tag:blogger.com,1999:blog-5883634615775822475.post7841853240412417181..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Things that make me grumpyGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger50125tag:blogger.com,1999:blog-5883634615775822475.post-81727484096114519562011-03-30T20:13:09.572-04:002011-03-30T20:13:09.572-04:00go dr. grumpy go!
i am a dialysis patient and watc...go dr. grumpy go!<br />i am a dialysis patient and watch them open sterile equipment to string the machines. it makes me feel better. i asked why they didn't reuse the equipment? the answer: it's only a 10 cent difference and then patients get sterile equipment every time! what a relief for mevickihttps://www.blogger.com/profile/13579938373242229799noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-17529944112282097072011-03-30T05:13:06.495-04:002011-03-30T05:13:06.495-04:00Get your Ya-Ya-s out; Let's hear it for Grumpy...Get your Ya-Ya-s out; Let's hear it for Grumpy Ethics.<br /><br />CliffAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-86151586820114010452011-03-29T13:45:04.965-04:002011-03-29T13:45:04.965-04:00Thank you for saying what so many of us are thinki...Thank you for saying what so many of us are thinking. There are far too many people like this becoming successful in medicine. This guy was a top doc in that area and a dear friend of mine actually saw him a number of years ago and did not like him and refused procedures he wanted to perform. Now she's extra glad she did.The Nice Ladyhttps://www.blogger.com/profile/10187680266629928391noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-82928322636063638292011-03-28T15:22:06.320-04:002011-03-28T15:22:06.320-04:00Even worse than the cases you cite are the health ...Even worse than the cases you cite are the health care professionals who deliberately kill for thrills, fun or profit and i have helped investigate more than a few of those. I'm now PGY-28 and, like you say, some fires never go out. Thank heavens.John Woolmanhttps://www.blogger.com/profile/14103272578479980723noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-32241612615223151402011-03-26T11:20:38.439-04:002011-03-26T11:20:38.439-04:00when I first heard about the pharmacist, it just ...when I first heard about the pharmacist, it just made me sick. Greed makes people do some deplorable things. I feel bad when somebody calls and says there were 29 instead of 30 tabs!pharmacy chickhttp://pharmacychick.blogpharm.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-43650222067291187842011-03-25T22:17:55.633-04:002011-03-25T22:17:55.633-04:00Law & Order: Special Fashion Victims UnitLaw & Order: Special Fashion Victims Unitkdogladyhttps://www.blogger.com/profile/13158760172704277611noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-37809868785903285282011-03-25T22:16:11.176-04:002011-03-25T22:16:11.176-04:00Re: the nurse - could be dementia? The article sai...Re: the nurse - could be dementia? The article said she'd been working as an RN for 37 years. Something changed her thinker after all that time...<br />Old Squid - Dr. Stokes was a real piece of work. I was glad to see his house sold for less than half of the asking price.kdogladyhttps://www.blogger.com/profile/13158760172704277611noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-30685795590884151662011-03-25T12:09:36.091-04:002011-03-25T12:09:36.091-04:00@jenniferarb - I built that one while sitting with...@jenniferarb - I built that one while sitting with my husband before & after surgery for carpel tunnel. I just so happened to be working on medical expressions that day so it was helpful having medical staff to suggest changes or crack up... ummm... I mean approve of certain graphics.<br /><br />I <i>do</i> need to track down my stethoscope (which <i>should</i> be in my first aid kit) and take a picture of Thomas with it saying, "Dammit Jim! I'm a <b>cat</b>, not a doctor!" Hmmmmm, that just gave me another idea. I may just end up having subsections in the TMNKH section... if I have enough space to do it.Kat's Katshttps://www.blogger.com/profile/05519016601947528061noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-83291402792433333062011-03-25T06:16:17.124-04:002011-03-25T06:16:17.124-04:00I like the first row second one
so trueI like the first row second one <br />so truejenniferarbhttps://www.blogger.com/profile/11629724166834256400noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-616063804787993052011-03-25T01:41:22.903-04:002011-03-25T01:41:22.903-04:00There should really be some whistleblower protecti...There should really be some whistleblower protection and rewards like in other fields so people wouldn't lose their career if they report a colleague doing something, but I can't even begin to think of a way to implement this.<br /><br />They would have to do witness protection given how regionally close knit things are, to start. Ugh, brain 'splodes, etc.jnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-88154176829547207412011-03-24T20:34:40.138-04:002011-03-24T20:34:40.138-04:00Gah!!! And people wonder why medicine costs so mu...Gah!!! And people wonder why medicine costs so much. ::head:laptop:: If only it were possible for those many medical professionals who give heart and soul and the gift of their mind and body to their patients to be able to not only do so freely and without the restraints caused by those who are... idjets... but for those who do <b>not</b> actually keep their oath whether they are physician, nurse, pharmacist etcetera to be actually <b>prosecuted</b> and/or not allowed to pretend to practice medicine again rather than be passed from place to place as many of them are today.