tag:blogger.com,1999:blog-5883634615775822475.post8489233767692207669..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Sunday night, 8:55 p.m.Grumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger32125tag:blogger.com,1999:blog-5883634615775822475.post-38033996760455920742011-04-19T12:28:55.629-04:002011-04-19T12:28:55.629-04:001. "OMG. I just realized I forgot a get a ref...1. "OMG. I just realized I forgot a get a refill of med X which means that disorder Q (of my multitude of comorbid disorders) is flaring. Can I get a refill or do I need to come in?" Coming in is usually due to insurance when dealing with maintenance meds... of course, there isn't a question with certain meds I take for pain.<br /><br />2. "Ack!! My brain died due to stress/pain and I totally forgot to get a refill of med/s X/Y/Z. Do I have any refills available?" If I don't, I know I will have to wait since it may take anywhere from a few hours to 48 hours for the appropriate doctor's office to be able to get something faxed/emailed to my pharmacy if I don't have to be physically seen.<br /><br />3. <br />(at doctor A'x office) "I've been having symptom B/increase of symptom C."<br />Doctor A - "I have you on meds X, Y & Z at <i>x</i> strengths. Have you been taking them correctly?"<br />Me a - ::face palm:: "Argh! No, that's probably why I'm having trouble. Could you please write that down for me? Obviously I'm being brain dead."<br />Me b - "Yes. What do you think would be the best course of action at this point?"<br /><br />Seriously, why on <b>earth</b> would someone wonder why they were having a flare of disorder Q when they <b>know</b> they haven't been taking med X??<br /><br />If I <i>ever</i> do that I hereby give my medical team permission to give me the diagnosis of <a href="http://www.cafepress.com/KatsKats/7062870" rel="nofollow">http://www.cafepress.com/KatsKats/7062870">column one, row four</a>.Kat's Katshttps://www.blogger.com/profile/05519016601947528061noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-48115847172583805612011-04-19T08:22:53.727-04:002011-04-19T08:22:53.727-04:00How about some labs and a CT to figure out what wa...How about some labs and a CT to figure out what was going on in the "brain" of the ER doc?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-38212448135677741982011-04-19T07:00:09.781-04:002011-04-19T07:00:09.781-04:00Thank God the ER did a head CT.Thank God the ER did a head CT.ERPhttps://www.blogger.com/profile/15973334581468131595noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-73784021255999692412011-04-19T00:30:40.973-04:002011-04-19T00:30:40.973-04:00As a med student, it's stuff like this that ma...As a med student, it's stuff like this that makes me wish I was remotely interested in radiology... and private practice.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-81368276591097233382011-04-18T21:53:05.184-04:002011-04-18T21:53:05.184-04:00I'm starting to understand why people are non-...I'm starting to understand why people are non-compliant with epilepsy meds. These things are horrible, absolutely horrible.<br />I do at least try to get my refills on time and call my doctor when I want to change meds rather than just going "hey lets just not take these anymore."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26515444405012539192011-04-18T21:22:45.453-04:002011-04-18T21:22:45.453-04:00Non-compliant patients (or for us, owners), not pr...Non-compliant patients (or for us, owners), not presenting a decent history and subsequently working up a chronic problem at the ER...good to know the problem's not limited to vet med!ria8098noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26808771803434283712011-04-18T21:10:29.158-04:002011-04-18T21:10:29.158-04:00Where is that study correlating NOT taking your dr...Where is that study correlating NOT taking your drugs with recurrence of your symptoms?The Motherhttps://www.blogger.com/profile/15157821003454766570noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-67622900644603323552011-04-18T21:09:06.881-04:002011-04-18T21:09:06.881-04:00Maybe more meds need the nasty withdrawal symptoms...Maybe more meds need the nasty withdrawal symptoms that Effexor has? That stuff really punishes me if I forget to take it, starting with the leg muscle twitches and moving on the camera shutter closing loudly, and often, inside my head...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58516010168261006712011-04-18T19:07:53.156-04:002011-04-18T19:07:53.156-04:00I think docs are way too stingy with refills on me...I think docs are way too stingy with refills on meds like birth control pills, allergy pills, and other routine crap. It's a hassle to have to go in every couple months to see the doctor to get a stinking refill on basic generic meds (with no street value). I am thankful most allergy pills have gone otc now. Wish birth control pills would too. I am ok with going in annually for refills on stuff that I take every day all year but no more than that. Even so, if I had epilepsy (or other life-threatening condition) I would make sure to keep a week ahead of the prescription just in case I was late getting an appointment or something.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-6625305965716216022011-04-18T19:01:24.191-04:002011-04-18T19:01:24.191-04:00All I can think of is how I just spent 2+ months w...All I can think of is how I just spent 2+ months without Lantus and 2 weeks without the short term stuff, all because of the rules of the clinic I go to. "We can't give you any of the insulin that was shipped here for you because you haven't been seen by a Dr for over 3 months. You have to show up to one of the twice-weekly open hours and manage to get signed up before we reach out cut-off for number of patients." "But I can't get out of the house by myself, and the couple of people I know out here cannot help me at those times." "Sorry, that's the rules."