Mr. Acei: "I have terrible back problems."
Dr. Grumpy: "What kind of symptoms do you have?"
Mr. Acei: "My blood pressure goes up."
Dr. Grumpy: "But where does your back hurt?"
Mr. Acei: "My back feels fine."
Dr. Grumpy: "Then why do you say you have back problems?"
Mr. Acei: "What else could make my blood pressure go up?"
Dr. Grumpy: "What kind of symptoms do you have?"
Mr. Acei: "My blood pressure goes up."
Dr. Grumpy: "But where does your back hurt?"
Mr. Acei: "My back feels fine."
Dr. Grumpy: "Then why do you say you have back problems?"
Mr. Acei: "What else could make my blood pressure go up?"
you just can't even touch that one
ReplyDeletebetter to walk away
=)
Mr. Acei: "What else could make my blood pressure go up?"
ReplyDeleteDr Grumpy: "Well this conversation seems to do the trick for me."
Did the patient give any justification to his BP due to back pain theory?
No, they never do.
ReplyDeleteAnd I really never want to ask. Past experience has told me the answer is usually even more frustrating.
Um, dealing with patients like YOU all day?
ReplyDeleteTop ten list for BP Rise
ReplyDeleteKids--major
Job--major
Traffic
Husband
Wife
Economy--Taxes
Sedentary Life Style
Relatives
Unexpected calamity like toilet overflow
Back Problems
If you experience three or more episodes immediately get in to see your Doctor.
Don't you just love treating chiropractors?
ReplyDeleteAnon 9:51....I was having a piss-poor, haven't done any Christmas shopping, cat puked on the floor, want to strangle the kids sort of day......and then you made me smile.
ReplyDeleteSee, I could never just let it go. I'd just have to know what the thought process was behind his conclusion for hypertension. I guess I'm just wired that way, but it would bug me all day wondering what was going on in his head - might even make my blood pressure go up.
ReplyDeleteWas he seeing you for back pain? I never know when I read your posts whether they are just so out there because you deal with people who have brain injuries/neural diseases or whether you just live in some bizzaro land.
ReplyDeleteI would really, really like to know what he imagines the connection to be. I can understand your reluctance to ask, though. Your appointments probably aren't long enough for a complete remedial course in pathophysiology.
ReplyDeleteI have to ask...was this guy a self-referral?
ReplyDeleteNo.
ReplyDeleteis workman's compensation now involved? work causes back pain causes hypertension?
ReplyDeleteRight. And your big toe controls your heart rate and your penis controls your emotions. Well, actually that last part is probably true.
ReplyDelete