One of the golden rules of life? Doctors are merely human. They don't know everything and they make mistakes. That is why you always want to get another opinion. Things are constantly missed. That doesn't mean docs don't know what they're doing, they just aren't infallible. So make sure to ask questions, lots of them.
Redditor u/Gorgon_the_Dragon wanted to hear from doctors about why it is imperative we always get second and maybe third opinions by asking... Doctors of Reddit, what was the worse thing you've seen for a patient that another Doctor overlooked?I can't tell you how many times I've sat back and chose not to speak up when medical professionals just started rambling. How dare I speak up. What do I know? I flunked chemistry and got through Geometry with a "D". But a few times there were issues left not discussed and there were problems. Just listen up to some alarming experiences.
Grandma Wins
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Not a doctor, but my grandmother saved my father's eyesight because she didn't listen to their doctor.
As a child, my father had really large eyes, too large. My grandmother was concerned, but the doctor kept brushing it off as normal. That anxiety-ridden woman got her herself and my infant father on a train to SF to get to an eye specialist, against all others advice. My dad was diagnosed with primary congenital* glaucoma and his eyesight was saved. Go grandma!
The Mummy Appendage
When I was a resident, an 80yo female was admitted from the nursing home for confusion. Workup showed some mild UTI and we were giving her antibiotics. The nurse mentioned that her toe looked dark and asked me to look at it. The toe wasn't just dark, it was mummified. It looked like dry beef jerky. I touched it and pieces flaked off. So the patient from a nursing home, had a mummified toe, probably for months, that no one knew about.
The CT Save
Here's my story:
A guy came in to our ICU and was very septic but still talking. He had visited his primary care MD with complaints of a sore throat for a couple of days. Dismissed without any intervention since he didn't appear to have strep throat or the flu. At this point he was having pretty severe abdominal discomfort, so we sent him for a CT scan. As the scan was finishing, he coded and had to be intubated, multi-organ failure, etc.
The CT scan was horrible - he had all kinds of stuff all over his peritoneal cavity.
His wife told us that he had choked on an ice cube the day before he saw his primary care MD. Evidently he swallowed a whole double half-moon shaped ice cube that perforated his esophagus with a HUGE linear 4.25 inch tear, allowing a significant portion of his swallowed food and drinks to get in to his peritoneal cavity instead of his stomach.
To make things worse, he had some reflux that allowed stomach acid to get in there as well (likely while he was sleeping).
Once we realized what was going on, he went for extensive washout and exploratory surgeries to repair the damage to his esophagus and other organs. Thankfully, he made a full recovery, but he was very close to not making it.
Patches
When I was an ER nurse we got an elderly lady in for altered mental status from a nursing home, when we undressed her to put her in a gown and hook her up to the monitor, I noticed no less than 5 fentanyl patches on her, guess I discovered the cause of the AMS.
Use your Words
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Neurologist sent patient to our ED without informing her that imaging showed a glioblastoma assuring her impending death. He didn't overlook the disease, he overlooked the communication.
Lord healthcare is a minefield. If you want to keep living, survival requires communication, and if you can't do it... get an advocate. Clearly I'm not the only one going through this miasma. Wait until to hear the rest...
Mad Cow Realty
During my residency we had this lady in her 60s who was getting progressively more forgetful, just overall declining and getting less and less able to take care of herself. She had been seeing her pcp who diagnosed her with dementia. And she saw a neurologist who agreed. She was not really able to provide an accurate history.
After talking to her family and friends it became apparent that her symptoms were progressing unusually quickly. I remember seeing the point where her new hair growth met her bright red dye and also her grown out nails with hot pink polish thinking, wow, it really wasn't too long ago that she was not only taking care of herself but like, going to get her hair and nails done. The lady in front of me was so far from that.
The neurologist I was training with recognized this, had her admitted and did every test including lumbar puncture. Workup eventually showed Creutzfeld Jakob disease ("mad cow") which there is unfortunately no treatment for. She died a few months later but at least we were able to prepare her family that she would only continue to decline so they could make arrangements. Really sad situation.
After Birth...
I used to work in maternal-fetal medicine, and every single week, we would have women referred to us "because the doctor couldn't see something clearly with the baby and wanted to double check." Nope, they just didn't want to have to be the ones to tell you that your baby had a complex cardiac defect or multiple anomalies indicative of a genetic syndrome or any other of a large number of horrible things that can happen during fetal development. Still pisses me off when I think about how many women waited weeks for more information because their doctors were cowards who couldn't tell them, "There's something seriously wrong here."
