Bored Panda
97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again

33
2
If your workplace's walls could talk, what would they say? I guess it largely depends on your profession. The morgue, for example, might reveal very different secrets to the hair salon or the tech support call center...
One place that holds a rollercoaster of stories is a hospital. Life-changing moments happen here every single day. But what patients and their families see or hear pales in comparison the reality experienced by the staff who work in these buildings. Doctors, nurses, paramedics, and even janitors are privy to things that might surprise even the most hardcore Grey's Anatomy fan.
They've been spilling some secrets online, in response to someone asking, "What are the unspoken (dark) realities of medicine that surprised you most?" From battles with mental health and substance use to admissions that medical professionals are merely making "educated guesses," each answer takes us deeper into the minds of those who have chosen to save lives for a living. Bored Panda has put together a list of the best ones below. Don't forget to upvote your favorites.

#1

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
Some families reject death so much, they beg the doctors and nursing staff to do lifesaving measures on their 95 year old grandma who has cancer everywhere and is begging for death. It's just unacceptable.
31points

We turn to our trusted medical professionals to help us in times of need, but many of them are facing crises of their own.

According to the Centers for Disease Control, health workers are feeling fatigue, loss, and grief at levels higher than before the Covid pandemic. And reports of poor mental health symptoms have increased more for health workers than for other worker groups.

The Pew Research Center reveals that physicians, nurses, health technicians, and others in the sector are at increased risk of taking their own lives, compared with their nonmedical peers.

One U.S. study found that 14% of healthcare workers had reported having such thoughts, 6% had gone as far as planning the act, and 3.5% had followed through by attempting it. Sadly, every year, more than 300 physicians are successful in taking their own lives.

#2

A whole lot of unnecessary suffering that families bring upon their supposed loved ones. Imagine how horrified you’d be if your friend told you they are putting their elder dog Luna on a ventilator because, after her aging achy hips failed her and they did the hip replacement, luna got pneumonia. Of course she can’t eat anymore so they will put a feeding tube in her and feed her. Then they will have people clean her up when she s***s on herself but at least they don’t have to worry that she will pee on herself because after the pneumonia her kidneys failed and now she’s on dialysis. They visit her a couple times each week because they love her.

No. That’s considered inhumane to do to a dog. We do it to millions of elderly humans though.
31points

#3

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
You are doing your 90 year old grandmother a great disservice by making her a full code, she will not survive CPR and her death will be significantly more traumatic because of it.
29points

Even with the stakes this h**h, experts say healthcare nurses are less likely to seek mental health support when experiencing depressive thoughts compared with nurses who do not have such thoughts.

"And in contrast to the general population, physicians are less likely to seek mental health support even when experiencing [thoughts of s*******m]," adds the Pew site.

One of the reasons for this is the stigma attached to mental health issues within the medical fraternity. Some fear their careers will suffer if they speak up. A 2021 study found that 47% of doctors agreed that doctors with a history of depression or anxiety disorder are less likely to be hired or appointed.

#4

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
Sometimes when people die we just put an oxygen mask on them and wheel them through the corridors. Less distressing for other patients and visitors to think they are asleep rather than see a body with a sheet over it.
25points

#5

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
How a single fall, and subsequent hip fracture for an elderly individual can be a death sentence for so many.
24points

#6

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
I honestly expected everyone to be the pinnacle of maturity and professionalism.

Boy was I wrong.
22points

Pew adds that in many U.S. states, health care providers applying for their license or credentials must disclose whether they have ever had mental health concerns or received mental health care.

"Data shows that 40% of physicians and 35% of physicians assistants reported reluctance to seeking mental health supports because of concerns about licensure repercussions," reveals the site, adding that many nurses also worry about the professional consequences of receiving mental health care.

#7

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
4-5% of doctors who leave the field of medicine each year do so by ending their lives. We as a profession suck at mental health among ourselves.
18points

#8

The lab. The many labs inside a hospital are what you don't know about.

A hospital without a lab is just a bunch of people guessing. A hospital without a lab is a collection of doctors' offices.

Think about that for a moment.

The lab is not where they draw your blood. The lab is where that blood is sent to have various tests. Each color tube does something very specific. Those tubes need to be filled to a certain amount. They need to be drawn in a certain order to keep contamination from causing issues. Sometimes, they even need to be drawn from certain places.

The lab takes your blood, sweat, urine, fluid drainage (from cysts, wounds, around your heart/lungs/liver, brain, etc.), nose swabs, cheek swabs, feces, tumors, removed organs and appendages, growths, and many other unwanted parts and fluids. The lab knows that you eat too much sugar, you lie about that cigarette you enjoy every day, and that you need to stop taking so many over-the-counter pain relievers.

The lab knows when you have chemotherapy. The lab watches your platelet count go down. The lab knows about the deletion of that one gene or the doubling up of another. The lab ran your PCR COVID test and saw you become a statistic. They then asked a blood donor program to hit you up for COVID convalescent plasma, so that you might save a life.

The lab monitored your time on the heart-lung machine. The lab knew when you needed platelets and blood.

The lab saw your lupus diagnosis first. The lab was nearly as upset as you were about it.

The lab was overjoyed when they got the news to pass along to your doctor that the stem cells came in for your bone marrow replacement.

