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Vet Tech Journals: The staff (LONG)

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Mischief - 29 Jul 2006 06:28 GMT
Now for the staff.  I apologize for the length, but part of it is a
rant too.

Dr. T is the one that comes in 2-3 times a week.  She's very into
holistic medicine and does animal acupuncture.  I haven't really seen
much of it, but she also works emergency somewhere else and I've been
able to learn a lot from her.

Dr. R is our newest veterinarian, fresh out of school.  She very nice
and is very knowledgable, and is learning the ropes quite nicely.

And then there's the head doctor, Dr. G.  I could write a whole paper
on him. Dr. G was born and raised in France where he got his vet
degree. .He has a thick French accent, so there are times when
communication is kinda funky.  If i had to describe him in one word, it
would be QUIRKY.  Not quirky, but QUIRKY.  This guy can go from
cracking a joke to yelling at you in a split second.  Quite a
perfectionist and very quick to jump to conclusions, and very quick to
jump on you for a tiny thing.  Several times I've had to take my
supervisor/coworker, V, aside and ask, "What did I do?  Was it really a
big deal?"  And many times she's said not to take it personally.

Like today, I was cleaning this dog's teeth and they were quite bad.
One lower molar was definitely going to have to come out but the upper
one seemed fine from the outside.  Then i flipped the dog over and as I
was cleaning the inside of the very same tooth, the tip of the
ultrasonic scaler suddenly slipped into the gum beneath the tooth.  Uh
oh.... This meant that the gumline was quite infected and the tooth
root was exposed to the biforcation.  But when I told Dr. G about the
tooth, he checked the outside only and said it was fine.  I disagreed
and picked up a probe to show him.  As I was trying to put the probe in
the same spot he suddenly said.  "Wat are youz doing?  Youz don't want
to poosh too hard or youz WILL create ah pockette and cawse DAMAGE"
(Some words are misspelled on purpose cause you have to hear it being
said with a thick french accent).  I tried to explain that I wasn't
pushing and he kept saying "I SAW youz and youz were POOSHING!!  Youz
need to just relax and CALM down."  I was getting irritated and said,
that regardless that the tooth needed to come out and if he would just
take an x-ray he would see what i meant.

He then went on a two minute speech about how i need to relax and how i
can't push too hard, etc, etc, etc.  And I kinda gave him a look, that
YES i understood.  So we x-rayed the tooth and GUESS WHAT?  The gum was
abcessing and the tooth had to come out.  "Wow, I guess youz were
right"
*sigh* And he says I'M the one that needs to relax?  Like, I said,
QUIRKY.  You kinda have to take him with a huge container of salt and
roll with the punches.

But enough about him.  V, the head tech is a great woman and is
starting to become a good friend too.  She attended the same college I
did and is and RVT.  We chat easily together and she's never on me if I
make a mistake. If ever I want to try to perfect my skills at
something, I only need to ask and she's willing to let me.

I was so amazed at how fast I was able to get involved in surgeries.
At the last place i had to fight tooth and nail to be part of a
procedure and here it's quite easy.  And I get to watch Dr. G, who is a
genius at surgery.  Last place I worked at we did mainly spays and
neuters, a few exploratories here and there and the occasionaly
urethostomy.  Here we do it all.  From spays and neuters to
splenectomies to orthopedic, it's incredible.  Everything seems to be
going great at this new place.  Except for one person.

I will call her 'A'.  'A' was born and raised and schooled in Mexico
and has a veterinarian degree from Mexico.  She is not licensed to
practice vet medicine in the US, but wants to work as a technician for
a while to get the feel for how American vet medicine works.  She is
very knowledgable.  But she's also a major B*TCH.

I've wondered if it's the language barrier, that she fails to know the
exact words in english to express what she's trying to say.  It's
possible that the words and expressions she uses have worked so much
that she fails to see that when spoken they come across as rude.  Then
again, she could just BE a rude b*tch.  Several times I have bristled
not just at what she said, but HOW she said it.

For example, "Please clean this up."  becomes "Clean it up"  Short,
brisk and rude.

Small things can easily be brushed off, but after a while they tend to
get on your nerves.

But I think the thing i dislike most is that she refuses to listen to
whatever you have to say.
For example:  (what i'm trying to say is put in parentheses)
"Kristi, remember to put the microchip reader back."
"I will, but..... (there's an animal who's chart said Microchip and I
wanted to get the stuff ready.")
"No, lemme finish.  It is important that you put things BACK where they
belong."
"Yes I understand but.... (We might be needing it)"
"Please lemme finish.  Just put it back when you're done."  And she
walks off.....

