Couples Therapy: Cardiology and Nephrology

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They just can’t help themselves
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So, I had a patient once. I was watching real time while orders kept being deleted and new orders kept being placed. I was about ready to put some calls out because I was so confused as to what was going on. Finally, I turned around and saw the cardiologist. He told me to stop deleting his orders. I told him it wasn't me. Well, lo and behold, the nephrologist was sitting at another computer around the corner and they'd been going back and forth deleting each other's orders. They allegedly then went off to discuss a treatment plan together.

michelledalenaa
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I was hoping for a “salt on the wound” joke, but pouring salt on the EKG was even better.

schechnera
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"Nobody cares about the difference between osmolarity and osmolality" - Best line ever👌

zyesh
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Nephrology dumped saline on cardiology, does that count as "a-salt?"

jordanabendroth
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their pettiness towards each other is just perfect

aeri_taylors-version
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Good one! I'm a veterinarian, and I attended a lecture about managing patients with both cardiac and renal diseases. We had a cardiologist and an internist with an interest in nephrology (we don't have veterinary nephrologists), and they engaged in some friendly banter. At the end the internist said "and remember, if the heart was really that important, there would be two of them!"

deeanna
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Lmao cardiology just walks around with EKG printouts ready to hand to people

TRusheeRush
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Had a patient 2 weeks ago (I'm in family med) mention during our medication review that his cardiologist and nephrologist always fight over his diuretics. I mentioned it to my supervising physician and he just said, "yeah, we're staying out of that."

jillianover
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I’ve had both a heart and kidney transplant and I’m extremely tempted to send this to both teams

eternalsong
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Next couple's therapy episode: general surgeons vs gynaecology arguing about undifferentiated lower abdopelvic pain in a young woman.

chuanwang
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I had to go to a nephrologist once for BP issues caused by my kidneys. As a biochemist, I know how important the kidneys are to proper fluid balance in the body. When I mentioned this to the nephrologist, he was like "Exactly! Cardiology just doesn't get it." 😂

katkitty
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You are now personally responsible for my Google history containing the question, “was Darwin a nephrologist?”

pembrokelove
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I'm waiting for the patient presentation where I can retort, "Diurese this!!"

It's right up there with ER chasing the intern around, shouting, "I've got your McBurney's Point right here!"

EastonJackson-GMC
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Considering how hard I laugh at these I can't even imagine how much funnier they must be to people in health care. I'd break something laughing I think

BWVan
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Jesus! I have been waiting for these skits my whole professional life as a floor nurse! The amount of times I've had a nephrologist storm up to me, and asked, "Who ordered these fluids?!" And I have to tell them, "the hospitalist did", or "the cardiologist did", and watch their lips curl inward . . . cue eye roll . . .

dave
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He’s so good I forget he’s all of the characters and there aren’t 3 different people in this sketch

Pimkly
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I cannot help but laugh at all of this, for it reminds me of something that happened many years ago.

Something happened and I was rushed in for emergency medical care.
No cap ...I was literally dying. Specialists from all departments were brought in to consult.
Even dentistry got an "invite" to the party.
Was in shock and vitals were dangerously low with a bp at around 53/16 (yes, it was THAT low).
Surprisingly, I was quite coherent and conscious enough to understand everything going around me.
Not a surprise, Cardiology wanted to take charge. I am not exactly sure what they wanted to do, but Nephrology found out and immediately stopped them.
Cardiology was not pleased at all and wanted to know what their problem was. Said that even if something happened, there was at least a "back up". They said that doing what was necessary to save my life, was absolute paramount. Nephrology asked Cardiology if they even bothered to read my ENTIRE medical history and file...for he would have seen that I had a history of bilateral hydronephrosis of the kidneys.
Cardiology was a bit stunned when they heard that...and slowly backed away.
Nephrology was beaming with a "I told you so" look.

Fortunately for me, they were able to work together and with all the other specialists to provide me with the care, I most desperately needed.
Took some time, but I made a full physical recovery from all of that.
Thankful and grateful to all that took care of me, at that time.

pinkprincessinthecity
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I once saw a cardiologist and a nephrologist argue intensely about the distal tubular calcium reabsorption… in truth nobody (else) cares 😂

freeradicalpanda
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Dr. G possibly missed his calling...these representations of these specialties are so incredibly accurate as to be nearly supernatural. His acting is quite good, skit length, comedy and flow are all superb.This a true polymat, and hope he expands his considerable skills beyond medicine someday if he so chooses!

kateps
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"You drew a QRS complex on his forehead"
"well I made it low amplitude..."
Pure gold right there.

basmaabumahfouz