Really(?!) Don’t mention it….

Posted on October 11, 2007. Filed under: Journal from behind the desk... |

Hmmmm, I was unsure whether to entitle this one:

“Really, don’t mention it” or “Really! Don’t mention it…”

It is a post about thanks…and not things you just don’t want to talk about (e.g.:Bleeding haemorrhoids and the smell of malena – if you don’t know what I’m talking about consider yourself lucky). I’ll let you decide on the punctuation.  Now I know this has been discussed recently,  but after last week I just need to get it off my chest…..

I have to get this off my chest before I explode.

It was one ‘eck of a week. Don’t know why – it just was, come Friday I was begging for a boring UTI or sore throat. (Well a patient with one, don’t fancy one myself!?)

My two extremes that prompted this post were as follows:

1: A young lady presents. She has a chronic history of lower abdo pain, intermittent vaginal discharge, and despite numerous investigations and treatment very little change.  She is to see the gynae consultant in a week.  Her discharge has returned.  I have a chat with her, do a few routine bits and pieces, but essentially tell her that until she has had her appointment there just isn’t much more I can do, the usual treatments don’t help, so I don’t prescribe anything. Not a sausage. I was expecting her to say……

“Well that was a waste of my bloody time! Here I am with the devil’s own festering sputum sloughing it’s way out of my vagina, and you say “oh just hang on a bit…..”.

BUT NO. She couldn’t have been more grateful for my useless consultation. 

Thank you very much….

2: I can’t go into too much detail, but a patient came in asking for a genetic test I’d never heard of, he was asymptomatic, but he stated it was important due to his family history. 

I asked all the doctors and as usually when I say “Hey guy’s I don’t know….”, they say. “Well if you don’t know…..ring the hospital” (AKA We don’t know either).

I spoke directly to a consultant at the local hospital, he said: “Hmmmm” ring the specialist hospital……

I spoke to a specialist, who I have to say was a walking encyclopedia and new exactly what I was talking about….even though I didn’t.  She was lovely, and pointed out that the patient didn’t actually need this test or any other test and the information he had given me…was not correct. 

This between other patient’s took me the best part of the day to sort out, phone call, messages left, returning calls. Doctors don’t just answer the phone! Especially consultants.

My mobile cost’s a bomb!

I rang the patient to tell him what I’d done and found out, and he said, “Oh, OK”

Now I know I don’t do this job for the thanks, if I did I would have no motivation at all, but a tinsy-winsy “ta” might have been nice.  It always seems to be the way, the harder you work the less thanks you get for it! 

On a grander scale it is typical of the health service. Bust our arses trying to do the maximum work with the minimal resource and scarcely get thanks, but one little slip up and you name is on the front of the Daily Jail Mail and you have to hand your gun and badge in….

…perhaps if I didn’t use the gun to stop the patient’s from moaning, I wouldn’t get complaints….

So much bottox, the bullet couldn’t get through?

On the subject of thanks, I’d like to say thanks to the interest I’ve had in the “Nurse Bloggers Lounge” and also for a great big mention by the Moofster on her blog. Complements indeed….


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3 Responses to “Really(?!) Don’t mention it….”

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[…] E. Nurse has something to get off his chest. Find out what it is in Really(!?) Don’t Mention it… After you’ve done that, go immediately to Max’s hangout on Facebook called the Nurse […]

I know what you mean about it being nice to be thanked once in a while.

In general it seems to be the older generation that are grateful and the yoof of today that are “not bovvered!”

I stress the “in general” bit as sometimes the roles are reversed and we get to meet a right cantankerous old git and also meet some charming youngsters.

By the way…I got a comment from Idetrorce which was exactly the same. And I,ve seen the same comment on others blogs.

Take it easy…Kingmagic of Purpleplus.

[…] are you there??”   The ancient art of Javelin catching…     I have in the past commented on thanks…or the lack of.  Well this week I had a hugely grateful patient.  She went down the […]

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