Alternate title: Why I hate transfers from band-aid stations.
There are a lot of small surrounding hospitals that are part of our larger system. We receive their emergent or urgent transfers as we have the capability, but the major problem is that a lot of these facilities hire very new, inexperienced physicians to staff their ER. I suspect a lot of them hire residents and pass them off as full-fledged physicians.
ER physician: "Uh, I have a patient that we need to get to your hospital right away."
Me: "What is the problem with the patient?"
ER doc: "They have a creatinine of 9."
Me: "Well, that sounds legitimate. Do they have a history of kidney problems?"
ER: "Oh, uh. Let me ask." *puts down phone* "Yeah, she is on dialysis."
(Side note: creatinine means nothing if you are on dialysis)
Me: "Did they miss their appointment or something?"
ER: "Uh, let me ask." *puts down phone* "Uh, they are supposed to get dialysis tomorrow morning."
Me: "What's her potassium?"
ER: "Her potassium? Um, let me..."
Me: "Just send the patient over."
Nurse: "Why did you take that patient?"
Me: "Because she'd be better off dying en route here than sitting under that moron's care a minute longer."