Nurses and doctors see you face to face, but the lab knows you from your insides. The lab is faceless to almost everyone in the hospital (even other staff), which is a shame because the lab is cheering you on in your recovery.
17points

#9

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
“Discharge to street” dispos. Really really unsettling feeling to take a bed and four walls away from someone so we can treat someone else.
16points

48% of doctors who took part in a 2023 poll reported that they know a physician, colleague, or peer who said they would not seek mental health care. This is despite more than half reporting that they know of a physician who has considered, attempted, or died by taking their own life.

A separate survey found that only 26% of physicians with mental health conditions seek treatment.

#10

There is an army of pharmacists in the basement that approve every medication entered by every doctor, frequently catching errors that need a change in therapy (patient on dialysis can’t have x med due to toxicity risk, why is this patient on two nitrate-containing meds?, this patient is 90 and her QTc is already 500 so maybe let’s reconsider the Levaquin, this guy just got that antibiotic in surgery two hours ago so I’ll reschedule it to tomorrow, why is this patient not on blood thinners when they are at high risk for a clotting event, another doctor already ordered potassium repletion for this patient so do you want me to delete your order as a duplicate, you forgot to order a thyroid test before starting amiodarone, this person’s kidney function has stabilized so we can increase their antibiotic dose again, can I change this pantoprazole order to lansoprazole because you can’t crush pantoprazole and the patient has a G-tube, please enter an updated weight for the tiny NICU baby so I can redose all of their weight-based medications, did you really mean to order 1030 units of insulin for this patient or did you want them to get it at 10:30, etc).
16points

#11

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
The dissociation between patient's clinical state and some conditions.

For example, septic patients. Sometimes they're fully conscious in the morning, they crash and get ventilated in the evening and they die in the middle of the night.

Not only this is disheartening, this can lead to conflicts with their relatives - "But doc, he was just fine yesterday! We talked on the phone! This is probably malpractice!".
15points

#12

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
How little we can do for seriously mentally ill, demented, or chronically encephalopathic patients. They run into a vicious cycle of getting hospitalized and then unable to be discharged because they can't take care of themselves and no place will accept them because of their behavior and they are mentally incompetent and can't be released by choice. They don't get better. There's a point of no return in mental illness.
15points

“Health workers are experiencing unprecedented rates of burnout and mental health conditions due to factors like long, irregular hours, unsafe and difficult work environments, resource shortages, and h**h clinical demands they face daily,” says Stefanie Simmons, chief medical officer of the Dr. Lorna Breen Heroes’ Foundation.

But the mental health crisis within the medical profession is not only impacting doctors, nurses and their peers. It can also affect the treatment that patients receive, or don't receive.

“Many of the operational policies and practices are there based on the misplaced belief that they protect patient safety, but the reality is starkly different: When health workers fear seeking help, the quality of care declines, mental health conditions and burnout intensify, workforce shortages grow, and lives are lost,” warns Simmons.

#13

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
How much insurance controls what I can prescribe my patients.
15points

#14

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
Just how many nurses just go through the motions of scientific thought and continue to believe in lies, like astrology, or that vaccines don't work or that vaccines cause harm, or that evolution isn't real.

That the people who take care of our elderly are extremely underpaid and overworked.

How many patients just don't GAF what happens to them.
15points

#15

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
In the ICU you spend a lot of time keeping corpses alive until their family comes around or their body gives out

“Oh Jesus ain’t ready for her yet!”

Yes, Jesus is ready for her; we’re just actively delaying it.
14points

#16

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
Clinical practice isn’t really evidence based, a lot of things we do mostly because it’s the way it’s always been done. There is so much we don’t know about medicine and most of the time we are taking educated guesses. Most diagnosis and treatment plans are a risk/ benefit analysis of probabilities with a significant (more than 5%) error rate. We are just not that good at medicine yet.

There is a large discrepancy in the publics expectation of how accurate we are and the reality. I think in 100 years we will look back at the barbaric way we practice medicine currently even in our best institutions. To give an example the best treatment we have figured out for resistant depression is shocking our patients, it works well and it’s the best we have.
12points

#17

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
In a small town hospital I used to work in, there was a gyno who would show up to work visibly drunk. Everyone knew, no one did anything until the guy came to work the ER so wasted he had to be hidden from the patients, rehydrate and sent home to avoid a scandal

Another physician had a decent amount of malpractice suits, he was legally ordered to stop practicing medicine there while investigation were underway. The dude didn't give a s**t, he just showed up to work for months and everyone around him did nothing because he was the chief of surgery. He only complied when someone denounced to the judges he was still there

I'm sure s**t like this goes on in a lot of hospitals, and due to this archaic code of honor among peers thing a lot of people do not dare to say anything for fear of retaliation.
12points

#18

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
Hospitals are very hesitant to discipline surgeons who have bad skills even though they are a danger to patients because surgery is where hospitals make their profits.
11points

#19

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
That s****l harassment is rampant and often swept under the rug.
11points

#20

97 Medical Secrets So Dark You Might Be Scared Of Going There Ever Again
How much of how I practice medicine is controlled by administration and insurances rather then what makes sense/is best for the patients and how much I hate that.
10points
33
2