r/emergencymedicine ED Attending Jul 20 '24

Advice US won’t come in if pain >12hrs

Working at a new site, US techs are very picky, will not come in for torsion studies if pain is >12hrs. I talked her into coming in and she’s pissed af, said she knows I’m new and “I’ll learn the protocol”.

Am I in the wrong?

Edit: Does anyone support the US tech or rad protocol and do you have any studies or evidence to support this practice? I’m just wondering if they pulled this out of their ass or where they got the arbitrary 12 hour thing?

166 Upvotes

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4

u/[deleted] Jul 20 '24

US techs are a nightmare. Also why is this their call? They aren’t the provider. They are literally a tech. They are there to scan patients. So annoying

-4

u/KumaraDosha Jul 20 '24

Thanks! You sound like a gem.

9

u/[deleted] Jul 20 '24

[deleted]

-3

u/KumaraDosha Jul 20 '24

The tension comes in when we have enough knowledge/experience about the ultrasound specialty (which includes formal education about pathology and indications for an exam, etc.) to have a good idea of when doctors are being stupid or when this is a thing where the healthcare system is broken, and we’re being used for pointless busywork that wastes our own time and energy as well as patient/taxpayer money.

Are we sometimes wrong and need our cynicism to be checked? Absolutely. But if you (speaking more to the commenter previous to you, but if you need to hear it, too, here it is) don’t believe some doctors are actually morons and we’re allowed to be sick of their shit, either you are the moron, or your ego has made you blind/naive.

Anyway, generalizing all sonographers in order to hate them all is a yikes move. And disrespecting them as simple photographers and button pushers further lends credence to the latter theory about your ego/naïveté.

Bottom line is yes, physicians are the ones to make the call regarding what is necessary. Sonographers are free to press x to doubt, but we have to do what they say, since they’re the experts and leaders. Sonographer in this scenario was definitely wrong in knowledge and behavior. But fuck anybody who uses that as an excuse to shit on the entire profession.

4

u/[deleted] Jul 20 '24

This is fair. I was rude-my apologies. Just speaking from experience. I should not generalize a group of people.

5

u/[deleted] Jul 20 '24

[deleted]

1

u/STDeez_Nuts ED Attending Jul 21 '24

All these people want to play doctor because they had an anatomy and physiology classes. However, non of them want to put in the years and sacrifice it takes to truly become one!

1

u/POSVT Jul 21 '24

You have the patience of a saint for engaging with this moron. Seriously, everybody thinks they know better than the actual front line physicians taking care of the patient. Ridiculous.

-2

u/KumaraDosha Jul 21 '24

Oh my, the fact that you think ultrasound is just a physical skill shows you know nothing about ultrasound or its profession.

Ah, gotcha, you’re an ego one, if not both. Hope it’s not stinging you because the “some doctors are morons” shoe fits a little too well!

2

u/[deleted] Jul 21 '24

[deleted]

3

u/KumaraDosha Jul 21 '24

That’s because you are usually not the one to witness any of our reasoning, lmao. Rads can attest to seeing a bit more of what we do, but mostly our logic and education are used in environments with just us and the patient. That sonographer was acting outside their scope of practice and seems particularly ill-informed, at least on that matter. None of this is the same as all sonographers only having physical scanning ability.

2

u/[deleted] Jul 21 '24

[deleted]

1

u/KumaraDosha Jul 21 '24

K lemme write up that dissertation real quick to satisfy your genuine good-faith curiosity instead of you simply educating yourself and getting to know the human beings you work with.

3

u/[deleted] Jul 21 '24

[deleted]

-6

u/KumaraDosha Jul 21 '24

“Beep boop, I am doctor, I fix patients. Knowledge of other professions in proximity does not compute, does not fix patient. Will not expend limited hard drive space on respect-and-understanding algorithms.”

5

u/[deleted] Jul 21 '24

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