As a “lone wolf EM physician assistant” (PA that works in a critical access hospital ED) I am never surprised at what is asked of me. I understand that about 50% of my job is social work and demands high-end human interaction skills. With that said, there is a huge difference between a patient and costumer.
My ED shift started after a brief sign out from the night PA. Two patients presented at the same time – 48 yo F with chest pain and a 32 yo M with chronic left shoulder pain. One was a patient. A STEMI. She was scared and only wanted to live. She knew her life was in jeopardy. The male wanted a shot of Dialudid. (Pain for 3 weeks… no new injury. Lot’s of opiates. Bet you can’t guess what he was allergic to.)
It’s like flying in an airplane. On the extreme end of the spectrum, I want the plane not to crash. Please. Get me there safe. (That’s the expectations of a patient.) But, we like to judge the airline by on time departure, luggage, pillows, smiles and drinks. These are customers.
So, my shift starts with extremes, a true patient and a customer. The STEMI received lytics and was satisfied when pain dropped from 9 to a zero. Chronic pain didn’t received Dilaudid – needless to say not so happy. Pain was a 10 and remained a 10.
This is my job as a PA.
I love it.
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