Thursday, July 7, 2011

Wednesday night, 11:28 p.m.

My cell phone rings. It's the hospital ID.

Dr. Grumpy: "This is Dr. Grumpy."

Voice: "Please hold for Dr. Brain."

(pause)

Dr. Brain: "Hello? Ibee?"

Dr. Grumpy: "What are you doing? I thought you were in the hospital for knee surgery."

Dr. Brain: "I am, but I have a question. Are you taking care of the confused guy in room 23, who keeps screaming?"

Dr. Grumpy: "Um, yeah, why?"

Dr. Brain: "I need you to call in a sedative for him. I'm in room 24, and he's keeping me up. Let me get you his nurse."

41 comments:

(",) said...

Well, did you??


Word verification : befib

(yeah but don't lie!)

Anonymous said...

He better return the favor somehow...

Courtney Schoenfeld said...

Seems like a fair request. It's hard to get any rest on a good night in the hospital.

John Woolman said...

Interesting dilemma. The bottom line is that sedation should be administered only for the welfare of the patient, considered holistically, not for the welfare of the staff or even the welfare/convenience of other patients. Anything else is the start of the slippery slope to euthanasia.

Anonymous said...

The guy just saw his bill , of course he is screaming.

CrownedwithVictory said...

So audacious that it is funny!

Sarah Glenn said...

He was probably keeping other people up, too. I'm with Courtney on this one.

It is NOT a slippery slope to euthanasia, unless calling the police about loud parties counts as a slippery slope to the death penalty. (The police may even be preventing a murder!)

Mal said...

It could be to the benefit of the patient.... someone might smother him with a pillow for not shutting the F*ck up!

Besides - Screaming would indicate a terrified/unhappy state that can't be good, or pleasent, for the patient either.

ERP said...

Go right to the source I always say.

OldSquid said...

Dr. Brian should have known to have brought ear plugs and had his orthopod give him a sedative listed as a PRN Rx for sleep.

Chrysalis Angel said...

Wow.

Anonymous said...

Pretty clever request from Dr. Brain. I think you Neuro Docs should stick together.

However, how did he know you were the MD caring for Patient 23? Wouldn't that be a HIPPA violation for them too share the info with him, MD, or not?

Just wondering?

Me :) said...

freaking. hillarious. period.

Anonymous said...

I think the most likely scenario is this conversation just before the call:

NigtNurse:
I know a sedative could be helpfull but there is no way I am going to call Dr Grumpy this late unless it's life or death!

Dr.Brain:
OK be that way, get him on the damm phone and I will take the heat....

Anonymous said...

How many "neuro docs" at any hospital aside from large, tertiary-care Temples of Medicine? So Doc Brain probably did not have to strain too many neurons to figure out that Doctor Ibee Grumpy was the doctor in charge of this person. And being a “Brain,” he probably asked a nurse as they know everything, anyway. Since it was Doctor Brain asking, the nurse did not see the danger of violating HIPPA.

HIPPA is ONLY enforced, from my perspective, when a journalist has to know something for the public good (like dangerous intersections, food poisoning outbreaks, epidemics, etc.) If HIPPA was around when AIDS emerged, it would have been YEARS and untold lives lost before the facts became known to the public.

Sorry, end of daily rant.

Noise accompanies lots of neuro conditions. (from the patient, not the staff or other patients) You can't always sedate them because that screws up other responses needed to figure out what is up in the first place.

Get Dr. Brain a set of earplugs as another poster mentioned.

bobbie said...

The "noive" of dat man!!!

terri c said...

Too funny. But frustrating, hospitals ARE loud places!

Jess said...

Wow. I sure could have used that type of help when I was in the hospital. The old man in the adjoining bed was really annoying when he kept telling me to move my bus.

Anonymous said...

Anon @ 9:52

I don't care who the patient next door was. If he said, "Whose that guys doctor, and I want him called" and they do, that is a privacy violation as far as I am concerned. Obviously, Ibee, can't give all of that info in the scenario (in an effort to protect the annoying). If, on the other hand, it was Dr. Brain's Patient and Ibee is covering for him, different story! We don't have all the details, and I was just making an observation. And, for the record, my Neurologist is one of 17 in the practice and one of 48on staff at one particular hospital (not my usual admitting hospital)! And the hospital I usually go to (where all but two of my MANY doctor's are on staff) has slightly less.

