Sometimes i really like my job. I just spend so much time trying to get a minute to DO it.
The latest is podiatry calling me. "We saw your patient Mary."
"Her insurance requires that we know the last day she saw you. Can you look that up for us?"
I realize I will never be without work and out on the street.
But I sent a patient to a dermatologist recently because I was pretty sure what he had but he was getting better so slowly and his wife was terribly frightened. I never heard what they said, so I called. "Oh, we sent that report," they said, and named an address they mailed it to - where I worked locums a few months in 1996.
"But I sent you a letter..."
"Oh that goes to the doctor."
I like it that my education can be used to help someone who does not know what I know.
I admitted a 3 yr old this past week. The mom told me that the nurse asked her if I had explained things. Mom got pouty.
"Yes! She tells me everything! Not like the last doctor."
But when I needed to send the three year old home in the midst of heavy snow, I needed to give them a dose of amoxicillin.
Only I am allowed to hand it to the Mom. But only the nurse was allowed to mix it. But she didn't know how, so I told her.
I wasted an hour waiting for a dose of amoxicillin to come up 2 floors, for the nurse to mix it so I could hand it to Mom.
So many rules, so well intended, that conflict with each other, waste time and money and hurt people.
So much frustration from everyone.
I mean, I like what I do but I can't do it. I am too busy doing forms and calling podiatry back and explaining to people I wrote to that my address is on the the top of the letter, and wondering why a pathologist told me a specimen was normal when he printed it out as atypical, and re-doing prescriptions routinely that pharmacists lose and having specialists call me for additional information for people they will see tomorrow but when the patient shows up claiming they have no information at all- when they called the day before.
I put out fires more than I do my wor.
I like my job.
But I wish I could DO it.
Jean Antonucci MD