Thursday, August 11, 2005

PMS

Those who know me well will tell you I am known for my moodswings. Monthly down-in-the-dumps, Touch-me-and-die sonofab*tch moods. Anyway. I suppose I started like that today.
With that disclaimer out, I swear I'm not really an asshole of a doctor. I'm not usually this judgmental.
Just got a bit irritated by some of the patients today.
People with severe peripheral arterial disease. Foot ulcers. Not surgical candidates. Failed arterial flow-pump therapy. Failed angioplasty and stenting. Transcutaneous oxygen saturation of 12 in the foot. Dropped to 5 on elevation. So much for wound healing potential.
Ulcers look like a meditteranean pizza topping; yellow-red with bits of olives (black from the dry gangrene).
Now almost demanding that we refer them to the vascular surgeons here for consideration of a bypass.
Except, they choose to remain smoking. Knowing all too well that that would impair wound healing.
Perhaps I was a wee bit too judmental. But come on. How can you expect your physicians to work miracles when you refuse to help yourself? Just cos we're a big medical center doesn't mean we can do anything. Quit wasting my time; if you don't wanna help yourself, don't expect others to wanna bend over backwards to help you.
I have other patients to look after.

4 Comments:

Blogger Tinkerbell said...

I learnt a very important life lesson from 7 Habits of Highly Effective People. It is this :

Focus within your own sphere of influence. Anything beyond that is the weather.

You simply cannot allow the weather to affect your emotional wellbeing.

8:52 AM  
Anonymous huajern said...

I feel the same towards those bloody idiots too. Dont worry, you are right at getting pissed off with them.

6:39 AM  
Blogger PaulOS said...

ouch.. the picture looks like it really hurts.. darn it.. scary

7:14 AM  
Blogger Flatfeet said...

this is my favourite pic.....;>can i help to debride it?

6:12 AM  

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