Wednesday, October 22, 2008

Trust me, I'm a doctor

And ya know what? I might have done this before.

Don't get me wrong, I'm certainly not infallible. Not even close. But generally, I don't make kids to unpleasant things just for the hell of it. I get my shits and giggles in other ways - like torturing small cats and beating the homeless. So if I want to shove a large tube down your child's nostril and into his belly, there's probably a reason.

I've decided that the whole concept of informed consent is bogus. How can I explain in 5 minutes what it took me 3 years to learn... to parents that didn't finish high school? I mean, really? Really? So I try, but it's all bullshit. I'll explain "risks" to parents, but even when I talk myself blue, they don't get it. These horrible things could happen to YOUR child. But guess, what? I'm kinda glad no one ever gets it. 'Cause then I get consent and I can do what I think is right for the kid.

The really annoying thing: the parents don't object to the riskier shit, but go crazy when I want to do something simple. Sedation carrying the risk of respiratory depression? Sure! NGT*? Hell no! Grr...

* NGT = nasogastric tube, which is a tube running down the nose and into the stomach. NGT are commonly placed to decompress the stomach or to introduce medication to the stomach that the patient is refusing, like charcoal of GoLytely. NGT are low risk when placed by someone well trained, uncomfortable but not painful, and TOTALLY useful.

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