Or another favorite, when positioning an animal for x-rays

"Kristi, straighten it."
"I did."
"No, STRAIGHTEN it."
"I'm trying..."
"You need to straighten it."
"Well, WHICH way??"  Then after the x-ray is taken.

"You need to keep it straight."
"Well, i thought....(.it was straight from my end)"
"No, listen, you need to hold your end and keep it straight."
"Well, can you at least.....(tell me WHICH WAY to straighten it?")
"No, lemme finish.  Just keep your end straight."
"Ok, fine."

Now individually these seem trivial, but I've been putting up with
almost three months worth of conversations like this.  I feel like I'm
being scolded and talked down to, and it's really starting to piss me
off.  I've mentioned it to Dr. G a few times, but since I'm the newest
employee I do NOT want to rock the boat.  There was a girl also hired
at the same time as me and I know she was very upset with 'A' and how
we were being treated.  'A' also doesn't like to delegate.  She will
swoop around the clinic, cleaning this, restocking that and here I am
standing around with nothing to do.

The clinic closes at 6.  All equipment, especially the x-ray processor
and oxygen tank should NOT be turned off until 6 or until all clients
have left.  So why the hell is 'A' turning stuff off at 5-5:30.  "It's
slow and we need to start closing up."  Closing and turning everything
off takes 10 minutes TOPS.  I got into an argument with her last week
about it and I finally had to get Dr. G in on it and have him tell her
NOT to turn thigns off until 6.

Now she's turning things off at ten minutes to 6.  sheesh!  but i'm not
going to bring it up.

It's obvious that we have a personality clash.  She thinks i argue with
everything she says, and I'm pissed off that no matter what I have to
say whether it's against her or not, she won't let me say it.  It's a
powder keg and I'm hoping that one of these days i'm not going to lose
it.  She bites my head of whenever i talk to her.  Like today when she
was watching an anesthetized animal.

"'A', everything ok, you need anything?"
"I'm fine. I'm here and i don't need anything.  When I need something
I'll tell you."  Uh, ok, I was just asking.....

Honestly, if she wants me to do something, I'll do it.  But its' the
WAY she's saying it that sets me off.  Like it was after 6 and due to
everything going on I noticed that the syringe basket was low, so I
went and got a box of syringes but before i could get to it

"No, no, don't.  It's after 6.  Dr. G does not want us to restock after
6.  We're not getting paid to restock."

Um ok, even though she had already swooped in and turned everything off
and there wasn't much else to do.  Not to mention it would have taken
less than 30 F****** SECONDS TO FILL THE DAMN BASKET!!  But i just
shrugged and walked away.

She's a MAJOR perfectionist, but a very good technician.  Dr. G thinks
he has a great find by having someone with the knowledge of a vet
working for him as a technician and he values her experience.  But I
don't think he realizes or wants to realize that she causes friction.
V, the head tech, is alsotired of 'A' mouthing off to her.  But it
doesn't look like Dr. G is going to do anything about it.

I don't know what to do, and in reality there's nothing I CAN do.  We
avoid each other and rarely talk to each other.  When we do have to
work together, I try to be as professional as possible.  But the
tension is there and one of these days it's going to blow.  Since 'A'
is so experienced I'm afraid that if came down to it, Dr. G would pick
her over me.  But I REALLY like working there, and there's so much i
can learn and I really want to be there when we move and grow.

Oh and btw, Dr. G is paying me 3 dollars MORE than what I was making at
my old place.  To go from $9 to 12$ an hour is not something you just
shake off.

Still, I'm debating whether to cut my losses and look for someplace
else.  Everything else about this place I love, except for this one
b*tch.  And if she's in for the long haul, then it could potentially be
bad.

*sigh*

Kristi
L. - 29 Jul 2006 07:08 GMT
<snip>

> This guy can go from
> cracking a joke to yelling at you in a split second.  Quite a
> perfectionist and very quick to jump to conclusions, and very quick to
> jump on you for a tiny thing.

That's 99% of the vets that practice in the US.  Welcome to veterinary
medicine.

-L.
L. - 29 Jul 2006 07:17 GMT
Just a couple more things....

