One of my patients was at the lab to have her blood drawn, and the lab called me to say that she could barely walk and kept falling. I had them send her to ER, and then went to see her.
Dr. Grumpy: "Your head CT was okay, but the seizure medication blood level was WAY too high. Have you been taking it correctly?"
Mrs. Ataxia: "Um... Well, this morning I took a triple dose."
Dr. Grumpy: "Why on Earth did you do that?"
Mrs. Ataxia: "Because I was going to get my blood level drawn, and didn't want you to think I hadn't been taking it."
Dr. Grumpy: "Had you been taking it?"
Mrs. Ataxia: "Yes."
Dr. Grumpy: "Really?"
Mrs. Ataxia: "Uh... maybe... here and there."
Dr. Grumpy: "Overdoing it just before you get the labs drawn won't make up for that."
Mrs. Ataxia: "Sometimes it works at the dentist's."
Lucky you weren't doing a stool analysis.
ReplyDeleteTwo things you can be sure of, if you take too much seizure medicine: a-death and a-taxia
ReplyDeleteReminds me of the Labrador owner who only gave the dog her thyroid medication once a day because the prescribed twice a day dose "makes her hyper". No, it makes her normal.
ReplyDeleteYikes!
ReplyDeleteIt's what political candidates call a "pivot."
ReplyDelete"I learned it from one of those life-hacking websites. If you just brush your teeth three or four times right before you go to the dentist, you don't have to brush them at all for the six months before that."
ReplyDelete"After reading Marie Kondo's book, I went through all my prescription medications and threw out the ones that didn't bring me joy."
ReplyDeleteObviously Docs need to employ robo-callers to randomly call patients to sternly ask them if they've been taking their meds
ReplyDelete"I Googled to see if there was a way of microwaving your blood to make it look like you'd been taking your meds."
ReplyDeleteHoly cow! Don't just love working with the public.
ReplyDeleteIt is sort of nice to know she wants you to think she's doing what you told her.
ReplyDeleteWe're not gonna take it!
ReplyDeleteNo, we ain't gonna take it!
We're not gonna take it
Till a couple days before we see the doctor!!!!!
Oy vey!!
ReplyDeleteSame approach works similarly when taking the breathalyzer test. Nest round.
ReplyDelete