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  • Regarding Medical Assistants

    I'm a recovering medical office receptionist (spent seven years on the front lines) and was wondering what the general consensus is among other medical "non-professionals" regarding MAs. The reason I ask is primarily to share my experiences with these women, because I have some really pretty hilarious stories from my time having to deal with them.

    (Just in case anyone here isn't up on terms, an MA is pretty much the lowest accreditation anyone can get as a medical professional. MAs can take blood pressure readings, medical histories, and in some cases can give shots or take blood samples. Oh, and for the record, I am definitely not saying that all MAs are stupid, because I have met some that were really wonderful at their jobs; however, most of those I have encountered have made me wonder how they survive day to day because I'm pretty sure most of them have to actively remind themselves to breathe.)

    My first memorable encounter with an MA was my own annual physical. I was still pretty young, but I had already been working as a medical receptionist for three years, and since my mother had been a surgical nurse in this particular hospital for almost twenty years at that point, I had pretty much grown up there (it was a small town in the Pacific Northwest, so I knew my GP as both my doctor and as the father of a friend of mine growing up).

    So, I was at my physical, and the MA came in to take my medical history, which I was fine with. She was reading off a form, and everything was completely standard, as I had no major medical issues at that time, when I heard her ask me, "Have you had a colonoscopy?"

    I stared at her for a few seconds and finally said, "Um, I have no history of colorectal problems. Also, I'm only twenty-four years old."

    She left the room pretty quickly, so I have to give her credit for realizing she had asked me a stupid question.

    *****

    My second story comes from my time as the lead receptionist and scheduler in a General Surgery private practice. The biggest part of my job was to do intake from general/family practice offices; mostly people with non-emergent surgical issues. However, we had to take referrals from a very small clinic on one of the outlying islands, and they employed an MA who I'll call "Mary".

    Mary was without a doubt the single dumbest person I have ever encountered in my entire life. She was super, super sweet, but at the same time she was so stupid that every time I saw on caller ID that her office was calling ours I would literally cringe away from the phone from worry that I would have to talk to her (I really wish I could remember more examples of things she said: trust me, she was really, really, really dumb).

    On this particular day she was calling to schedule a consult with one of our two surgeons, and for once she actually had the information I needed right at her fingertips. When I asked for his demographics, she answered right away. She had a quick and topical answer for every pertinent question I asked her, and I was honestly pleased with her.

    Until I asked for his diagnosis, the root cause for his needing to drive forty-five minutes from his small town to our small town in order to see a specialist.

    My question verbatim: "What's the diagnosis?"
    Her answer verbatim: "He has a thyroid."

    The really sad part is, she sounded so proud of herself for knowing his "diagnosis," and then was so crushed when I responded, "Um, okay, but what's wrong with it?"

    She had to put me on hold for seven minutes to go ask a nurse to read the chart for her so we could have an actual diagnosis.

  • #2
    In defense of that first MA, a story:

    One of the earliest assignments they gave us in nursing school was to go around to patients and practice getting histories from them. One day, I was assigned a woman who was recovering from a breast reduction. I went in and asked her questions, reading off the list I'd memorized, and dutifully scribbled it all down.

    "Hi, my name is Metody and I'll be your nursing student for the day. Can I ask you some questions about your history?"

    "Sure."

    "Okay. Um. Name?"

    "Jane Doe."

    "Birthdate?"

    "October first, 1965"

    "Can you tell me about why you're here?"

    "Blah blah blah...."

    "Have you had any surgeries or procedures before?"

    "No."

    "Any disorders of the nervous system - concussions, seizure, stroke?"

    "Nope."

    "How about the heart? ...lungs? ...GI? Urinary? Reproductive? Skin? Musculoskeletal?"

    "No....no....nope....nada....nope..."

    "....scribble scribble scribble. Okay, I think I have everything I need. Thank you for letting me interview y - oh, almost forgot. Got any scars?"

    "Well, I've got one from my emergency C-section and another from when I had my heart transplant...."

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    • #3
      I had a colonoscopy at 29. It may have been older than 24, but not much. It also wasn't pleasant and I would rather not repeat that particular experience.