> Oh and btw, Dr. G is paying me 3 dollars MORE than what I was making at
> my old place.  To go from $9 to 12$ an hour is not something you just
> shake off.

I don't know where you live but you are grossly underpaid.  I made
$16.50/hour GROOMING, alone. When I started teching, my salary
increased dramatically.

> Still, I'm debating whether to cut my losses and look for someplace
> else.  Everything else about this place I love, except for this one
> b*tch.  And if she's in for the long haul, then it could potentially be
> bad.

Every vet office has an "A".  The best way to handle her is to kill her
with kindness and act as if she has *soooo* much to teach you.  Feed
her ego and you will cease being a target for her.

-L.
Takayuki - 30 Jul 2006 03:45 GMT
>> Oh and btw, Dr. G is paying me 3 dollars MORE than what I was making at
>> my old place.  To go from $9 to 12$ an hour is not something you just
[quoted text clipped - 3 lines]
>$16.50/hour GROOMING, alone. When I started teching, my salary
>increased dramatically.

I didn't want to say anything but yes, I also thought that a qualified
vet tech deserves more.
MaryL - 30 Jul 2006 17:39 GMT
>>> Oh and btw, Dr. G is paying me 3 dollars MORE than what I was making at
>>> my old place.  To go from $9 to 12$ an hour is not something you just
[quoted text clipped - 6 lines]
> I didn't want to say anything but yes, I also thought that a qualified
> vet tech deserves more.

Absolutely!  The salary listed might be appropriate for a student but not
for a vet tech.  I'm not sure if Kristi has passed her exams yet (although I
know she has completed her education).  If she has, then a job search should
be in order.

MaryL
EvelynVogtGamble(Divamanque) - 30 Jul 2006 19:27 GMT
>>>Oh and btw, Dr. G is paying me 3 dollars MORE than what I was making at
>>>my old place.  To go from $9 to 12$ an hour is not something you just
[quoted text clipped - 6 lines]
> I didn't want to say anything but yes, I also thought that a qualified
> vet tech deserves more.

Well, I thought wages here in Southern California would be
higher (Kristi lives in the San Fernando Valley, as do I)
but I haven't had reason to look into "fresh out of school"
wages for many, many, MANY years.  (When I entered the
workplace, fresh out of college, I thought I was lucky to
get a salary of $180 a MONTH - most of my friends were only
getting $160!)
Marina - 29 Jul 2006 07:25 GMT
> I don't know what to do, and in reality there's nothing I CAN do.  We
> avoid each other and rarely talk to each other.  When we do have to
[quoted text clipped - 3 lines]
> her over me.  But I REALLY like working there, and there's so much i
> can learn and I really want to be there when we move and grow.

Maybe when the practice expands you will be able to avoid her more than
now. Maybe even have different shifts from her when you go 24/7. If she
gets along badly with others, and no one wants to work the same shift as
her, maybe Dr G will notice and decide to do something about it. Or
maybe 'A' will decide to get a vet's license and start her own practice.
:o) Hang in there, Kristi! Maybe you won't have to deal with her for
very long. (Heh, a lot of maybes - but *maybe* one of them comes true.)

Signature

Marina, Miranda and Caliban. In loving memory of Frank and Nikki.
Stories and pics at http://koti.welho.com/mkurten/
Pics at http://uk.pg.photos.yahoo.com/ph/frankiennikki/
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Karen - 29 Jul 2006 18:02 GMT
> Now for the staff.  I apologize for the length, but part of it is a
> rant too.
[quoted text clipped - 179 lines]
>
> Kristi

I don't know, it sounds like you have ONE bad egg out of a full staff,
more pay, doing what you want. I'd stick. If she is that pushy, she
will not be satisfied being a tech long. But I sure wouldn't want her
as a vet. BTW, at least Dr. G said you were right!! Many people
wouldn't acknowledge that.
EvelynVogtGamble(Divamanque) - 29 Jul 2006 19:48 GMT
> Still, I'm debating whether to cut my losses and look for someplace
> else.  Everything else about this place I love, except for this one
> b*tch.  And if she's in for the long haul, then it could potentially be
> bad.

How does she relate to the patients' owners, or doesn't she
have any contact with them?  Dr G may not pay attention to
complaints from her fellow-workers, but if the "paying
customers" complain, it might be a different story.
Takayuki - 30 Jul 2006 03:43 GMT
>Now for the staff.  I apologize for the length, but part of it is a
>rant too.
...
>Still, I'm debating whether to cut my losses and look for someplace
>else.  Everything else about this place I love, except for this one
>b*tch.  And if she's in for the long haul, then it could potentially be
>bad.

