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ever feel like everything is just CYA?

does anyone ever feel like doctors/nurses just act on the CYA premise?  the only ones that i did not feel this way about was my RE and my MFM.  even my OBs i feel like everything is just CYA.  ....it's actually the only way i can get them to do stuff sometimes....by scaring them into thinking "oh i didnt check this off my list, i could get in trouble" or "oh, better get that done so we dont get sued.".  maybe it's me...i didnt feel that way with my son.  i dont even know if that is making sense....i guess i feel like i can never get good heartfelt advice anymore...that the world is more and more just one big CYA trap. 

sorry, vent over.

Re: ever feel like everything is just CYA?

  • sorry, what is CYA?
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  • you can thank all the lawsuits and insane cost of insurance for doctors for this.

    that's one of the reasons I LOVE my OB... he is not afraid of getting sued- b/c he has confidence in himself.  He said "you can tape the c/s... I don't mind- but the hospital might stop letting people do it b/c of legal action"... He Ok'd me taking advil until the 3rd tri (for migraines) when most OB's say NO WAY... b/c my OB knows the danger is only in the 3rd tri.... just a couple examples of how wonderful he was and how smart he is.

    it's hard to find docs that don't follow "CYA" these days.  Sometimes it' snot just b/c of legal action- but, for instance, a discussion I had with an older IM doc yesterday (i'm a drug rep) where he said that he takes longer to make decisions about patients now b/c he knows so much... he knows that if he doesn't do XYZ there is a tiny chance it could be something bad and he'd miss it... and even though it seems excessive- it's worth it for him to do XYZ than miss it in ONE patient- even if it only would happen once in 20 years.

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  • Yep, I'm also wondering what CYA is.

    ETA:  Cover Your Ass?

  • cya = cover your ass :  )

  • It is sad. It really is. But as someone in the medical field I can say that until there is tort reform there will be CYA medicine. You can be the greatest doctor in the world and still be sued. 
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  • imagejalaiaa:
    It is sad. It really is. But as someone in the medical field I can say that until there is tort reform there will be CYA medicine. You can be the greatest doctor in the world and still be sued. 

    i understand that there has been and will always by CYA medicine.  i just feel like it's gotten worse.

  • That's actually a saying we use on a daily basis! I'm an Nurse Practitioner in the ER, and unfortunately, that's the way it is. I know working in the ER makes you jaded, but there are days where I feel like my patients are acutally trying to catch me in a mistake. Of course, the typical ER population, is not the typical population, so I'm sure it's not that bad in other areas of medicine (and yes, there are plenty of great patients that I really enjoy too!).

    CYA is definately something that even teachers say when we're still in school. It's a shame, but that's what it's come to...

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