Giving Credit Where It's Due
I didn't get into this line of work for the glory, but it would be nice to get credit when credit is due...
The other day, early in the morning, I approached a PA about a patient of mine who I felt was circling the drain and recommended we place her on BiPAP in order to give her breathing muscles a break before she totally pooped out and we had to tube her. This PA said what I figured he would say: "Whatever you think. "I told him I was going to draw a gas and get her on BiPAP. The gas results were predictably bad and the lady went on BiPAP with a little cajoling and after a while I could tell the burden of her own breath had been lifted as a sense of relief came over her.
Later that morning the physician, who this PA work under, was making rounds in this patient's room and I happened to be in there. The PA informed the physician of the gas results, which I had gathered, and described the patient's clinical presentation, as I had described to the PA earlier. The physician nodded and made a face like "Whew, dodged a bullet on this one," looked at the PA and said "Good call, [insert PA's name here]". Then without so much as a nod of acknowledgement my way, the PA says "Just had a feeling we'd better do something before she pooped out."
The patient's condition improved significantly after the BiPAP and she was dismissed a few days later, no worse for the wear... but these bitter feelings I have still remain. I mean come on, a simple nod or a wink my way is all I'm asking for; a thumbs up or a pat on the back... at most a "Whale Done" (a nautical-themed rewards program our hospital uses).
Ultimately, my goal was achieved: the patient for got better because of a modality I instituted...and isn't that what this job is all about? But still, it would have been nice to be recognized.
I guess if I am ever going to get the glory I'll have to become a PA...