Good for you for standing on your principles, but sorry for the result. I didn't forsee these particular negatives when they began putting hospitalists in place. Yes, I was upset that I wouldn't have access to my pulmonologist (of 23 years at this point), if I ended up in the ICU. That still upsets me. But this new paradigm of hospitalis…
Good for you for standing on your principles, but sorry for the result. I didn't forsee these particular negatives when they began putting hospitalists in place. Yes, I was upset that I wouldn't have access to my pulmonologist (of 23 years at this point), if I ended up in the ICU. That still upsets me. But this new paradigm of hospitalists takes away from what has at times has been called the "art of medicine," when patients don't always respond to algorithms or protocols, because every patient is an individual. And bell curves have people at both ends who don't fit within the norms. So, now if a hospital employee/practitioner were to go outside the protocol - to address a "zebra," or a patient that's not responding to the "standard treatment" will the hospital "terminate" them also?
I don't want to paint all hospitalists as drones unwilling to step out of line. (Obviously you weren't!) I am tremendously grateful to an ER PA (IDK if he was a hospitalist or not), who told one of my sons last summer (at his 2nd ER visit) to not accept his "obvious" diagnosis. The PA asked, "Have you been worked up for this?" (No) After taking time to talk with my (rather stubborn) son, my son did pursue a work-up, and it wasn't the obvious diagnosis. He is currently pursuing treatment.
I hope you find a position that is worthy of your values.
I hope your son will be ok . 🙏. I work part time in a colleague’s office and continue to watch the side effects and tell almost each patient not another jab . Interestingly most went to a pharmacy to be jabbed BUT at the insistence of their doctors or work made them . It’s those pediatricians who continue to jab because those kids are defenseless and parents are being shamed terribly and told not to come back to the practice if not jabbed . So I found a NP in a family doc office who will see peds unjabbed.
Good for you for standing on your principles, but sorry for the result. I didn't forsee these particular negatives when they began putting hospitalists in place. Yes, I was upset that I wouldn't have access to my pulmonologist (of 23 years at this point), if I ended up in the ICU. That still upsets me. But this new paradigm of hospitalists takes away from what has at times has been called the "art of medicine," when patients don't always respond to algorithms or protocols, because every patient is an individual. And bell curves have people at both ends who don't fit within the norms. So, now if a hospital employee/practitioner were to go outside the protocol - to address a "zebra," or a patient that's not responding to the "standard treatment" will the hospital "terminate" them also?
I don't want to paint all hospitalists as drones unwilling to step out of line. (Obviously you weren't!) I am tremendously grateful to an ER PA (IDK if he was a hospitalist or not), who told one of my sons last summer (at his 2nd ER visit) to not accept his "obvious" diagnosis. The PA asked, "Have you been worked up for this?" (No) After taking time to talk with my (rather stubborn) son, my son did pursue a work-up, and it wasn't the obvious diagnosis. He is currently pursuing treatment.
I hope you find a position that is worthy of your values.
I hope your son will be ok . 🙏. I work part time in a colleague’s office and continue to watch the side effects and tell almost each patient not another jab . Interestingly most went to a pharmacy to be jabbed BUT at the insistence of their doctors or work made them . It’s those pediatricians who continue to jab because those kids are defenseless and parents are being shamed terribly and told not to come back to the practice if not jabbed . So I found a NP in a family doc office who will see peds unjabbed.