What an interesting workplace you have!  It does sound better than
before, but I can understand your feeling frustrated.  Just let it out
here. :)

"A" may not be an angel, but I'll bet that her normal personality is
not that abrasive.  By coming to the US as a tech, she's lost both
formal authority and the ability to communicate the way she wants.  So
she's suddenly lost a lot of power, and feels she needs to be very
abrasive to get the kind of results and influence she was accustomed
to.

I had to smile at the highly ironic "lemme finish" mannerism she has,
although I understand how annoying it could be.  I think what she
feels is that if she allowed other people to present their side, it
would devolve into a "discussion", where she would be at a distinct
disadvantage because she doesn't have the conversational ability in
English that she enjoyed in her native language.
Cheryl - 30 Jul 2006 04:10 GMT
> I had to smile at the highly ironic "lemme finish" mannerism she
> has, although I understand how annoying it could be.  I think
[quoted text clipped - 3 lines]
> conversational ability in English that she enjoyed in her native
> language.

Very interesting. I work in an area that is very diverse in culture
and language. Asian is the culture of many of my co-workers and while
I try so hard to understand, depending on the dialect and speed of
talking, I have a hard time. A couple of the guys I work with never
let me finish a sentence before continuing their thought. I'm still
trying to interpret the first.  LOL

Signature

Cheryl

tanada - 30 Jul 2006 19:31 GMT
> But enough about him.  V, the head tech is a great woman and is
> starting to become a good friend too.  She attended the same college I
> did and is and RVT.  We chat easily together and she's never on me if I
> make a mistake. If ever I want to try to perfect my skills at
> something, I only need to ask and she's willing to let me.

This is the person, I'd discuss your problems with "A" with.  If I
understand it correctly, she is in charge of all technicians and should also
be in charge of "A" as well as you and the other new kid on the block.  If
all of you are having problems with "A" then "V" would be the person to
approach the head vet.  I'd think that he'd rather have three great
technicians than one "fantastic" one.  I suspect that you wouldn't be the
first tech that this woman has run off, and, unless stopped, you won't be
the last.  I'd think that the practice would rather have a stable group of
workers than a practice in turmoil all the time.  Use your good sense and
your abilities at diplomacy and maybe if you and the other newbie talk to
"V" together something constructive can be done.  Personally, I'd rather
replace one worker than two or more.

Pam S.
Christina Websell - 31 Jul 2006 00:34 GMT
> I will call her 'A'.  'A' was born and raised and schooled in Mexico
> and has a veterinarian degree from Mexico.  She is not licensed to
[quoted text clipped - 14 lines]
> Small things can easily be brushed off, but after a while they tend to
> get on your nerves.

I have the same problem with my doctors, who are Indian.  I think it's a
cultural/language thing.  They are so abrupt that they come over as very
rude; they seem to have no idea what politeness is in English culture.
For example:  I enter the room.  Doctor is tapping away on the computer and
ignores me.  I stand there for a minute or two.  I am not greeted nor
invited to sit down.  So I sit down anyway and wait.  He eventually turns
towards me and looks at me.  This is my cue to tell him why I have come to
see him.
He listens to me and writes a prescription.  I try and ask what he thinks is
wrong with me.  Mostly he says "it could be a wirus.." (that is deliberate,
not virus) so what he probably means is that he has no interest whatsover in
finding out what is wrong.
So when I finally get to the hospital I am not used to doctors that examine
me inside out and try and find out what is really wrong.  Then I start to
find it intrusive and scary.
I can count on the fingers of two hands the amount of times my primary care
doctors have actually touched me in the last twenty years.  So I'm not used
to it.
Once again, it's a cultural thing.  Indian doctors do not like to touch a
woman unless there is a chaparone.  It is not allowed so mainly they duck
out. These are the older doctors I am talking about now, coming up to
retirement age. They don't bother to keep up.  I am so lucky as all my docs
are Indian and near retirement :-P

Tweed
kilikini - 31 Jul 2006 00:51 GMT
> I have the same problem with my doctors, who are Indian.  I think it's a
> cultural/language thing.  They are so abrupt that they come over as very
[quoted text clipped - 21 lines]
>
> Tweed

