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Tuesday, December 8, 2009
Blood Pressure is Overrated, Anyway
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This note was faxed to my office from the patient's family doc this morning.
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
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Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
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2009
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December
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- Answering service fun
- More things that make me grumpy
- Stupid questions
- You VILL do ze physical therapy!!!
- Is she a cephalopod?
- Mary's Desk, December 29, 2009
- Somebody put something in my drink
- More things that make my grumpy
- Job Counseling
- Memo to Patients
- Dear Mrs. Thoughtthatcounts,
- My readers write
- Loose playlists sink ships... or something like that
- December 26, 2009
- Traditions of Christmas
- More Dragonisms
- Holiday Reruns
- December 24, 2009. Tis the season
- Healthy Living
- More Gift Ideas
- Augh!!!!!!!!
- Dear Dr. Dumpster,
- Hey! This sausage tastes like... uh, chicken?
- More Gift Ideas
- Whatever
- Tuesday Morning, 1:47 a.m.
- This is a yes or no question
- Thank you for sharing
- Hey! This is like a ride!
- Things that make me grumpy
- More Gift Ideas
- Winter Vacation, Day 1, 7:09 a.m.
- December, 1974
- Skool Nerse Time
- The Return of Wrong Way Wooten
- Next year, put it in an envelope
- More Gift Ideas
- Say that again?
- Chocolates from hell update
- Okay, this is just WRONG!
- Alzheimer's Disease and the Holidays
- Smooth Move, Dr. G.
- Better late then never
- Mrs. Grumpy is going to kill me
- More Gift Ideas
- Christmas is coming, the staff are getting fat
- Tearing My Hair Out
- Why use your brain when you can buy an EMR and loo...
- Early Monday at Grumpy's House-of-Brains
- Dear Mrs. Nosybich,
- Christmakuh
- More Gift Ideas
- Suzy Frazzled, M.S.W.
- Spelling Errrorz
- The First Night
- Okay, You Can
- Attention Junkies!
- Dear CVS Caremark,
- I Bet He Ain't As Comfortable
- Dear Mr. I.M.A. "Rich" Azzholl, III
- More Gift Ideas
- Blood Pressure is Overrated, Anyway
- You Saw It Here First!
- Skool Nerse Time
- Whatever
- I Bet the Cops Love You
- More Fun Junkie Quotes
- Lifestyle Changes
- Tis The Catalog Season
- Public Service Announcement
- Live! From ER! It's Dr. Grumpy!
- Starting and Ending With a Survey
- You Must Live REALLY Far Away
- Okay, Let Me Get A Blindfold
- Homecoming
- Just Say No
- Now THAT'S Exciting!!!
- Edgar Allan Poe
- How Hard Is This To Understand?
- Memories...
- How To Irritate Your Neurologist
- Tuesday Morning Patient Quote
- This is the Dawning of the Age of Extavia
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December
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17 comments:
So why isn't the chief complaint "dead"?
Taking Heart- Put it in perspective. She also had a headache, and that's more painful than being dead. I mean, let's face it. How many people go to their family doc just because they're dead?
well, she is only 18. Maybe she hasn't had enough stress in her life to raise her blood pressure. I could lend her my 3 kids for a few days.
Ahh, the beauty of an EMR.
Does her allergy list include triptans, ergotamines, topirimate, verapamil, beta blockers, and valproate?
Anon- no the patient in this case is normal.
The problem is the doctor there, who is sloppy and putting too much confidence in his EMR system.
I'm not a doctor, but I'm pretty sure that's a bad sign, right? What's the prognosis?
On the bright side, it doesn't look like she has any mercury in her blood. That's a good thing, right?
The lab slips from my doctor's (GP) office list my age as "3." While I appreciate their sensitivity to my age, I'm not sure I can pass for 3...
Such records conjure lines from Monty Python: "not dead yet, but almost there!" ;-)
The poor girl got killed and sent for you for a consult? I think no matter what you do, the patient will not spontaneously recover from death, although I hear that is not uncommon...
That's OK...I've been going to the same PCP for over 6 years, now. I have the lung form of Alpha-1 Antitrypsin Deficiency, and at every visit the nurses go down the list of standard questions. I'm always, and I mean ALWAYS, asked if I smoke. The answer is always, and I mean ALWAYS, no. You would think that after so much time they would get a clue...You may ask why I don't switch PCP's. Well, I like her. She's great and she understands my unique problems. Plus, when I feel a lung issue coming on, she'll call in the scripts I need without me having to schlep into her office, exposing myself to the myriad of "hypochondriacs" taking up space in her waiting room. She just needs Dr. Grumpy's nursing staff...
Just wanted to share this article on the (very) odd chance that you haven't heard of this yet:
http://www.gla.ac.uk/news/archive/2009/july/headline_125704_en.html
Aaaamazing! Wouldn't you love taking a closer look at that girl's brain? :)
P.S. I love love love your blog.
Anonymous, it's a coding issue for billing purposes - providers (or their staff) have to ask certain questions in different categories (medical, family, social) in order to bill for a certain amount of money from your insurance. Smoking, alcohol & drug use are medically relevant and a part of a "social history." "Getting a clue" isn't the issue -- it's all about the money. If you came to our internal medicine practice, you'd get the same question every visit.
taking the pressure off....
I've had customers at work take their blood pressure and come up to me and ask "What is the worst you can have?" And my reply is always "Zeros, you don't want zeros" lol.
Anonymous,
If it makes you feel any better my gyno always asks me what birth control I use. I've had them write on my charts numerous times that I'm gay. Yet every time I go in there...
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