008 18:25:17 +0000 http://markontheworld.wordpress.com/?p=142#comment-1034 Yeah, it's a sick world. I often feel like my day's work at the hospital could be better completed by simply setting fire to a Brinks truck full of money. It achieves the same thing but in much less time! Well said, Markie. Yeah, it’s a sick world. I often feel like my day’s work at the hospital could be better completed by simply setting fire to a Brinks truck full of money. It achieves the same thing but in much less time!

Well said, Markie.

]]> By: *applause* « Respiratory Therapy 101: Just Keep Breathing http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1033 *applause* « Respiratory Therapy 101: Just Keep Breathing Tue, 04 Mar 2008 18:24:22 +0000 http://markontheworld.wordpress.com/?p=142#comment-1033 [...] Medical Blogs, asinine, medical ethics, medicine, nurses, opinion. trackback Markie, over at Mark On The World, has been thinking. He asks a question that I have been asking myself for ages: Seriously, if a [...] [...] Medical Blogs, asinine, medical ethics, medicine, nurses, opinion. trackback Markie, over at Mark On The World, has been thinking. He asks a question that I have been asking myself for ages: Seriously, if a [...]

]]> By: Markie http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1029 Markie Sat, 01 Mar 2008 06:24:50 +0000 http://markontheworld.wordpress.com/?p=142#comment-1029 Yeah, I was a bit surprised too. It all kind of falls into the “when do we draw the line” thing. Should a person with lung transplants be ineligible for another set if they smoke? Markie Yeah, I was a bit surprised too. It all kind of falls into the “when do we draw the line” thing. Should a person with lung transplants be ineligible for another set if they smoke?

Markie

]]> By: dara http://markontheworld.wordpress.com/2008/02/29/doctor-knows-best/#comment-1026 dara Sat, 01 Mar 2008 02:07:22 +0000 http://markontheworld.wordpress.com/?p=142#comment-1026 Seriously? Lung transplants for smokers? I don't even know what to say. Seriously? Lung transplants for smokers?

I don’t even know what to say.

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