Wednesday, May 9, 2012

AYFKM

Dr. Hospitalist: "Hello?"

Dr. Grumpy: "Yeah, this is Grumpy, calling about Mrs. Protoplasm."

Dr. Hospitalist "The lady I consulted you on? What's up?"

Dr. Grumpy: "Okay, from looking at her chart she was here last month for a stroke, and then a seizure, and at that time you handled it yourself and didn't consult neurology."

Dr. Hospitalist: "That's correct."

Dr. Grumpy: "So today I get a consult and find she's obtunded, terminally ill, and scheduled to go to hospice in an hour."

Dr. Hospitalist: "Yeah, family doesn't want anything done, and I think that's reasonable."

Dr. Grumpy: "So why are you consulting me NOW?"

Dr. Hospitalist: "In case there's anything else to do."


18 comments:

ER's Mom said...

At least the H&P is quick - get everything from the chart. But what a waste of medical $$$.

Packer said...

Make arrangements.

foffmom said...

Perhaps you could order Dilantin to be placed in the embalming fluid. To prevent those embarassing post-mortem seizures. But how would one code for that?

PA Honeybee said...

That is a special kind of brilliant right there. . . . .Thank God it's not me or one of my family members!

bobbie said...

Aaaaaargh! And your reply was???

Grumpy, M.D. said...

I was on call, and obligated to do it.

"Thank you for this interesting consult."

Steeny Lou said...

Another AYFKM/too-late situation:

http://www.youtube.com/watch?v=3rTsvb2ef5k

The Angry Medic said...

Hoo boy. You're, uh, totally firing up my enthusiasm for general practice now. Yep. Like Kim Kardashian is firing up my enthusiasm for the institution of marriage. Totes.

Anonymous said...

that would be thank you written thanxxx.

a.generic doc said...

And was your recommendation, "Continue hospice care and pronounce prn."?

Anonymous said...

Is the hospitalist unaware of the purpose of hospice care?

Charles said...

Serious question here:

Was this a case of CYA?

If so, what if you did suggest that there was something that should be done? - would they then go against the family's wishes to do nothing?

lynda thomas shell said...

Re:foffmom,That was PRICELESS!

Scrub Ninja said...

Do you really have to write the "interesting consult" line? Can you at least leave out the inaccurate adjective?

Anonymous said...

AYFKM? Sorry, but I don't know what that is.

thethingspatientssay said...

Maybe they were short a pallbearer and this was the quickest way to get one on short notice.

Anonymous said...

Are you effing kidding me???

Anonymous said...

too bad you can't write

recommendations

1. prior consultation, at the time of acute CVA, may have averted current clinical situation
2. agree with palliative, comfort care given current clinical presentation and prognosis
3. increase malpractice premium

 
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