Comments on: The Hidden Lives of Doctors, Part I: The Art of Signing Out http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/ This blog has moved on to ScienceBlogs - come and check it out! Mon, 26 Oct 2009 12:18:39 +0000 http://wordpress.org/?v=1.5.1-alpha by: Eduardo Bernal http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-2324 Wed, 26 Jul 2006 18:48:01 +0100 http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-2324 Welcome to the Pharmamx.com Family! We invite you to visit us at www.pharmamx.com and find our great medicine prices. We provide serious and first class service to all our customers 24/7. If we do not carry a medicine you need just let us know and we will be more than glad to assist you! To show you our gratitude for past purchases and to offer you one more reason to continue purchasing with Pharmamx.com we are offering a limited time 30% discount included on all our medicines. We will keep on giving you the best price and service in the market. Welcome and enjoy your visit to Pharmamx.com Welcome to the Pharmamx.com Family! We invite you to visit us at www.pharmamx.com and find our great medicine prices. We provide serious and first class service to all our customers 24/7. If we do not carry a medicine you need just let us know and we will be more than glad to assist you! To show you our gratitude for past purchases and to offer you one more reason to continue purchasing with Pharmamx.com we are offering a limited time 30% discount included on all our medicines. We will keep on giving you the best price and service in the market. Welcome and enjoy your visit to Pharmamx.com

]]> by: Chris Rangel MD http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1467 Sun, 27 Nov 2005 03:37:30 +0000 http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1467 When I was a hospitalist in Dallas one my "partners" (i.e. fellow employee) hated being on call for the weekend SO much that her emotions commonly surfaced during my sign-out to her on Friday evening. In my sign-out I try to give as much relevant information as I can least the covering physician be seriously caught off guard. But as I would run down a problem list on a particularly complex patient, my "partner" would interject with "OK . . OK" as a thinly disguised attempt to say "Alright already! I don't give a shit! I'm stuck in hell for an entire weekend and I don't want to have to face that reality until tomorrow! Just give me the names and I'll figure the rest out!" Needless to say, she was not the most pleasant person. When I was a hospitalist in Dallas one my “partners” (i.e. fellow employee) hated being on call for the weekend SO much that her emotions commonly surfaced during my sign-out to her on Friday evening. In my sign-out I try to give as much relevant information as I can least the covering physician be seriously caught off guard. But as I would run down a problem list on a particularly complex patient, my “partner” would interject with “OK . . OK” as a thinly disguised attempt to say “Alright already! I don’t give a shit! I’m stuck in hell for an entire weekend and I don’t want to have to face that reality until tomorrow! Just give me the names and I’ll figure the rest out!” Needless to say, she was not the most pleasant person.

]]> by: Rob http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1451 Tue, 22 Nov 2005 20:33:54 +0000 http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1451 You may have forgotten the Radiologist in the realm of docs who aren't concerned with the well-being of the entire patient. I'm not sure the derm really belongs in that catagory either. Just my $.02. Good post otherwise! You may have forgotten the Radiologist in the realm of docs who aren’t concerned with the well-being of the entire patient. I’m not sure the derm really belongs in that catagory either. Just my $.02.
Good post otherwise!

]]> by: Nick http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1450 Tue, 22 Nov 2005 08:39:04 +0000 http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1450 How about a section called "Famous Last Words" -- so many times, I've heard the following exchange: "Boy, this guy you're describing sounds really sick." "No, no, just check a CBC after the transfusion, trust me, he's tucked away." How about a section called “Famous Last Words” — so many times, I’ve heard the following exchange:

“Boy, this guy you’re describing sounds really sick.”
“No, no, just check a CBC after the transfusion, trust me, he’s tucked away.”

]]> by: GruntDoc http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1448 Tue, 22 Nov 2005 04:08:32 +0000 http://thecheerfuloncologist.blogsome.com/2005/11/22/the-hidden-lives-of-doctors-part-i-the-art-of-signing-out/#comment-1448 Signout is where the majority of EM bad decisions happen, traditionally. We have a pretty good system wherein we write down a lotta info, with an if/then flowchart, so the signed-out-upon doesn't need to recreate the wheel. Judgement, of course, is the key. Signout is where the majority of EM bad decisions happen, traditionally. We have a pretty good system wherein we write down a lotta info, with an if/then flowchart, so the signed-out-upon doesn’t need to recreate the wheel.

Judgement, of course, is the key.

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