This was too horrible, it must be told.
It started out like a normal call. We were asked to come for sign out at 7:30am and then were completely ignored, meaning we could have been there an hour later and we would have been fine. So then it was off to see patients. I saw four patients and wrote notes (one more than the other student, mind you). We were writing out notes and that is where we came face-to-face with R2. She came into the room, asked if the attending was rounding, and then proceeded to tell us that we should be rounding with them (even though we told her our resident told us to hang out while he finished rounding on his own), so we headed over to see Dr. M, who told her that we were fine and could go back to what we were working on. I thought that would be the last of it; I was wrong.
We had lunch with the team and Dr. M. R2 got all excited about residents who has been subpoenaed, which she thought meant they were being sued (it does not). When questioned by the attending that she might not know what she was saying, she got flustered enough to leave the table, implying that the attending was lying to her. Basically, she's crazy.
And then it happened. We were called to see a new patient. I went first, talking to the patient who was irritable and agitated. I was only able to get about half the information I wanted before he walked out of the room, so I wrote my note based on my encounter (which is what I was told to do). I let her see my note. I admit, I did make a mistake in the initial write-up, but the rest had a lot of substance (which is later confirmed by another resident). She took this as her queue to berate me, asking if I just start clinicals or if I had ever done this before. I took it in stride and apologize for my work. She then told me that I hadn't done nearly enough to gain information form the encounter and that I needed to work on my patient interviewing skills.
Now it was her turn. She went to go see the patient and "show" me how it was done. She called the patient into the room. She began talking to him in a baby voice, treating a grown, agitated man like a child. In the end, she got just about nothing and managed to get him to say "I want to fucking punch you in the jaw". Well done, genius. She clearly was flustered, trying to hide it, and ordering a bunch of sedatives for the patient she had provoked.
At the point, she told me that I had a lot of work do to and that I needed to stay late to complete the note. She asked if I had "his records", which I did not understand what she meant and asked again what she was saying. She repeated and then finally said from Portal (the hospital software) and when I understood what she meant, I told her I could access it. She then said, next time, just say you can get it instead of not knowing. Basically, she was being a wench.
So then she looked over the other student's note, corrected it, and let him go home. Meanwhile, I was sitting there, note done, while she chatting up the other medical student for 20 minutes before he left. After, she got a page from the ER and had to go down. She called the resident, who she then found out went home. She had an argument with him, made him come from his house back to KMC, and critique my patient note. So I sat there like an idiot for 30 minutes waiting for him to show.
In the meanwhile, she came around to how she was asking and called me on the room phone asking if I was okay. Pathetic.
So the R4 comes (with two MORE years of training than her) and looks over my work. His fixes some typos, cleans up a couple of dates, finishes the plan (which is beyond my scope of knowledge) and tell me that my note was pretty good and he was just doing a lot of it to make it look like he did something.
She comes in later and asks the R4, are we cool, R4? At this point, we both we were completely over her. He stepped out. I packed up stuff and walked out right in front of her, I really didn't feel the need to ask for permission to go home since clearly this is not a rational woman.
And there you have it. The worst call ever (so far).
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