medical consult

What ‘Thank You for the Interesting Consult’ Really Means, Part 1

  • 11.3K
    Shares

medical consult

Initial consult notes usually end with the following line: Thank you for the interesting consult.  What does that really mean?  In the first of a two-part series, our GomerBlog translators will help break down what a certain provider or subspecialty means when they write down this phrase.

Anesthesiology

Translation: So this is what a non-sedated human being looks like?!

Any Consultant Who (1) Thinks a Consult is Stupid or (2) is Fielding the Consult Between 5 PM and 5 AM

Translation: (1) You suck, (2) I hate you for making me stay late, (3) I hate you for waking me up, or (4) I’m gonna get you back for this.  Be warned: the consultant’s note will be quite passive aggressive.  For example: an irritated infectious diseases consultant may not write “afebrile,” but instead write “not even febrile once.”

Any Medical Student

Translation: Thank you, thank you, thank you!  I got to spent twelve hours with this patient and I learned so much!  I’ll remember this forever and ever!  Boy, I cant wait to go home to read up on this one!  Did I mention to say thank you?

Any Resident

Translation: WTF.

Cardiology

Translation: Ive seen higher troponinsCardiologists typically let out a giant yawn after fielding your consult.

Cardiothoracic Surgery

Translation: Why havent you called Cards or ID yet?

Dermatology

Translation: Please don’t call me on eczema ever again.

Emergency Medicine

Translation: Since when do I field consults and how on earth did you convince me to do this one?!

Endocrinology

Translation: I know you think its adrenal insufficiency, but its not adrenal insufficiency.

Gastroenterology

Translation: I cant believe you let this guy eat.  Make him NPO.

General Surgery

Translation: Haha, I cant believe you let me get away with not being the primary team on this case!  Sucker!

Hematology/Oncology

Translation: That peripheral smear really turned me on.

Hospital Medicine

Translation: Seriously, do you not know how to restart antihypertensive medications?

Infectious Diseases

Translation: Thank you for this interesting consult!  These guys are cerebral and really do enjoy challenging cases.  These guys are also socially awkward.

Nephrology

Translation: (1) Stop calling me on high potassiums due to hemolyzed samples or (2) Try fluids or diuresis; its one or the other.

Neurology

Translation: If I see one more pseudoseizure I swear…

Check out What “Thank You for the Interesting Consult” Really Means, Part 2

image_pdfimage_print
  • Dr. 99

    First there was Dr. 01, the first robot physician, created to withstand toxic levels of burnout in an increasingly mechanistic and impossibly demanding healthcare field. Dr. 99 builds upon the advances of its ninety-eight predecessors by phasing out all human emotion, innovation, and creativity completely, and focusing solely on pre-programmed protocols and volume-based productivity. In its spare time, Dr. 99 enjoys writing for Gomerblog and listening to Taylor Swift.

  • Show Comments

  • Avatar
    Adam Sorensen

    Looooove it! Derm could also often read, “How do you not know this is an outpatient problem”.

  • Avatar
    Katherine Adelicia Hedian

    Had TWO pseudo seizure patients come in last week.

  • Avatar
    Kristy Crimmins

    Love it!

  • Avatar
    Elizabeth Charles

    I hope this was a resident/student or a janitor?? If not that person should not be a Dr.

  • Avatar
    Kamran Manek

    Ameer Musa

  • Avatar
    Lyubov Burleson

    One more for Psych ( had lots), ” thank you for” Depression “consult for 2-3 rd day after Alcohol intox patient; is it possible that he just hanged over and disphoric?!!”

  • Avatar
    Brandt Whitehurst

    General Surgery: For the tenth time this week, it’s an ileus, not a bowel obstruction.

  • Avatar
    Brandt Whitehurst

    General Surgery: For the tenth time this week, it’s an ileus, not a bowel obstruction.

  • Avatar
    Nicole Lavelle

    For psych: thanks for yet another consult that the social worker could have handled!

  • Avatar
    Nicole Lavelle

    For psych: thanks for yet another consult that the social worker could have handled!

  • Avatar
    Gomerblog

    Fantastic idea!

  • Avatar
    Gomerblog

    Fantastic idea!

