The Customer is NEVER Right - A Nurse Practitioner's Perspective
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A popular Facebook post

In commemoration to 50 years of Nurse Practitioners I posted the following on Facebook.

Surprisingly, it became the most popular Facebook post and why I thought I would post here.

Last night the father of a 10-year-old said, "I came to see a doctor not a nurse," after I diagnosed his son with a viral pharyngitis. The father discontent after I said, "No," when he asked if the child was going to get anything [like an antibiotic].

Unknown to the father, two doors down from him I, a nurse, yes, a nurse, was also managing a 30+ year-old alcoholic who came in after vomiting blood. ON TOP OF THAT, because the patient had been vomiting for some time and could not keep alcohol down he was having alcohol withdrawal. ON TOP OF THAT, the patient had not been taking his anti-hypertension medicines for some time and was also having a hypertensive emergency with an initial blood pressure of 197/127. ON TOP OF THAT, although I was not able to find why, the patient was hypoxic saturating 88% on room air. ON TOP OF THAT, the patient's troponin was elevated. Within 1.5 hours of his arrival the patient was stable and waiting to be transferred and when I talked to him before being transported to a facility of higher care the only thing the patient kept saying to me was, "Thank you." The patient's father also said to me, "Thank you."

Interestingly, the 10-year-old had been having a sore throat for 3-days without treatment, none, zilch, nein, zero, nada, none, or sought medical attention before I saw him. Thus had not been given anything for the pain either, none, zilch, nein, zero, nada, none, before I gave him Ibuprofen. My thoughts to the father, only thoughts as I am trying to stay employed, "Sir, I have done more for your son in 10 minutes than you have done for him in 3-days."The picture: One Nurse Practitioner suturing a 1.5 cm laceration on the upper lip, supraperioral through the vermillion border, of an 18-month-old boy at a fire station in Guatemala and with limited resources. Yet the laceration was repaired. And the patient's grandmother was the most appreciative.In the book I wrote about those who do not appreciate us and the work we do, "Those are issues the physicians and patients themselves must wrestle with on their own as Nurse Practitioners and Physician Assistants have been significant healthcare contributors and accepted by an overwhelming majority for decades and the literature supports those claims."

Happy 50th Anniversary Nurse Practitioners! I AM A NURSE!

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