Friday, May 26, 2017
Subscribe to:
Post Comments (Atom)
skip to main |
skip to sidebar
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.
11 comments:
Maybe she just got tired of faking?
I QA EMS charts and confirm everyday that the acronym EMS stands for Earn Money Sleeping...
Which part is not normal?
@ndenmunz
Can't be the wife not responding to commands, that is absolutely normal.
Sit, Ubu. Sit!
LOL Love it.
"...except on weekends."
I can totally get this....from a family member....
EMS is entry level - as long as you can pass the exam and do the practical tasks, you get the credential.
To be fair, some of the medical notes are pretty scattershot nonsensical ones. At least this one does not completely contradict itself in 3 lines.
This actually happened to me last week. Turns out she accidentally ODed on blood pressure meds. Definitely not normal. (She's okay, but spent a night in the ER.)
She wasn't getting up when he told her to get up, and she wasn't getting up when we told her, too, either. And, she wasn't saying she'd fallen and she couldn't get up. It wasn't normal so we took her in.
As someone in EMS, I have to push back on this. EMS providers are in this weird place where they have the downsides of both being first responders and medical providers, without the upsides of either. Providers effectively answer to management, billing, and their medical command physician, all of which come back with inconsistent, incompatible and sometimes incoherent demands. This is the kind of note which likely comes from billing.
Someone who is like this chronically wouldn't be classified as an emergency and so would not justify an ambulance transport. Under Medicare rules, EMS providers aren't considered medical providers, but medical suppliers. We're treated about the same way as Wilford Brimley. bringing diabeetus supplies to your door, possibly at no cost to you! Thus our own judgement isn't always considered sufficient, and we don't have an existing history with the patient that we can use as a baseline. So we document what the family says.
Post a Comment