"I can't see it quite clearly," didn't sound serious, so the appointment wasn't made with any urgency, and now you're 24 weeks pregnant with a fetus that will not survive infancy, and have no options but to carry to term and hope for a quick and painless death shortly after birth.
bad doctors
I'm not a doctor, but a RN. This happened to me, but isn't nearly as bad as most of the stories on here.
When I was in college, I got to where I couldn't swallow. It started with difficulty swallowing, progressed to me having to swallow bites of food multiple times/regurgitating it, and then got to where all I could swallow was broths and mashed potatoes with no chunks. I went to the doctor multiple times, and was told every time it was acid reflux and part of my anxiety disorder.
I lost 30 pounds (was only 120 when this started) and was just generally miserable.
Finally my grandma was tired of watching me be sick all the time, so she called the GI doctor herself. They said we needed a referral, but she explained the situation and they got me in the next day. Did an endoscopy and my esophagus was 95% occluded at the gastroesophageal sphincter.
For some reason, some of my primary doctors notes ended up in my discharge paperwork (I guess they had to contact her to get my information) and she had told them it was acid reflux and basically I was being over dramatic. She stated she did not recommend them to do the procedure.
Needless to say, I switched doctors. Awful. Was not a fun year.
The Valve...
He put the pacemaker lead in the subclavian artery (and across the aortic valve into the left ventricle). The proper approach is: subclavian vein to right ventricle). And then he didn't notice it for over a year. I saw the patient (a 25 yo woman who didn't need the pacemaker in the first place) when she was in congestive heart failure.
The pacemaker lead had destroyed the valve! A surgeon and I had to do surgery to remove the pacemaker and lead. Then replace the aortic valve! Totally inexcusable. Well, 50% of doctors are below average, but everybody thinks theirs is in the top 10%.
Bitten
Rattlesnake bite. On a 2 year old. Patient and dad out in the fields near a small town that is several hours away from the nearest big city, where I work.
Dad takes the child to the ER in the small town with an obvious snake bite, doctor there says "eh it's ok she probably didn't get envenomated." Doesn't give the patient antivenin, which they had at that hospital, and instead of electing to send the child to us by helicopter, he sent her by ambulance. Several hours later patient shows up to our hospital coding, and ended up dying.
Probably didn't get envenomated?!? What the hell kind of stupid fool idea is that. If a tiny child gets bitten by a rattlesnake, you assume they've been envenomated and you treat them as though that had been. That means antivenin, physiological support, etc. completely absurd.
So what have we learned? Medicine is a collaborative effort. We don't have to know everything, but we have to be vocal. More than one opinion = saving lives. More often than not... YOURS!
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Every now and then, a friend of ours might say something, or we might overhear a complete stranger say something that makes us stop in our tracks.
More often than not, what we can't believe we just heard is something so ridiculous, we can't help but put the person who said it in their place.
Other times, however, what we just heard might have stunned us silent because of how shockingly clever it was.
Resulting in our not wanting to scold or yell at someone, but rather give them a handshake.
Redditor SubmergingOriginal was curious to hear the sharpest and wittiest things they've ever heard, from friends and strangers alike, leading them to ask:
"Enough with the dumbest; what is the wittiest thing you've ever heard someone say?"
Don't Give Me So Much Credit...
'I was on a team at work that was on a project working insane overtime."
"One night after an 80-90 hour week, we were all sitting around the table trying to finish up so we could go home."
"Around 11, my buddy's wife called, dubious about the hours he'd been keeping."
"We heard her through the line - 'are you cheating on me?'"
"Exasperated, he looked at our boss, then replied 'honey, if I was cheating on you, I would have been home by now'."- lionbatcher
Eternal Optimism...
"Asked a blind guy if he'd been blind his whole life."
"He said 'Not yet'."- Feeling_Mode_6465
Free time Isn't The Only Thing He Has On His Hands...
"My brother got a vasectomy and when the doctor was releasing him and giving him instructions (with the nurse listening in), one of the orders was to 'come back and have a follow-up appointment after you’ve ejaculated 30 times'.”
"Without missing a beat my brother asked 'what time do you open tomorrow?'”
"The nurse couldn’t keep it together after hearing that."- UtahUtopia
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Double Whammy!