<br /><br />I salute the many good medical professionals it has been my pleasure to have as part of my medical team over the nearly 50 years of my life. My pediatrician, Joe Strayhorn, MD, trained me well. He was magnificent and came out of retirement for a number of years due to the demand of his patients. He was my mother's pediatrician as well as mine & my youngest brother's (though, since mom was 19 years when I was born & I was 20 when Dave was born he wasn't Dave's for long).<br /><br />I have sung the praises of good medical personnel loud and wide, to others in the community and to the insurance companies with whom I deal, pointing out how much they save them due to the care they take when diagnosing etcetera. I take just as much care in denouncing those I find wanting. And <b>yes</b>, whenever I do, the insurance company knows just how and why I feel that person should be watched with care. I point out to them that good patient care is a hell of a lot cheaper than poor care which is much more likely to require another doctor (or doctors) to follow up later and/or more costly procedures etcetera due to issues not being caught in time... um... I'll just step off of this soapbox now.<br /><br />PS Texas Pharmacy Chica? <a href="http://www.cafepress.com/KatsKats/7062870" rel="nofollow">First row, third column!</a> ::grin::Kat's Katshttps://www.blogger.com/profile/05519016601947528061noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-13954559766858596362011-03-24T19:23:04.820-04:002011-03-24T19:23:04.820-04:00Horrible, deplorable behavior, and I couldn't ...Horrible, deplorable behavior, and I couldn't agree more about hospital administrators.<br /><br />BTW, I live in Florida and I'm hoping that our voters truly are the effen stupidest in the country. Otherwise, we're in worse shape than even I thought.Unknownhttps://www.blogger.com/profile/04026590889640268012noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-23143981498790690562011-03-24T17:28:11.039-04:002011-03-24T17:28:11.039-04:00It's disgusting behavior like this that made m...It's disgusting behavior like this that made me question med school many times. Greed like this has no place in medicine.arzt4empfaengerhttp://arzt4empfaenger.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-39175191492588931712011-03-24T16:25:43.518-04:002011-03-24T16:25:43.518-04:00Personal gain at the expense of the patients is de...Personal gain at the expense of the patients is deplorable. Sadly, Jenniferarb is right. While orking in the CorpoRetail world, I would spend many weekends (10 hr Saturdays, 7 hr Sundays) simply alone in the pharmacy in the back of the grocery store because we could not scedule techs. Makes it hard to get a bathroom break!!!!<br /><br />BUT!<br />Let's not forget CEO's like Rick Scott who managed to get fined 1.7 BILLION dollars for Medicare fraud (you wonder why it is broke and they refuse so many procedures) and after that the good people of Florida decided he was the best candidate for the job and elected him governor.Texas Pharmacy Chicahttps://www.blogger.com/profile/02886874486374432629noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35903564361292885272011-03-24T15:59:50.414-04:002011-03-24T15:59:50.414-04:00"NUFF SAID, Grumpy! Do it right or get the he..."NUFF SAID, Grumpy! Do it right or get the hell out!MOJITOGIRLhttps://www.blogger.com/profile/09334559491475100582noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-28372638796446245412011-03-24T14:41:47.237-04:002011-03-24T14:41:47.237-04:00Ah... Capitalism at its worst.Ah... Capitalism at its worst.ERPhttps://www.blogger.com/profile/15973334581468131595noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-46993453895258381142011-03-24T12:45:18.682-04:002011-03-24T12:45:18.682-04:00I am in disbelief reading this, I mean as a pre-me...I am in disbelief reading this, I mean as a pre-med student and current intern at the community hospital I see some Doctors who seem a little heartless at times but I could never see them being that careless to a patient's health. That is just so sickening. <br /><br />PGY-18!! I hope your fire never goes out Dr. Grumpy.. your stories make my day and make me keep loving the excting yet sometimes wacky medical world:)Unknownhttps://www.blogger.com/profile/11493820817130451876noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-89792932140004144342011-03-24T08:48:50.385-04:002011-03-24T08:48:50.385-04:00"Regardless, ANY doctor, nurse, pharmacist, o..."Regardless, ANY doctor, nurse, pharmacist, or other health care person, who does ANYTHING for personal gain at the expense of a patient, should never be allowed to do this job again. These people come to us for care, and screwing them over for your profit line is absolutely unforgivable."<br />I'd like you to add hospital administrators to that statement. Do you know it is common to get bonuses for keeping staffing levels down? Do you know how many studies prove that better ratios equals better patient outcomes? I don't see how that practice is any different. I am not defending the examples you gave at all I am just saying that I am tired of nurses, docs and pharmacists getting all the flak while administrators get away scott free.<br />I was working a floor once with me and ONE other nurse. The phone rang while we were both in pt rooms and it took probably 5 minutes or more for me to get to the phone. I answered it to a yelling doctor because he had to wait so long to get an answer. I yelled back that there were only two of us and we had no secretary. He stopped yelling. But did he speak to the administrators about it? Did he let anyone know that we needed a secretary? Nope. He sent us another patient. This hospital that couldn't afford to give us an $8 hour secretary had a CEO who lived in a $850,000 house (in our city the median home price is $150,000). Our Director of Nurses hadn't worked a floor in 30 years.<br />I think it should be a law that only people with clinical backgrounds and current (not 30 years ago) clinical experience can be administrators. And I think the doctors need to start speaking out about this issue as well. Since you "bring the money" to the hospital you have more pull than we do. Thanks for listening to my rant.jenniferarbhttps://www.blogger.com/profile/11629724166834256400noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-74247419386475963622011-03-24T03:49:16.913-04:002011-03-24T03:49:16.913-04:00@Outre:
