thinkertdm Posted March 2, 2020 Share Posted March 2, 2020 On youtubes recommended list this morning was a zdog episode that involved an md (as a patient) and their experience in the ed: https://youtu.be/vCWkX4YO5Vw Apparently the pa in the story could have done things better. I only watched about ten minutes, and their experience reflects interaction with a single pa. I don't have much to offer in terms of commentary, but I'm not sure if singling out a pa is particularly fair. My PE was missed by two mds and an np, doesn't mean shit. I tend to not watch zdog (even less now). 2 Quote Link to comment Share on other sites More sharing options...
mgriffiths Posted March 2, 2020 Share Posted March 2, 2020 (edited) 1 hour ago, thinkertdm said: I tend to not watch zdog Yeah, I used to watch pretty regularly, but honestly a lot of his recent stuff seems more and more whiny to me. I think a lot of his stuff from several years ago was great, and I definitely like his video on "moral injury." But he recently put up a "reckoning" video about he is done just taking money from hospitals to be a speaker to motivate without any change...I don't think I've seen a significant change. But I definitely do enjoy going back and watching his docvader stuff...those are gold. Edited March 2, 2020 by mgriffiths 1 Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted March 2, 2020 Moderator Share Posted March 2, 2020 Well, I like how Zdogg said “then the doctor came back, and they can be worse than anybody.” This lady is an idiot. She thinks she has meningitis and she’ll just go home. Sorry, that doesn’t happen with meningitis. She also at some point tells her friend that dropped her off that maybe she’ll just get some fluids and I’ll be fine. How was that different from the PAs plan? When her migraine didn’t get better with the cocktail, would she have been sent home? Did she let the PA exam her before sending her out? Sometimes I tell people what I’m thinking is this looks benign, to help them relax, and then I do an exam. Certainly could have been the situation here. Lastly, how does she not consider bleed in the differential if she’s so GD smart? I could tell any fresh 2nd year PA student “HA maximal onset <1min” and with no other data list ICH in the differential. Seems like zdogg had a decent idea, but this elitist LA doctor who goes to birthday parties in Vegas for famous chefs is just on her high horse 1 Quote Link to comment Share on other sites More sharing options...
thinkertdm Posted March 2, 2020 Author Share Posted March 2, 2020 2 minutes ago, LT_Oneal_PAC said: Well, I like how Zdogg said “then the doctor came back, and they can be worse than anybody.” This lady is an idiot. She thinks she has meningitis and she’ll just go home. Sorry, that doesn’t happen with meningitis. She also at some point tells her friend that dropped her off that maybe she’ll just get some fluids and I’ll be fine. How was that different from the PAs plan? When her migraine didn’t get better with the cocktail, would she have been sent home? Did she let the PA exam her before sending her out? Sometimes I tell people what I’m thinking is this looks benign, to help them relax, and then I do an exam. Certainly could have been the situation here. Lastly, how does she not consider bleed in the differential if she’s so GD smart? I could tell any fresh 2nd year PA student “HA maximal onset <1min” and with no other data list ICH in the differential. Seems like zdogg had a decent idea, but this elitist LA doctor who goes to birthday parties in Vegas for famous chefs is just on her high horse Precisely. “You know, it sounds a lot like (benign sounding thing here), but to be on the safe side, let’s get a ... opens the door without freaking the patient out. Quote Link to comment Share on other sites More sharing options...
mgriffiths Posted March 3, 2020 Share Posted March 3, 2020 15 hours ago, thinkertdm said: Precisely. “You know, it sounds a lot like (benign sounding thing here), but to be on the safe side, let’s get a ... opens the door without freaking the patient out. I've learned to just state the most worrying possible diagnosis that might fit just one of the symptoms taken out of context, without even looking at or examining the patient of course, to ensure they know I'm super smart and am worried about their health and to make sure they follow through and actually do what I am telling them to do... (I really hope the sarcasm is obvious, but sometimes it seems like this is what is needed) Quote Link to comment Share on other sites More sharing options...
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