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."


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18 comments:

  1. ER's MomMay 9, 2012 at 6:46 AM

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

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  2. PackerMay 9, 2012 at 9:44 AM

    Make arrangements.

    ReplyDelete
  3. foffmomMay 9, 2012 at 10:13 AM

    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?

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  4. PA HoneybeeMay 9, 2012 at 1:01 PM

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

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  5. bobbieMay 9, 2012 at 1:12 PM

    Aaaaaargh! And your reply was???

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  6. Grumpy, M.D.May 9, 2012 at 1:14 PM

    I was on call, and obligated to do it.

    "Thank you for this interesting consult."

    ReplyDelete
  7. Steeny LouMay 9, 2012 at 4:24 PM

    Another AYFKM/too-late situation:

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

    ReplyDelete
  8. The Angry MedicMay 9, 2012 at 4:38 PM

    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.

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  9. AnonymousMay 9, 2012 at 4:44 PM

    that would be thank you written thanxxx.

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  10. a.generic docMay 9, 2012 at 6:10 PM

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

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  11. AnonymousMay 9, 2012 at 6:19 PM

    Is the hospitalist unaware of the purpose of hospice care?

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  12. CharlesMay 9, 2012 at 10:38 PM

    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?

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  13. lynda thomas shellMay 10, 2012 at 12:35 AM

    Re:foffmom,That was PRICELESS!

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  14. BrianMay 10, 2012 at 4:18 AM

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

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  15. AnonymousMay 10, 2012 at 5:01 AM

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

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  16. thethingspatientssayMay 10, 2012 at 9:55 AM

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

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  17. AnonymousMay 10, 2012 at 11:38 AM

    Are you effing kidding me???

    ReplyDelete
  18. AnonymousMay 14, 2012 at 11:31 AM

    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

    ReplyDelete

So wadda you think?