My doctors have been Indian or Egyptian as well!  Are there no American
doctors anymore?  It's difficult to understand their accents for one, but
you're exactly right in saying that it seems like you're just kind of
wasting their time.  What's up with that?

kili
Joy - 31 Jul 2006 08:11 GMT
>> I have the same problem with my doctors, who are Indian.  I think it's a
>> cultural/language thing.  They are so abrupt that they come over as very
[quoted text clipped - 37 lines]
>
> kili

It is true that most doctors I've seen seem to come from other countries.
However, I haven't had that problem with them.  My cardiologist is Indian
and my gastroenterologist is Chinese.  They're both excellent.  My
gastroenterologist usually calls me either the evening of the day I have an
upper endoscopy or the day after, to see how I'm doing.  (I have to have
them annually)  The first time I asked him for a copy of a report, he
actually made the copy himself and handed it to me.  Now, he gets the report
printed up, including copies of the photos taken, and gives it to me while
I'm still in the recovery room.  I have a little more trouble understanding
my cardiologist, but he always listens to my heart - and to my questions -
when I see him.

Joy
Jo Firey - 31 Jul 2006 01:03 GMT
>> I will call her 'A'.  'A' was born and raised and schooled in Mexico
>> and has a veterinarian degree from Mexico.  She is not licensed to
[quoted text clipped - 40 lines]
>
> Tweed

I had two new doctor experiences at our Urgent Care Clinic the last few
months.  Urgent Care is for not an emergency, but really shouldn't wait a
couple of days for your regular doctor.

The first one was a young woman of East Indian background.  The lovely 24
karat gold jewelry and the last name.  Her first name was Gigi.  So I'm
guessing her family has been here for a while.  Many families have fourth
generation entering the workforce.

A week later I went back for a follow-up and saw another young woman.  She
was Muslim I believe.  Wearing a white scarf draped around her head.  But
also speaking California girl English.

My own doctor told me Friday that he is leaving the area.  I really like him
and really hate to see him go.  And really really hate to have to choose a
new doctor.

I don't do well with a doctor if English is their second language.  Only
because it makes it very hard to read their lips.  The hearing implant is
great but I do need the added input of reading lips.

 Jo
William Hamblen - 31 Jul 2006 01:47 GMT
> Once again, it's a cultural thing.  Indian doctors do not like to touch a
> woman unless there is a chaparone.  It is not allowed so mainly they duck
> out. These are the older doctors I am talking about now, coming up to
> retirement age. They don't bother to keep up.  I am so lucky as all my docs
> are Indian and near retirement :-P

It used to be the usual thing for a doctor to have his nurse in
the room when doing a pelvic exam and so on, partly to reassure
the patient and partly to reduce the chance of a false
accusation.

Of course, vets have their techs on had to make sure the patient
doesn't escape.

Bud
Joy - 31 Jul 2006 02:59 GMT
>> Once again, it's a cultural thing.  Indian doctors do not like to touch a
>> woman unless there is a chaparone.  It is not allowed so mainly they duck
[quoted text clipped - 12 lines]
>
> Bud

As far as I know, that still is the usual thing.  In fact, my female
gynecologist always has a nurse in the room when doing a pelvic.

Joy
Cheryl Perkins - 31 Jul 2006 11:40 GMT
> As far as I know, that still is the usual thing.  In fact, my female
> gynecologist always has a nurse in the room when doing a pelvic.

This must vary by region or custom; I've never had a nurse in the room
while a pelvic exam was being done - not even when it was done by a male
doctor. I've always had the vague impression that I could ask for a female
to be present, but never bothered since a private doctor's office is
usually staffed with a (or several) medical secretaries, not nurses.

In a hospital setting, it's more likely a nurse will be around, but almost
all my physical exams have taken place in a private practice office.

I never had much trouble with accents, although I've encountered a few
medical personnel of varied ethnic backgrounds I wouldn't visit again for
varied reasons.

Signature

Cheryl

Jo Firey - 31 Jul 2006 16:13 GMT
>> As far as I know, that still is the usual thing.  In fact, my female
>> gynecologist always has a nurse in the room when doing a pelvic.
[quoted text clipped - 11 lines]
> medical personnel of varied ethnic backgrounds I wouldn't visit again for
> varied reasons.