      Comment


      • #4
        I've had two colonoscopies (with the additional fun of gastroscopies to boot) and I'm only 33.
        "Bring me knitting!" (The Doctor - not the one you were expecting)

        Comment


        • #5
          I personally have no issues with MAs. I blame the schools for the arrogance that some MAs in my area, seem to have. They are constantly told how they are just like nurses and so, sometimes proceed to act like they are one in the same, which can make some into insufferable think they know it alls. I have had to clarify titles when taking orders over the phone (can't take orders from MAs) and have them get pissy with me when I do confirm that they are not nurses and I need to speak with isomeone else.

          Stupid people are everywhere And unfortunately, you can't fix stupid .... (But you can sedate it. )

          Comment


          • #6
            Quoth Metody View Post
            "....scribble scribble scribble. Okay, I think I have everything I need. Thank you for letting me interview y - oh, almost forgot. Got any scars?"

            "Well, I've got one from my emergency C-section and another from when I had my heart transplant...."
            I tend to forget to report my tonsillectomy.

            In my defence, I was four or five years old at the time. And I have a looong medical history to give....
            Seshat's self-help guide:
            1. Would you rather be right, or get the result you want?
            2. If you're consistently getting results you don't want, change what you do.
            3. Deal with the situation you have now, however it occurred.
            4. Accept the consequences of your decisions.

            "All I want is a pretty girl, a decent meal, and the right to shoot lightning at fools." - Anders, Dragon Age.

            Comment


            • #7
              Quoth Seshat View Post
              I tend to forget to report my tonsillectomy.

              In my defence, I was four or five years old at the time. And I have a looong medical history to give....
              I have pre-printed forms with my medical history listed. Saves all kinds of time, except when you get some luser who insists it has to be on *their* form.

              That's when I hand them the invoice form for my time to fill out their forms.

              Comment


              • #8
                Quoth Amina516 View Post
                Stupid people are everywhere And unfortunately, you can't fix stupid .... (But you can sedate it. )
                buahahahahhahaha

                I'm glad I just FINISHED my lunch when reading that

                Comment


                • #9
                  I got tired of trying to remember everything, so I have a handy dandy page I print out to take with me - complete med list and schedule, list of current physical issues, list of previous medical procedures with date and location and doctor. Saves trying to remember everything. I scribble my morning blood stick and BP after I print it.
                  EVE Online: 99% of the time you sit around waiting for something to happen, but that 1% of action is what hooks people like crack, you don't get interviewed by the BBC for a WoW raid.

                  Comment


                  • #10
                    My sister was an MA for a year between university and med school.

                    She was also working as an EMT 1st level.

                    Now, my sister happens to be rather bright (Summa Cum, high MCAT score, top of her med school class, generally rawks da haus), and happened to take a rather difficult course to med school (Human Phys. at a certain Bahstahn school with a bulldog). But her fellow MA's were CRAP. She bitched about them all the time. Half of them had no idea how to give shots, the other half had no clue how to take a history, and randomly one of them would forget to update a history. Pissed her off to no end.

                    Poor sister. At times, I understand her desire to be a peds. hospitalist rather than family practice or peds. generalist, usually when I've been listening to her rants about some of the support staff at the practice where she does outpatient.

                    Comment


                    • #11
                      I have no problems with them as long as they remember their scope of practice, but one of my sisters is a MA, the other an LPN, Mom was an x-ray tech until she died, and I'm was a Paramedic so we run the gambit of experience . She also did some teaching though, and I think at this point has upgraded her license at this point. I know she's working for the big hospital system back home.

                      Comment


                      • #12
                        Oh, good lord, don't get me started on MA's . . .

                        Quoth doogiej View Post
                        I had a colonoscopy at 29. It may have been older than 24, but not much. It also wasn't pleasant and I would rather not repeat that particular experience.
                        Routine colonoscopies are usually done around age 50, unless a person has a family history of colon cancer. I'm nearing 50, but don't plan to have one done. I have no history of colorectal cancer, and don't care to put myself through that. Even though I know I "should."

                        Quoth Amina516 View Post
                        I personally have no issues with MAs. I blame the schools for the arrogance that some MAs in my area, seem to have. They are constantly told how they are just like nurses and so, sometimes proceed to act like they are one in the same, which can make some into insufferable think they know it alls. I have had to clarify titles when taking orders over the phone (can't take orders from MAs) and have them get pissy with me when I do confirm that they are not nurses and I need to speak with isomeone else.

