tag:blogger.com,1999:blog-2482732367812174734.post1729061546658961288..comments2024-02-28T08:42:52.675+00:00Comments on The Junior Doctor: Demystifying the ICU black holeDr Michael Andersonhttp://www.blogger.com/profile/05340927185641717290noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-2482732367812174734.post-21521727702059818782007-11-06T15:58:00.000+00:002007-11-06T15:58:00.000+00:00I didn't say they were the best surgeons, or the b...I didn't say they were the best surgeons, or the best physicians, I said they were, in my opinion, the best doctors in the hospital.<BR/><BR/>A generalisation it may be. And <I>foolish</I> if you say so. But just my experience, time and time again...Mousiehttps://www.blogger.com/profile/16465249551690887635noreply@blogger.comtag:blogger.com,1999:blog-2482732367812174734.post-10209701439020249572007-11-05T19:25:00.000+00:002007-11-05T19:25:00.000+00:00I have to agree with Dr G on his point that ITU do...I have to agree with Dr G on his point that ITU docs not neccessarily being the best doctors in the hospital, anyone who thinks this is being a tad foolish with this generalisation.<BR/><BR/>ITU docs are generally very good at what they do, however what they do is intensive care, not medicine or surgery.<BR/><BR/>All of us have seen problems when ICU doctors don't seek help from the relevant specialist, instead trying to battle on on their own.<BR/><BR/>Most are excellent and do seek help appropriately, however ICU docs are most certainly not the best surgeons or physicians, they are the best intensivists.Garth Marenghihttps://www.blogger.com/profile/07373175498875348430noreply@blogger.comtag:blogger.com,1999:blog-2482732367812174734.post-32760424349204187902007-11-04T17:10:00.000+00:002007-11-04T17:10:00.000+00:00I quite agree Junior Doctor. I have done 18 months...I quite agree Junior Doctor. I have done 18 months in ICU including a year as a senior registrar but the rest of my many years on the ordinary wards. Never forget how affronted you were by those ICU doctors who occasionally strayed from their place of safety to give you advice. Those intensivists are not necessarily the best doctors in the hospital. It's much easier to do simple things well when you have one nurse per patient and plently of doctors. Spotting the sick patient on the ordinary ward and seeing that everybody is properly treated in the melee of a general medical take is much the greater challenge.Dr Grumblehttps://www.blogger.com/profile/02459592334604944530noreply@blogger.comtag:blogger.com,1999:blog-2482732367812174734.post-12613881075482400622007-11-03T23:16:00.000+00:002007-11-03T23:16:00.000+00:00I greatly admire your honesty - and Mousie's too....I greatly admire your honesty - and Mousie's too.<BR/><BR/>However, this post really emphasises the 'black hole' that exists for general patient care. ALL patients deserve good medical care and hospital medicine today is more a case of 'pot luck'.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2482732367812174734.post-72799316826589239732007-11-03T22:23:00.000+00:002007-11-03T22:23:00.000+00:00I completely agree. It's why the intensivists are...I completely agree. It's why the intensivists are the best doctors in the hospital IMHO.<BR/><BR/>And I think that every nurse working on acute wards should also spend time working in ICU, because good nursing care is about simple things done well too.<BR/><BR/>The gold standard of ICU isn't achievable on the wards because of the staffing ratios. We forget, or don't have enough time to pay attention to, the important things like adequate nutrition, regular positional changes and appropriate fluid balance monitoring. <BR/><BR/>But time spent in ICU would help make those things second nature and bring them to the forefront of nursing care again.Mousiehttps://www.blogger.com/profile/16465249551690887635noreply@blogger.com