Monday, September 26, 2016
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
25 comments:
Sounds like a great starting point for the nervous Yorkie owner. If only vets could write for owners. Sometimes they need meds more than the pet does 😂
That is very relaxed.
I guess that would fix any anxiety!! yikes
A biblical chart? The patient was Goliath?
To be taking PRN (as needed)? I'm thinking he's only going to need it once.
And you are doing the neuro consult for 'altered mental status", I presume.
These are stressful times we live in.
Rx for The Donald?
Overprescribe much??
Typical dosages for a 200 lb man?
That's nowhere near enough.
Do they sell that size at Costco?
I think I'm glad to not know what those are.
Finally- a health care plan EVERYBODY can agree on.
OMG - I'd be lying on the floor, drooling....who was this for - an elephant?
But it's the homeopathic variety.
Must be for a retail pharmacist! :)
PharmacyJim
Good thing it's just PRN. For the unitiated, diazepam 10 mg three times per day would be considered a "high dose"
Does the pharmacy provide a wheel barrow gratis with which to take this order home?
Is the diazepam to effectively treat the HTN, because once a day hydralazine is not going to :-)
I hope you fixed it.Jeebus. I would be the one in the middle of the nurses station asking OK, who let this slide???
Relax? How about just keep breathing? I *might* be able to manage that much, maybe.
I'm going to go out on a limb and assume this was an EMR-generated med list from a drop-down menu in which the dose of the previous med remains until edited or, alternatively, a VR-generated list in which the doc misspoke the dosage and nobody proofed the report. At any rate, WTH, man?
Wow. I take half a 5mg tablet of diazepam to get into an MRI. 30mg spread out over 24 hours would probably leave me very calm the entire time. 60 would be non-functional. I agree that 300 would probably leave me without any voluntary or involuntary muscle function.
But 300 of gaba seems low; I take 900 spread out over the day for migraine prevention, and my daughter takes 1200 (we've tried all the first line stuff and it either didn't work at all or had side effects worse than the migraines).
Well, if you're experiencing DTs from acute ETOH withdrawal, and you just took a major dose of PCP you got from your brother-in-law drug dealer because the flying monkey warriors hovering all around are scaring you, then 300 mg just might be the proper dose.
But prn?
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