A gynecological surgeon is called in to evaluate the situation. It is discovered that the tumor is an enlarged lymph node and that the "ovary" is actually a testis. When this information is given to Amanda's parents, they do not want her to know.
They feel that she was raised as "their daughter." They ask the surgeon to remove the male gonads and leave only the female gonads.
The parents are adamant about Amanda not knowing anything.
Andy returns to Amanda's room, and Amanda begins asking all types of questions regarding the tests and the treatments.
And how will you get the experience you need with no experienced nurses to help you?
You must speak to our nurse manager about this.""I know I should, but she's so hard to reach.
Joe was called to come in on a busy Saturday afternoon just as his 5-year-old daughter's birthday party was about to begin. If you can't find someone else, call me back, and I'll come right in." Joe's manager was furious. If you knew that you wouldn't want to come in today, you should not have accepted on-call duty.
We pay you to be on-call, and I expect you to be here in 30 minutes, not one minute later, or there will be consequences."Joe decided that he no longer wanted to work in the institution.
With his 5 years of operating room experience, he quickly found another position in an organization that was more supportive of its staff. Evans, 40 years old, was admitted to the medical-surgical unit from the emergency department with a diagnosis of acute abdomen.
He had a 20-year history of Crohn's disease and had been on prednisone, 20 mg, every day for the past year.