  • Avatar
    Jeanny Morejon

    This is hysterical!!!!!

  • Avatar
    Ahmad Alkaddour

    Abdul Kader Tabbara

  • Avatar
    Sean Nix

    I like the general surgery one!

  • Avatar
    Sushma Chandramouli

    They left out psychiatry because we do not even want to fake being thankful for a consult!

  • Avatar
    Elaine Collier Schwartz

    So when are you going to ask for patient’s responses? I could give you a few!

  • Avatar
    Elaine Collier Schwartz

    So when are you going to ask for patient’s responses? I could give you a few!

  • Avatar
    Kerra Lewis

    That was great lol!!

  • Avatar
    Samar Alsunaid

    Bisi Hollist

  • Avatar
    Robert Fakheri

    There should be a translation for private practice attendings: “thank you for allowing me to bill for this totally unnecessary consult. I plan to be completely useless but will follow anyway and write daily copy/paste notes until the patient is discharged or it becomes awkward”

  • Avatar
    Joel Abramovitz

    Neurosurgery: yup, the MRI was a) positive b) negative c) pending but the patient does want surgery. Third case tomorrow.

  • Avatar
    Tammy Elizabeth

    Or…”Do you even know what we do?”

  • Avatar
    Tammy Elizabeth

    Preventive Medicine: How did you find out we exist?

  • Avatar
    Jen Floyd

    Neuro, truth.

  • Avatar
    Melissa Lefebvre

    True story Medicine consult from Surgery: Hyperglycemia management in a patient on D10 fluids. Ummm step 1, D/C D10. Step 2, smack some common sense into the surgery resident.

  • Avatar
    Michele Hills

    I hope in part 2 you include psyche :) Best consults ever!

  • Avatar
    Ancy George

    Jannet Alejandra Tobon figured youd find this amusing

  • Avatar
    Michelle Shlomit

    haha love it!

  • Avatar
    Gramma Bustin

    This is hysterical!

  • Avatar
    Roshe Gnana

    Love it!

  • Avatar
    Joanie Sapienza

    Bahahhahahahahhahahahahahhahhahahahahahahahahahahahhahaahhahahahahaha! This is so funny! I almost needed a urology consult reading this!

  • Avatar
    Hilary ‘Thege’ Byma

    David Van Dyke Anna Berkenpas Ter Beek Tracy Norris Slager Sarah Reese Lickiss #funnynotfunny

  • Avatar
    Sandy Salter Mosley

    Brandy Cooper Mosley Stephanie King Alisa Ruffner Brooke Wilder Knapp

  • Avatar
    Sonia Mathew

    Ah ha !! so now I know what you really think ;)

  • Avatar
    Cristina Artiles

    Oh how about gyn- woman 4weeks pregnant with vaginally bleeding. And her BHCG<2.

    NOT pregnant!!! Menstruating.

  • Avatar
    So Ni

    Psychiatry: oh, wait, we don’t say that

  • Avatar
    Mae Timbol

    Valerie Jorge CabreraDina AbdelwahabSherry MansourDennis MoledinaNadeen J. KhouryJuan Sebastian Calderon

  • Avatar
    Ryan Crooks

    If I see one more pseudoseizure, I swear….get an EEG and MRI.

  • Avatar
    Dariush Takhtehchian

    Lol. #truth

  • Avatar
    Courtney Joyce

    Please need a rad onc one… This patient has been in the hospital for 20 days any on Friday at 4:45 PM he has brain mets.

  • Avatar
    James Joubert

    Yep.

  • Avatar
    Iram Ahsan

    Haha!! This is so true:)))

  • Avatar
    David Chambers

    Yeah, and every patient is a “very pleasant” gentleman or woman.

  • Avatar
    Debbie Bridges

    Lol

  • Avatar
    Sherri TenNapel Ekobena

    love it!

  • Avatar
    Stephanie Jamison

    David Chambers

  • Avatar
    Bob Kelso

    Jane Ly, sound familiar?

