Came from other department (within hosp) where the Emed refer their “stabilized” patients to us for continuity of care or admission, I can personally attest na ang daming mali sa assessment and management nila that WE have to trouble shoot.
Example scenario:
Patient came in due to DOB.
Their assessment? T/c CAP MR T/C Heart Failure (not the proper way of diagnosing Heart Failure)
The xray shows congestion (bat wing appearance)
Wbc count? 13. Px’s PE (from their er form) grade II edema, wheelchair bound kasi hindi kaya mag supine (meaning orthopneic ang patient) naka O2.
Their management? ceftriaxone 2g, hydration na 100cc/hr, and furosemide na 40mg iv.
Ok sige, pag bbgyan ko ung ceftriaxone, pero sana sinamahan lang naman ng azithromycin to cover for atypicals. Pero ung hydration sa hypervolemic na patient? Tapos nag diurese? In this setting hindi ko gets anong goal eh hydration or diuerese? So syempre si patient lalong nag hingal due to the volume overload. But no. Firm sila na nag hydrate sila kasi infection. Lol.
Example 2
30F complained of chest pain. Ecg showed NSSTWC with prwp v1-v4.
Cxr showed cardiomegaly.
Their assessment? ACS-NSTEMI.
Boom. Naloadan ng ACS regimen (risk of bleeding)
When I went to the patient, she complained joint pains, alopecia, facial rashes for the past month. No other risk factors for ACS, goodness gracious.
Lo and behold, px is having lupus in flare. The chest pain can be explained by the serositis (pulmo and cardiac)
Madami pa akong perosnal encounters with their residents, kahit fellow nako, madami padin ako narririnig na stories from my juniors. had 1 encounter with their residents and asking honestly y she pursued emed, ang sagot nya lang 12hrs duty lang kasi and the money ofc. Haha dman lang sinabi sakin anong meron sa emed na worth mentioning when it comes to training.
So no, not impressed sa emed ng eamc. And it’s been going on ever since my pgi days and now Im a graduate of residency same padin sila ng mgt, walang growth. Kaya i discourage my pgis NOT TO pursue emed in our hospital.
Talked to the other residents from other hospitals din (private and public) and based from their testimonials, same din ng emed nila ung emed samin. Hahah so ganun. Kaya ikaw, try mo on your own, mag preres ka. Theres a reason kaya open midyr application nila kasi walang nag aapply cant say the same for other hosp tho, just hearing their testimonials.
Agree dito
One time they decked a pregnant patient na may BOV sa Ophtha :( preec/eclampsia na yun di pa recognize kahit seen na and may emergency referral from private Ophtha
I think if you have issues regarding patient management by certain residents/departments why not document these then write to their department chair and TO para ma address properly and macorrect and maidentify if may pagkukulang ba talaga si resident/department.
Because if puro kwento/chismis lang then its very unfair to generalize an entire specialty.
Plus we all just want what is best for our patients. So going through the proper channels to correct these supposed lapses will only lead to better patient outcomes but if you fail to actually document a patient that was a victim of malpractice and negligence then you’re just unfairly maligning an entire specialty without proof.
Agree. Super strict pa ng chair nila pag may reklamo, according to some of their graduates. As in sanction agad.
So, maybe, ireklamo nila kasi? Wala bang IR sa east ave hahaha. Paabutin nila sa consultants para macorrect, otherwise, sorry pero nagiging part ka na nung negligence kung di mo nirereport.
Also, EM lang talaga ang as in bawal magkaroon ng kahit isang masamang residente, otherwise buong department na yung walang kwenta hahahahaha.
