Emergency Room
cialis = Glorified Triage Nurse?
"What do you want to specialize in?"
"Emergency Medicine."
"So you want to be a glorified triage nurse? lol."
This is a quote that I've posted once before and I think it's an honest response. The person I was talking to online had just got accepted into medical school. He was half joking when he said that (he was intending to go into surgery). And if there's one thing that I've taken away from my (short) time in the emergency room, it's that Emergency Medicine is very different from many other specialties.
The fact of the matter is this: As an emergency room doctor, you do what you can with what you have in the time that you have. Anything more than that and it's out of your hands.
Unlike the majority of other types of doctors, you don't have very much to work with and you have even less time. The fact is that you only have a few hours max to deal with the problems that the patients bring in with them.
Now the emergency room (at least the one I was shadowing in this entire time), has two different "stations" where the doctor operates, depending if how many doctors are there. There is the "front" and the "back."
When working "in the front", all the minor lacerations, contusions, abrasions, and swellings (and all the other fun stuff) gets sent to. It's in this area that an emergency doctor can really see a patient, fix their problem, and send them off "problem solved" with instructions to not hesitate to come right back if things persist or if there are any new problems. It's these emergencies that were kind of fun. It's also in these emergencies that people get the most impatient. I hate to break it to you, but if you go to the emergency room, you're going to be there for a couple hours minimum. That's just the way it is.
When working "in the back", the doctor will walk in, talk to the patient and assess the patient. Depending what he determines (in a matter of seconds or minutes) perhaps order some x-rays or MRIs and maybe prescribe some antibiotics or steroids. More often than not, as a patient in the emergency room, their medical or trauma just can't be solved in a few hours. They'll most likely be admitted into the hospital and a specialist will be referred and take over from there.
And that's about it.
I'm over simplifying, but the fact is that many of the people you see come in with problems and will leave your care for another doctor's care with many of those same problems.
"You do what you can with what you have in the time that you have."
This is true for ER doctors just as it is for every other doctor.
Someone has to do it.
It might as well be me.