How come you still don’t know what I’m thinking?

Surgery fellow, storms into unit at 11pm…

Fellow: “How come nobody called me about this? Why would you stop her tube feeds? Why hasn’t she been transferred off of your service.???”

Me: “Umm…”

Fellow: “Why would you think an esophageal leak would cause problems? Why don’t you know anything about the miniscule surgical subspecialty field that I am doing a fellowship in?”

Me: “Umm…”

Fellow: “Did you talk to anyone about this patient? Why wasn’t I called???”

Me: “I called the chief resident who spoke to your attending and we ran it all by the critical care attending whose service he is on right now. Would you like me to call my attending for you?”

Fellow: “Umm…”

And so it goes in the world of mis-communication

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