  • Avatar
    Rami Horani

    Patrick Jackson Parsha Dorriz

  • Avatar
    K. Laurie Green

    Dan Soule

  • Avatar
    Ahana Roy

    roflmao

  • Avatar
    Michelle Renee Baird

    Matt Simmons when I read that, I thought of you and I was like, uhhhh HELL no. Lol

  • Avatar
    Shannon Hopkins

    I should have gone into ID…

  • Avatar
    Ann Ruark Hoskins

    haha! :-)

  • Avatar
    Matt Simmons

    Socially awkward? Me? Never…

  • Avatar
    Mike Royer

    Lol Jian didnt we talk about this a year ago?

  • Avatar
    Jessica Cottreau

    :) we’re suckers…

  • Avatar
    Betsy Bea

    Lol, the ID one Monica Jessica

  • Avatar
    Michelle Renee Baird

    Haha…… Kristen Bell, Matt Simmons, Anthony Parravani, Anthony Roda-Renzelli, Corbin Hodder, any truth to this?? Lol

  • Avatar
    Michelle Villarta

    Thanks for the RVU

  • Avatar
    Edi Berbic

    Paul Thethi

  • Avatar
    Josh Conroy

    not febrile even once Alex Nesbitt

  • Avatar
    Karen McAllen

    Beata Rivard…I love the ID one!

  • Avatar
    Drew Pento

    Shelli Nally Shaw Robin Fitzgerald

  • Avatar
    Anthony Speights

    Consult Gyn ….Vaginal bleeding, cyclically about once a month….is she under 12 or over 50…NO….PERIOD dumbass!!!!

  • Avatar
    Gregg Horras

    this article forgot psychiatry: “That’s right, I’m not really going to do anything to get this patient discharged sooner.”

  • Avatar
    Joy Mayer DeHaven

    OMG…scaring my kids by how hard I was laughing.

  • Avatar
    Haris Turalic

    my favorite 2AM WTF consult when I was a fellow: patient with bradycardia. HR is 50bpm. OK? Is he symptomatic? No, he is sleeping.

  • Avatar
    Donald Jordan

    We have a Cardiologist who has trained his Dragon to transcribe “Thank you for this consult, I will follow closely” every time he says “Bullshit”.

  • Avatar
    Kathleen Moltz

    Endocrine: It isn’t adrenal insufficiency, and your obese patient doesn’t have diabetes yet.

  • Avatar
    Allison Redden

    Wound Care… You called me for intact skin with blanchable redness again!

  • Avatar
    Marat Goldenberg

    Seen it, done it, said it

  • Avatar
    Jennifer Spickler McGuire

    Rachel Carty Moehlmann do you know who this sounds like? Lol.

  • Avatar
    Eileen Left

    :) for Peds- thank you for that interesting consult for chronic abdominal pain. 9 times out of ten -The child is full of poop.

  • Avatar
    Sarah Scholl

    Totally accurate. Totally. You really can’t effing start the patient’s home metoprolol?!

  • Avatar
    Catherine Carter

    cracking up at these, thank you

  • Avatar
    Denise McPherson

    Spot on!

  • Avatar
    Campbell Holinger

    And this is exactly why I will never leave EM: “Since when do I field consults and how on earth did you convince me to do this one?!”

  • Avatar
    Robin Fahringer Mitchell Machajewski

    LMAO!! Those last few were spot on!

Your email address will not be published. Required fields are marked *

comment *

  • name *

  • email *

  • website *

You May Also Like

personality disorder

New Contagious Disease Recognized: Defensive-Irrational Personality Disorder

688Shares“The incorporation of Defensive-Irrational Personality Disorder (DIPD) into the ICD-10 is a welcome addition. ...

Optometrist, Ophthalmologist to Duke it Out at Flagpole at 3 PM Tomorrow

109SharesCHICAGO, IL – With many in health care wondering if this is the apotheosis ...

Standardized Patient Suing Medical School After No One Detected Prostate Cancer

289SharesTAMPA BAY, FL – 56-year-old Michael Finnerly has been volunteering his services to the local medical school’s ...

2014 ACLS algorithm

Study: The People’s Elbow is the Most Electrifying Move in All of ACLS

2.2KSharesHAYWARD, CA – FINALLY!  The Rock… HAS COME BACK… to cardiopulmonary resuscitation (CPR)!  A ...