I cannot even imagine a gynecologist in private practice who did not have a
nursing assistant of some sort.  Mine works with a Physicians Assistant.
Others I know have a Nurse Practitioner on staff.  And they can hire nurses
with something less than an RN quite reasonable.

I would think their malpractice insurance would require it.

Jo
Cheryl Perkins - 31 Jul 2006 16:41 GMT
> I cannot even imagine a gynecologist in private practice who did not have a
> nursing assistant of some sort.  Mine works with a Physicians Assistant.
> Others I know have a Nurse Practitioner on staff.  And they can hire nurses
> with something less than an RN quite reasonable.

> I would think their malpractice insurance would require it.

It doesn't seem to. But, of course, they aren't doing anything very
complicated in their office - basic exams (including pap tests),
vaccinations, etc. Anything else is done in a hospital (although in a
clinic setting rather than an inpatient one for minor matters), and of
course, hospitals have nurses, assorted technicians, and other staff.

When I was a girl, if you had a suspicious-looking mole, the GP would whip
it off in his office. Nowadays, you get referred to a clinic and day
surgery - and if it's on your face, they'll send you to a plastic surgeon.

It all seems like overkill to me - on the one hand, the office services
are very basic, but on the other hand, you end up going to specialist or
at least to a big hospital for very minor procedures, which your doctor no
longer staffs or supplies his office for.

It's possible, I suppose, for a nurse to work in a doctor's private
office, but the ones at my doctor's clinic are all referred to as
secretaries and do the bookings and track the results of any tests, so I'm
pretty sure they aren't nurses.

Signature

Cheryl

jXwXeXrXmXoXnXt@sonic.net - 31 Jul 2006 18:02 GMT
> When I was a girl, if you had a suspicious-looking mole, the GP would whip
> it off in his office.

I don't understand what you mean here. Suspicious-looking?

Joyce
Christine K. - 31 Jul 2006 18:07 GMT
>  > When I was a girl, if you had a suspicious-looking mole, the GP would whip
>  > it off in his office.
>
> I don't understand what you mean here. Suspicious-looking?
>
> Joyce

Some moles can be the beginning of skin cancer. Especially if they've
changed in size or appearance within a (short) period of time. I think
that's what Cheryl was referring to with "suspicious-looking mole".

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Christine in Vantaa, Finland
christal63 (at) gmail (dot) com
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jXwXeXrXmXoXnXt@sonic.net - 31 Jul 2006 20:16 GMT
> >  > When I was a girl, if you had a suspicious-looking mole, the GP would whip
> >  > it off in his office.
> >
> > I don't understand what you mean here. Suspicious-looking?
> >
> > Joyce

> Some moles can be the beginning of skin cancer. Especially if they've
> changed in size or appearance within a (short) period of time. I think
> that's what Cheryl was referring to with "suspicious-looking mole".

OMG - I had read that as "suspicious-looking *male*", LOL!! Since we had
been talking about having someone in the room during an exam, in case
either the doctor tried some funny business, or the patient claimed the
doctor had done so, that wasn't completely out of left field. But I still
didn't understand what that had to do with office visits. :)

Joyce
Takayuki - 01 Aug 2006 02:08 GMT
> > >  > When I was a girl, if you had a suspicious-looking mole, the GP would whip
> > >  > it off in his office.
[quoted text clipped - 10 lines]
>doctor had done so, that wasn't completely out of left field. But I still
>didn't understand what that had to do with office visits. :)

If you think you had it bad reading things wrong, I misread the "whip
it off" part.
jXwXeXrXmXoXnXt@sonic.net - 01 Aug 2006 05:21 GMT
>>>> I don't understand what you mean here. Suspicious-looking?
>>
>>> Some moles can be the beginning of skin cancer....
>>
>> OMG - I had read that as "suspicious-looking *male*", LOL!!

> If you think you had it bad reading things wrong, I misread the "whip
> it off" part.

They sort of go together. Suspicious looking male, whipping it... <insert
correct preposition here>. :)

Joyce
Cheryl Perkins - 31 Jul 2006 18:19 GMT
>  > When I was a girl, if you had a suspicious-looking mole, the GP would whip
>  > it off in his office.

> I don't understand what you mean here. Suspicious-looking?

Something that would be removed to test for skin cancer - suspected of
being a cancer.