"My pal uses the phrase 'he doesn’t look strong enough to carry information' and it cracks me up every time."
"Calling someone stupid and weak in one fell swoop."- JennyW93
Can't Hide Your DNA...
'Whenever I jokingly insult my mum, she says 'that must be where you get it from'."
"She cracked the code."
"I can never offend her without offending myself."- JennyW93
Self-Sufficient!
"My brother was a line cook at a New Orleans restaurant."
"My mom was in town, staying at a fancy hotel, and he stopped by after work, still wearing his kitchen whites."
"He was reading a newspaper in the lobby waiting for her to come down when the shocked lobby manager sputtered at him, 'MAY I HELP YOU!?!?'
"He answered, 'thanks, but I know how to read',” and went back to his paper."- jobrody
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A Miracle!
"My brother-in-law’s comment."
"The entire family went out for my mother’s 80th birthday and after the meal we all went to a local park, largely occupied by the elderly, to rest."
"My mother needed crutches at this point, and they were resting against her bench."
"My 10-year-old niece, who looked like every starving waif image from Dickens, grabbed the crutches and started hobbling round the park."
"All the OAPs were following her progress with looks of pity until my brother ran up behind her, and kicked away the crutches."
"There was an audible gasp from round the park and then my niece picked the crutches back up and started chasing my brother, clearly intending to hit him."
"In the confused silence my brother-in-law’s voice rang out 'Praise be! She can walk again!'"
"We still think this was the highlight of the birthday celebrations."- DdraigGwyn
Still Legal, Whichever Way You Cut It...
"I picked up my pleasantly tipsy boyfriend from a nightclub."
"We were stopped by the Police for a random breath test."
"They asked me my age, and I said, 33."
"My bf blurted out '33? You told me you were 22'."
"Police just laughed and let me go."- Aggravating-Corgi379
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A Bit Too On The Nose?
"Business law class in college years ago, talking about the issues that black Americans had before the Civil Rights."
"Amendment, trying to travel through the south with the discrimination so rampant, trying to find restaurants to serve them and decent lodgings."
"My instructor was posing a hypothetical: 'So you pull up out front of this place, you're exhausted from driving for hours, and you see the sign out front says 'Ku Klux Klan Motel'."
"'What would you expect to find there?'"
"Without missing a beat, from the back of the room came this gem: "'Extra sheets in every room?'"- NedsAtomicDB
Not Yet, Anyway...
"I was working with my friend and his dad."
"My friend (26) heard an ice cream truck near where we were working."
"He asked his dad if he could have a couple dollars."
"His dad asked, 'what for?'"
"My friend told his dad that there was an ice cream truck in the neighborhood, and that they were playing music."
"My friends dad told him "'They don't charge anything to listen to the music'."- tatersalad1234567890
Words Escape You In The Literal "Heat" Of The Moment...
"A friend of mine is a teacher and her husband is known for his wit."
"She told this story to him:"
"One day at school a kid took the hall pass and returned reeking like smoke."
"She asked the kid if he’d been smoking and he denied it over and over."
"She was about to send him to the office when she noticed smoke coming from somewhere."
"She told the kid and he realized that he didn’t put his cig out completely and it was burning in his pants pocket."
"The kid noticed and frantically tried to put it out and someone finally poured water on it."
"Her husband sat listening to this with a weird look on his face."
"She asked him what was wrong."
“'What’s wrong???'"
"'This was probably the only chance you’ll have in your life to say literally, ‘liar,liar, pants on fire’ and you missed your chance'."- Luder714
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Amazing What You Might Say A Few Drinks In...
"When I went to a renaissance faire once, I went to a beer tent and ordered a Newcastle Brown Ale (seemed the most fitting for the surroundings)."
"The beer wench, without skipping a beat, said, 'Everyone wants a Newcastle - no one wants to remodel!'"- jayhof52
Read The Room People!
"My dad wiped out when skiing down a mountain and lost a ski."
"After a few minutes of hunting for it, he gives up, slings the one remaining ski over a shoulder and starts walking down the mountain in his ski boots."
"About half-way down, another skier stops and goes 'Gee! Did you lose a ski?'"
"My dad instantly replied 'No, I was out for a walk and found one!'"- PeterJoAl
There's a reason your mother always told you to "use your words".
As clever remarks can have a much more lasting effect on people than a push or shove.
People Reveal The Most Hurtful Thing A Medical Professional's Said To Them