Anonymous said...

I'm with Dr Brain. Call in the sedative!

Great story, Dr G.

Anonymous said...

Why not a sedative for Dr. Brain instead?

EDNurseasauras said...

Help. Murder. Police.

amy said...

I want to know if commenter Jess moved the bus!

Nyllrap said...

This reminds me of when I was in ICU for pancreatitis. I dreaded weekends because the ICU nurses would get bored, loud, rowdy, and throw things at each other. I got upset about it because one nurse was acting particularly ugly...being very ill,
it set my heart montitor off. That shut them up for the rest of the evening! BTW, they did take very good care of me, but I guess they thought all of the patients were sedated enough not to care about their shenanigans. But it made me paranoid and I made my husband spend the next night in my room.

Suzanne said...

This reminds me of when I was pregnant with my second child (but my 1st pregnancy!)--after 25 weeks, I had to get checked out on the L&D ward a number of times. I was wide awake all night each time because of all the women in active, drug-free labour! I'd never heard anything like it and was prepared to beg my OB for a C section...THAT is also a really loud ward.
:)

arzt4empfaenger said...

Hahaha! Nice story!

As for the privacy thing - if Dr. Brain knows where Dr. Grumpy does his consultations, he didn't need to know anything about the patient except for the room number. He probably just wanted to try his luck.

Regarding the "only give meds for the best of the patient" - did you offer Dr. Brain to call in a sleeping pill for himself? Heh. ;-)

(So confused!guy had a surgical issue? Otherwise why would he have been on the same ward like Dr. Brain?)

Anonymous said...

I don't see the HIPPA violation. Dr. Brain doesn't even know who the pt is other than "the confused guy who keeps screaming." What confidential info was shared? That he's screaming or confused? Sounds like everyone was aware of it b/c of his screaming. That Dr. Grumpy is his attending? No identifying pt info was shared. I think all this HIPPA stuff is WAY overblown sometimes.

Loren Pechtel said...

There's another possibility: Perhaps Dr. Brain saw Dr. Grumpy at the hospital with the patient.

Anonymous said...

That is really funny as hell. I'm still laughing. Although, I did notice Dr. Grumpy didn't answer the first question. So, what is it, did you sedate the guy or not? I think I could actually support arguments on both sides but I'm leaning toward medicating.

M said...

For a bunch of healthcare people to get this wrong repeatedly. It's HIPAA not HIPPA... Health Insurance Portability and Accountability Act. geez louise.

moran

Anonymous said...

2 comments. cms and other third party payers will be measuring patient perception of hospital noise as a quality indicator. and there is no hipaa violation here. but the hipaa law is important and many health care providers have lost their jobs already for violating patient confidentiality. usually for trolling medical records for titillation or to sell data to journalists.

Anonymous said...

How did Dr Brain know that Dr Grumpy was taking care of that particular patient?


Simple: the patient was really crazy, and was more annoying than anybody in Dr Brain's practice (probably a civilized, upper-class clientele of rich philanthropists). By elimination, that means the patient must have gravitated to the Grumpster.

krystina said...

NICE! I think I like the way Dr Brain thinks! LOL

Watercolor said...

ahahhahhaaaaahahaaaaaaaaaa!!!
Awesome

georgiabelletf said...

I like everyone debating a possible HIPAA violation while using the wrong acronym, personally.

But, honestly, +1.

Anonymous said...

Pulling all the strings, all the way!

Sarah Glenn said...

Maybe Dr. Brain called every neuro doc he knew until he struck gold with Dr. Grumpy.

Anonymous said...

Apologies for the spelling error. I'm not using my regular computer that checks for HIPPA versus HIPAA. The one functioning neuron in my brain must have misfired.

Special Sauce said...

Maybe he lives in a town like ours, where there are pretty much only 2 neurology groups that see patients at this hospital. The patient isn't one of Brain's, therefore, it's likely to be Grumpy's.

kate said...

It's good to know people in high places..? I would've just asked for the sedative myself. Screw the screamy guy ;)

Anonymous said...

Call in earplugs for Dr. Brain.

 
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