Of course, various moles and other lumps which were unlikely to be
cancerous, but which were in a position in which they were constantly
irritated by, say, a bra strap, or which were considered unsightly, tended
to be treated as 'suspicious' too - they got put in a little bottle and
sent away. Otherwise, the removal might be considered purely cosmetic and
not medically necessary, and the patient would have to pay extra.

Signature

Cheryl

tanada - 01 Aug 2006 01:01 GMT
> > When I was a girl, if you had a suspicious-looking mole, the GP would
> > whip
> > it off in his office.
>
> I don't understand what you mean here. Suspicious-looking?

Hey I know what Cheryl means.  I had this mole once that was wearing dark
glasses and a trench coat.  I didn't think that the doctor would ever get it
off of me.  Boy, was I relieved when the doctor finally got rid of it.  It
turned out that it was working for the CIA and was checking me out for
harboring moles.

Pam S.
EvelynVogtGamble(Divamanque) - 31 Jul 2006 19:08 GMT
>>I cannot even imagine a gynecologist in private practice who did not have a
>>nursing assistant of some sort.  Mine works with a Physicians Assistant.
[quoted text clipped - 22 lines]
> secretaries and do the bookings and track the results of any tests, so I'm
> pretty sure they aren't nurses.

But you're in Canada, aren't you?  I think it's different in
the U.S., because we don't have any form of "National
Health" (other than Medicare for us oldsters).
Cheryl Perkins - 31 Jul 2006 19:40 GMT
> But you're in Canada, aren't you?  I think it's different in
> the U.S., because we don't have any form of "National
> Health" (other than Medicare for us oldsters).

Yes, but I don't see why that would stop doctors hiring nurses for their
private offices if they felt a nurse to be necessary. That would be their
decision, not that of whatever the local government health care
corporation is calling itself this week.

And we do have doctors charged with sexual improprieties with patients, so
it's not as though there isn't a small risk.

Of course, the ones who engage in sexual improprieties aren't going to be
hiring nurses to keep an eye on what they do with patients, anyway.

Signature

Cheryl

Joy - 31 Jul 2006 21:05 GMT
>> I cannot even imagine a gynecologist in private practice who did not have
>> a
[quoted text clipped - 24 lines]
> secretaries and do the bookings and track the results of any tests, so I'm
> pretty sure they aren't nurses.

I've never been to a doctor who didn't have a nurse or PA on board.  Also,
my doctors seem to have more equipment, and handle more things, than yours.
Maybe it's a regional thing.

Joy
jXwXeXrXmXoXnXt@sonic.net - 31 Jul 2006 18:00 GMT
> "Cheryl Perkins" <cperkins@mun.ca> wrote in message
>>
[quoted text clipped - 3 lines]
>> to be present, but never bothered since a private doctor's office is
>> usually staffed with a (or several) medical secretaries, not nurses.

> I cannot even imagine a gynecologist in private practice who did not have a
> nursing assistant of some sort.  Mine works with a Physicians Assistant.
> Others I know have a Nurse Practitioner on staff.  And they can hire nurses
> with something less than an RN quite reasonable.

> I would think their malpractice insurance would require it.

I think the US is a more litigious culture than Canada, so that might
be part of the reason.

I always specify that I want a female for gyn exams, because that
feels more comfortable to me, and I then don't feel the need to have
someone else in the room during the exam. But I don't think those
who do have someone else in the room are doing it for my comfort
anyway. As Jo says, they might even be required to do it.

Joyce
EvelynVogtGamble(Divamanque) - 31 Jul 2006 19:06 GMT
> I cannot even imagine a gynecologist in private practice who did not have a
> nursing assistant of some sort.  Mine works with a Physicians Assistant.
> Others I know have a Nurse Practitioner on staff.  And they can hire nurses
> with something less than an RN quite reasonable.
>
> I would think their malpractice insurance would require it.

I'm pretty sure it does, in California!
EvelynVogtGamble(Divamanque) - 31 Jul 2006 19:03 GMT
>>Once again, it's a cultural thing.  Indian doctors do not like to touch a
>>woman unless there is a chaparone.  It is not allowed so mainly they duck
[quoted text clipped - 6 lines]
> the patient and partly to reduce the chance of a false
> accusation.

SFAIK, it still IS!  (Of course, California is more
litigious than other states, so it may have something to do
with their malpractice insurance requirements.)

> Of course, vets have their techs on had to make sure the patient
> doesn't escape.

Considering how some human doctors perform pelvics, that may
be a consideration with them too!  ;-)
 
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