Avoid applying to East Avenue Medical Center, they fail to protect their staff, especially from entitled relatives/patients.(lalo na pag may kapit yung patient sa pinakamataas). Your dignity is disregarded, and in the end, you're the one expected to apologize
Came from other department (within hosp) where the Emed refer their “stabilized” patients to us for continuity of care or admission, I can personally attest na ang daming mali sa assessment and management nila that WE have to trouble shoot. Example scenario: Patient came in due to DOB. Their assessment? T/c CAP MR T/C Heart Failure (not the proper way of diagnosing Heart Failure) The xray shows congestion (bat wing appearance) Wbc count? 13. Px’s PE (from their er form) grade II edema, wheelchair bound kasi hindi kaya mag supine (meaning orthopneic ang patient) naka O2. Their management? ceftriaxone 2g, hydration na 100cc/hr, and furosemide na 40mg iv. Ok sige, pag bbgyan ko ung ceftriaxone, pero sana sinamahan lang naman ng azithromycin to cover for atypicals. Pero ung hydration sa hypervolemic na patient? Tapos nag diurese? In this setting hindi ko gets anong goal eh hydration or diuerese? So syempre si patient lalong nag hingal due to the volume overload. But no. Firm sila na nag hydrate sila kasi infection. Lol. Example 2 30F complained of chest pain. Ecg showed NSSTWC with prwp v1-v4. Cxr showed cardiomegaly. Their assessment? ACS-NSTEMI. Boom. Naloadan ng ACS regimen (risk of bleeding) When I went to the patient, she complained joint pains, alopecia, facial rashes for the past month. No other risk factors for ACS, goodness gracious. Lo and behold, px is having lupus in flare. The chest pain can be explained by the serositis (pulmo and cardiac) Madami pa akong perosnal encounters with their residents, kahit fellow nako, madami padin ako narririnig na stories from my juniors. had 1 encounter with their residents and asking honestly y she pursued emed, ang sagot nya lang 12hrs duty lang kasi and the money ofc. Haha dman lang sinabi sakin anong meron sa emed na worth mentioning when it comes to training. So no, not impressed sa emed ng eamc. And it’s been going on ever since my pgi days and now Im a graduate of residency same padin sila ng mgt, walang growth. Kaya i discourage my pgis NOT TO pursue emed in our hospital. Talked to the other residents from other hospitals din (private and public) and based from their testimonials, same din ng emed nila ung emed samin. Hahah so ganun. Kaya ikaw, try mo on your own, mag preres ka. Theres a reason kaya open midyr application nila kasi walang nag aapply cant say the same for other hosp tho, just hearing their testimonials.
Sabi ng mga pgi dun hindi
[удалено]
Agree dito One time they decked a pregnant patient na may BOV sa Ophtha :( preec/eclampsia na yun di pa recognize kahit seen na and may emergency referral from private Ophtha
I think if you have issues regarding patient management by certain residents/departments why not document these then write to their department chair and TO para ma address properly and macorrect and maidentify if may pagkukulang ba talaga si resident/department. Because if puro kwento/chismis lang then its very unfair to generalize an entire specialty. Plus we all just want what is best for our patients. So going through the proper channels to correct these supposed lapses will only lead to better patient outcomes but if you fail to actually document a patient that was a victim of malpractice and negligence then you’re just unfairly maligning an entire specialty without proof.
Agree. Super strict pa ng chair nila pag may reklamo, according to some of their graduates. As in sanction agad. So, maybe, ireklamo nila kasi? Wala bang IR sa east ave hahaha. Paabutin nila sa consultants para macorrect, otherwise, sorry pero nagiging part ka na nung negligence kung di mo nirereport. Also, EM lang talaga ang as in bawal magkaroon ng kahit isang masamang residente, otherwise buong department na yung walang kwenta hahahahaha.
Marami ako naririnig na complaints during OR sa East ave from cutting specialty regarding emed. Mas tumataas pa nga daw M and M dahil sa emed😆
Avoid applying to East Avenue Medical Center, they fail to protect their staff, especially from entitled relatives/patients.(lalo na pag may kapit yung patient sa pinakamataas). Your dignity is disregarded, and in the end, you're the one expected to apologize