Yeah....I didn't get the gum analogy ...@Outre:<br /><br />Yeah....I didn't get the gum analogy either. Comparing medical equpiment to gum is preposterous. Besides, it didn't fit. <br /><br />Using that analogy, buying multiple single-use needles (all the same) at one time for a volume discount instead of one at a time would fit the "individual resale" analogy better.<br /><br />The grossness of several people reusing the same gum (ABC gum being passed around from stranger to stranger on a bus, say) would have been a more accurate analogy. <br /><br />So, if you think reusing single-use needles is "like" buying one piece of gum at a time, go on ahead and go to Dr. Kaplan's office for a rectal biopsy. And ask the guy on the subway next to you if you can have the gum he is chewing before you go in to relax you during the procedure. Just be sure to blow on it first so all the germs will fly away!<br /><br />WV: enjoye WTF???Think Of It This Waynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-14040524844883738282011-03-24T02:52:26.231-04:002011-03-24T02:52:26.231-04:00No excuses for the nurse or pharmacist, but as far...No excuses for the nurse or pharmacist, but as far as reusing, I remember from clinical rotations in 95, the standard procedure for (whatever level of) disinfection for foley catheters was soaking them in Nolvasan for 30 minutes. And despite the "wrongness" of a doc reusing something not labeled to reuse, I think if the office properly used "high level disinfection" then the patients are safe. Well, safe from that instance, anyway.kgnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-90911704091095461262011-03-23T23:30:18.723-04:002011-03-23T23:30:18.723-04:00I am hanging this on my locker at work tomorrow!I am hanging this on my locker at work tomorrow!Nurse Shannonhttps://www.blogger.com/profile/00795713151022596769noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-62026789332006076162011-03-23T20:17:13.303-04:002011-03-23T20:17:13.303-04:00I got blepharitis very suddenly a few years back a...I got blepharitis very suddenly a few years back and was pretty much convinced it was due to the multi-use dye the optho clinic I went to was using.<br /><br />That was the first time I saw an optho clinic use multi-use vial, not those single-use dye sticks.<br /><br />Now, I’m even more convinced that it was the (bacteria infested) dye vial that left me crusty-lided forever. Symptoms are much better but for a while, I wanted to take some sandpaper to my lids and eyeballs whenever they got extremely itchy. Had to melt the dried up crusts away in the mornings to prevent severe eyelash loss too... ick.<br /><br />Anon @ 5:09, there are plenty of differences between needles and needle guides that are single vs. multi use. Most single use needles and guides will suffer structural breakdown with heat sterilization or chemical/gas might not reach all the nooks and cranies that can harbor crap. Plus chemical can be retained in the plastic parts. So attempting to clean by lets say...soaking the stuff in alcohol or betadine might be what they attempted, which is laughable. In addition, lots of single-use sharps have safety mechanism that engages to prevent accidental sticks -- these can be ‘disengaged’ for re-use (ugh) but essentially by doing so you are breaking parts of the medical equipment which could pose additional risk.<br /><br />Don’t get how multi-pack gum analogy makes any sense though, sorry...Outrenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-22949544837659345632011-03-23T18:09:03.345-04:002011-03-23T18:09:03.345-04:00It's wrong, to be sure, but the article says t...It's wrong, to be sure, but the article says they "found that Dr. Kaplan's staff attempted to clean and disinfect the needle guides prior to reusing them, but these needle guides were not designed or intended to be reused."<br /><br />They WERE cleaning the equipment, but it's not the kind that is allowed to be cleaned. I have my doubts that there's much/any difference between the needles that can be cleaned and the ones that can't, other than the ones that can be cleaned probably cost much much more. There are packages of gum that are "Not labeled for individual resale," but they're the same as the other pieces of gum.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-15083407249809079692011-03-23T17:41:35.927-04:002011-03-23T17:41:35.927-04:00This is even more shocking because the Desai case ...This is even more shocking because the Desai case (colonoscopy clinic where they were reusing the syringes.) is still in the news here. How can the doctors not learn???Loren Pechtelhttps://www.blogger.com/profile/08348494458707790769noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-22511882192326179362011-03-23T17:00:15.817-04:002011-03-23T17:00:15.817-04:00Sickens me as a doctor to think that anyone who ha...Sickens me as a doctor to think that anyone who has the privledge of caring for others would do that.ER's Momhttps://www.blogger.com/profile/03203520439121823165noreply@blogger.com