Internal medicine

I don't see surgeons taking a lot of crap and i don't see the attendings taking a lot of crap but residents and interns in IM do take a bunchload of crap. Surgery residents do take crap. Patients in the hospitals are so rude these days, well at least down here they are, it's sad they're crying about people going to specialty. I mean who wants to put up with an uneducated hiv, hepatitis drug seeker who insists on getting dilaudid?!

Doctors work hard to get where they are. Years of med school, crazy years of residency, putting up with insurance companies and meditech afterward makes me think they deserve every penny they get. The whole entitlement attitude from patients here is one that makes me want to go into a special where i don't have to deal with family members or patients themselves.

My heart goes out to nurses on these medical floors who have to put up with the bulk of the nasty attitude. I mean a resident only takes part of the crap if they decide to come up and see the patient. The nurse on the other hand is constantly on the floor and has to put up with peoples nasty attitude. For example, i've six patients, 3 primary cares, and i've joints i need to wash up and get in the chair in the morning. In order words, i'm overworked, stressed out and i have to put up with nasty attitudes. I wonder what would happen if med/surg nurses went on strike? Maybe the patients would learn to appreciate them? I doubt it!

I had a nasty patient last night, who just got on my very last nerve. He yelled at my charge nurse and i just had to walk over from the next room to tell him to not yell at us because we're trying to help and he doesn't own any of us. That shut him up for a couple of hours, then he started acting up again. 31 y.o male with HIV, Hep C, IVDA hx, all that crap along with the most nasty attitude. I pity the desperate female who has to put up with sight of him, let alone his attitude. The ER nurse couldn't stand him, the resident just said he's nasty and i think he's a pitiful thing. I guess the only way for him to gain some form of control is to yell at anyone when making any demands.

I respect everyone who works in the US health system, putting up with law school and other non-medschool graduates legislating healthcare in whatever way they seem fit. It's these same patients who eat the fruit of their actions. The sad thing is that there are those who are grateful and appreciate the help and sometimes, they make it worthwhile.