The patient wants to start a conversation with me, and I feel guilty, but I'm so burned I can't even crack a smile. My wife says I should be happy to do this, because I get paid to dole out stuff that's not needed. But even that doesn't do it for me any more. I just feel so pointless when I'm working like this.
Every room I go to, every doctor I talk to, every nurse I talk to, I keep coming up with ideas for my blog. A doctor says, "I want to change that QID treatment to Q4 around the clock." Why? I just got done doing a treatment on that patient, and he was neither short of breath nor wheezy nor dim. WT?.
A nurse comes to me and says, "I need you to give a treatment to the lady in room 33245234."
"Because she's wheezing."
"Is she short of breath?"
"No, but she sounds bad."
"She always sounds bad," I say.
If I walk away now the nurse thinks I'm lazy. I once got written up because I didn't do what the nurse wanted. So I go in the room and find a patient sleeping in no distress with an audible wheeze. I say to the nurse, "If it's audible, it's not bronchospasm. It's a cardiac wheeze. It's in her throat."
But this is the 3,343,343,342,563,645,754 time I've explained this to this nurse, so I know this information is going to bounce off her gray matter like a rubber ball on cement. So I do the treatment.
(Trust me, most nurses aren't this way. Although when you're burned out is always (generalization) seems that such annoying nurses come out of the woodwork).