The other week whilst on prac I was in with a stroke patient doing an iniital assessment, when in barged the team of Doctors. They did not acknowledge that I was in the middle of doing something with the patient and rudely interrupted me. Not one word was said to me and they took over the assessment just leaving me standing there like an idiot. I felt partially embarrassed, becuase this showed a lack ofrespect for me, in front of the patient and his family, and quite mad. I couldn't help myself and I just looked at the Doctor in disgust. A few seconds later my facility supervsior walked in as she was coming to watch and assist me to Ax the pt. The Doctor must have noticed me looking at him and asked if I had Ax the pt, I explained that I was in the middle of it and had not completed the Ax. He asked me, with very initmidating body language, what I had found. I was nervous, because I was in front of my supervisor and a whole team of Doctors, but I began to speak, and told him that to start with he was showing signs of left neglect. The Doctor then interupted me mid sentence, and asked me in a rude and condescending voice if I had seen the scans. I hadnt. He then went on to say that I must be wrong because from where the lesion is you wouldnt expect the pt to have L neglect. I then explained why I beleived the pt had L neglect. The doctor disregarded what I was saying and then continued to Ax the pt. I began to doubt myself and thought I must be wrong. After a few minutes the Dr realised that I was right. He admitted so, and then as he went on was discussing his Ax findings with me by the end. I felt relieved that I hadnt made a fool of myself in front of all those people, happy that I was recieving more respect from the Doctor, and a little bit smug that I WAS right.
After the incident my supervisor expressed that I did when dealing with the Doctor, and from then on I've noticed that my supervisor trusts me more and has been giving me initial assessments to do with stroke pts on my own.
This blog was partly to vent a little frustration at the lack of respect for me that the Doctor initially showed and to encourage everyone to be confident with your findings, not to doubt yourselves. This also shows that it may not always be a good idea to look at the scans before you Ax the pt. First of all because the findings from the scans may bias your Ax findings, based on what you'd expect to see from the lesion location, and secondly because the findings on the scans do not always s accurately represent and correlate with the types of symptoms and severity.
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1 comment:
Hey Kelly,
I hear where you are coming from. I think the best thing to do is to stick to your guns and tell the doctor what you think... they're not gods right?! I think you did well not to freak out, especially infront of your supervisor. We had a patient a few weeks ago and we suspected a DVT but the doctor looked at us like we were crazy and wasting his time by him having to order a scan. Turns out she did have a DVT... yep it's nice to feel smug every now and again!!
Ez
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