Last day in clinic with Dr. Douche!
The nurses said if they had known, they would have brought in cake, which makes me feel good.
Anyway, Dr. Douche was in his usual mood, which means he does this thing where he seriously does not listen to anything. It's like once he decides what he's going to say, he sticks with it until I give up.
We had a lady come in with a chief complaint of knee and shoulder pain. If you have need a knee and hip replacement then you usually get the hip done first and then the knee because it's easier to rehab a knee after a hip, so I was wondering if there was an order for knee and shoulder.
Me: So, hypothetically, if this patient needs a knee and shoulder replacement, is there an order we do them in?
Dr. Douche: You haven't even seen the patient yet. You can't jump to that conclusion that she needs a joint replacement. First you need to ask about nonoperative management and what she's already tried.
Me: I know...OK, let's pretend you're not you, I'm not me, the patient's not the patient, and you and I are two other people talking about a third patient who does need a knee and shoulder replacement. Is there any special order they should be done in?
Dr. Douche: But we would never just jump to doing a replacement. We would start with physical therapy and long acting anti-inflammatories. We might then ask about injections--
Me: Ok...let's say I'm doing a practice question. The practice question tells me that a patient is having a knee and shoulder replacement. I cannot argue with this practice question so I am forced to do a knee and shoulder replacement on this patient in this practice question. So the question is asking me which procedure should be performed first?
Dr. Douche: You really need to see the patient first before you decide what procedures she's going to have done. We treat people, not xrays. Don't be so quick to jump to surgery, especially replacement surgery.
At that point I gave up and walked over to the next pod and asked Dr. Grandpa, who said it didn't really matter but to wait three months either way.