                        Stupid people are everywhere And unfortunately, you can't fix stupid .... (But you can sedate it. )
                        I wish I could report that I have no issues with MAs.

                        I know for a FACT that the MA program at my CC specifically goes over scope of practice issues with MA's. It doesn't matter. They graduate, and the doctors refer to them as "nurses" in their offices or clinics to avoid explaining the differences to their patients. The patients are confused, and the MAs start believing their own BS. I know very few I actually regard as either competent or understanding of their actual role and scope.

                        The mother of one of my students is an MA. When the student had a medical issue and could not attend clinic, this woman argued with me, telling me she was a nurse and knew for a fact her daughter could attend clinic and deliver patient care while taking opiate narcotics.

                        Uhm. No. She can't. And she didn't (the student wasn't the one making the fuss, btw. She gets it).

                        I often have to reteach my students who are MA's on how to find their land marks for IM injections. They don't know how to do it because they are taught by doctors (it's not usually taught in the MA program, but an MA can do anything the doctors teaches her to do because she works on his license), and doctors generally don't know how to give an IM injection correctly.

                        It drives me nuts.

                        I also have to be sure to clarify titles when talking to people over the phone. Not just the MA's, but Medication Aides, Medication Techs (same thing, basically), and LPNs: as an RN, I cannot take orders from any of these people. I can take orders from another RN, a PA, an NP, or an MD/DO.

                        Quoth Metody View Post
                        In defense of that first MA, a story:

                        One of the earliest assignments they gave us in nursing school was to go around to patients and practice getting histories from them. <snip the negative answers to questions>

                        "....scribble scribble scribble. Okay, I think I have everything I need. Thank you for letting me interview y - oh, almost forgot. Got any scars?"

                        "Well, I've got one from my emergency C-section and another from when I had my heart transplant...."
                        Ugh. I've run into this as well.

                        What I really hate is when I take a history, and get one story, then the physician goes in and gets a completely different story.

                        Although, I have the same issue with forgetting parts of my medical history, usually my allergies (I cannot take proton pump inhibitors or PPI's like Nexium or Protonix because of the violent migraines they give me, and I always forget to mention it when I go to the ER).

                        Quoth kpzra View Post
                        I have no problems with them as long as they remember their scope of practice, but one of my sisters is a MA, the other an LPN, Mom was an x-ray tech until she died, and I'm was a Paramedic so we run the gambit of experience . She also did some teaching though, and I think at this point has upgraded her license at this point. I know she's working for the big hospital system back home.
                        Scope of practice is a huge issue, and far too many people forget what theirs is.
                        They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

                        Comment


                        • #13
                          Just a quick question...Is a Medical Assistant the same as a CNA?
                          Now, if you smell the roses but it doesn't lift your spirits, you're either allergic to rose pollen or you need medical intervention. ~ Seshat

                          Comment


                          • #14
                            Quoth Panacea View Post
                            Routine colonoscopies are usually done around age 50, unless a person has a family history of colon cancer. I'm nearing 50, but don't plan to have one done. I have no history of colorectal cancer, and don't care to put myself through that. Even though I know I "should."
                            I am not a doctor but I have had colon cancer and have read up on it. As far as I know there is a screening where you just leave a stool sample. Should the sample show a possibility of cancer, the next procedure is of course a colonoscopy, but then you may be more motivated .
                            A colonoscopy isn't fun but I can manage one without sedation. It hurts about as much as stomach cramps but no more. They blow the intestines up to make room for the scope, that's what hurt (but the upside is that you can fart some impressive farts afterwards ).
                            What is the hurdle for me is that awful stuff you have to drink to present a squeaky clean colon.
                            I think you should look into it. Many people will only discover the cancer when the tumour is blocking the colon and at that time the outlook isn't good.

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                            • #15
                              Quoth Mikkel View Post
                              (but the upside is that you can fart some impressive farts afterwards ).
                              I asked the nursing staff for marks out of ten for mine. They gave me a ten.

                              "Oh, but only a three from the Russian judge!" I cried, pointing off into the distance.

                              They loved me for some reason.

                              Rapscallion

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