<br /><br />Non-compliance is so much FUN! Of course, all that high blood sugar means I've lost lots of weight. All my "friends" are telling me how good I look. I'm sure that I didn't really need those heart/brain cells anyway, because how I look is far more important! <br /><br />(Eventually I did get to the clinic where I saw a very nice volunteer Dr who confirmed that, yes, I am still a diabetic, but never touched me, to maybe check my heart, monitor the progression of the neuropathy I didn't have before I was poor, or anything else.)<br /><br />Meanwhile I keep chanting: 4 months until Medicare kicks in. I'm not bitter.Moosehttps://www.blogger.com/profile/10397412122635951126noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-65360491311177010132011-04-18T17:56:38.586-04:002011-04-18T17:56:38.586-04:00You know what I don't get as a patient? I'...You know what I don't get as a patient? I'm the one who suffers when I miss my meds, not my doctor. As a conciencious patient who knows I will get a migraine if I miss singulair (asthma med) and who knows I will start wheezing...well I do accidentally miss it about twice a year. But I figure that's pretty good odds....<br /><br />MelissaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-74920574991573387702011-04-18T17:26:11.148-04:002011-04-18T17:26:11.148-04:00I massively screwed something up recently and ende...I massively screwed something up recently and ended up missing 3 days' worth of gabapentin (which I take for pain, not seizures).<br /><br />Making sure I take my meds exactly as prescribed is now one of the top priorities in my life.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-28742851218273746922011-04-18T15:20:33.385-04:002011-04-18T15:20:33.385-04:00There's a saying: "When the reviews are g...There's a saying: "When the reviews are good, you tell your friends & family. When the reviews are bad, you tell the Internet." re: good patients/nobody wants to hear about.Thttps://www.blogger.com/profile/02969148265945437268noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-52599923496139797242011-04-18T15:10:41.889-04:002011-04-18T15:10:41.889-04:00I have epilepsy, and I don't understand why so...I have epilepsy, and I don't understand why some people procrastinate nor take their meds as prescribed. I'll concede that some of the side effects suck and people forget, but for two weeks?! Good lord.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-81446604894121063782011-04-18T14:13:02.312-04:002011-04-18T14:13:02.312-04:00Maybe they need to develop a morning-after epileps...Maybe they need to develop a morning-after epilepsy pill...Li'l Azathothnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-43214939936979848652011-04-18T14:10:12.604-04:002011-04-18T14:10:12.604-04:00Yeah, we see this alot in the pharmacy. It's t...Yeah, we see this alot in the pharmacy. It's the weekend and they are out of refills and "Please, can't you give me an emergency supply?" I always check for compliance. If they are late requesting the refill; meaning they haven't been taking the med to begin with my answer is "NO!" If it's that much of an emergency they can go to the ER and get an rx for that "emergency" supply. Most of the time they do this because they know the doc wants them to come in for a visit and they don't want to.lovinmyjobhttps://www.blogger.com/profile/02251424092621233215noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-60596636264776448662011-04-18T13:00:55.954-04:002011-04-18T13:00:55.954-04:00Do you think a BRAIN will show up on that CT scan?...Do you think a BRAIN will show up on that CT scan? I have doubts...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26251062884934224192011-04-18T12:27:09.262-04:002011-04-18T12:27:09.262-04:00At least she left her name, right? ;) Instead of t...At least she left her name, right? ;) Instead of telepathically expecting you to magically know it.Lizhttps://www.blogger.com/profile/15195464655017621314noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-6909435236997195602011-04-18T12:16:15.522-04:002011-04-18T12:16:15.522-04:00The other question is whether she told the ER docs...The other question is whether she told the ER docs that she had epilepsy and didn't take her pills for 2 weeks before they decided to do a CT and all the labs?a.generic dochttps://www.blogger.com/profile/06162096557026780038noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-91049508309367907452011-04-18T12:05:46.185-04:002011-04-18T12:05:46.185-04:00I don't understand how any patient with a pote...I don't understand how any patient with a potentially life threatening disease would be lax about taking their meds regularly as directed. It blows my mind! My husband's grandmother has stomach issues and when I was in her medicine cabinet trying to see what she had & what she should take, I saw 5 different Rx and OTC meds but she only wants to take Mylanta and the store brand generic isn't the same she says! I about flipped my lid! Sometimes I want to go off on patients when they come in asking for refills but their Rx expired and they say, "But I haven't taken it for a couple months & I have refills so how could it expire?"PharmacyGirlnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-1845811531568667842011-04-18T11:22:10.284-04:002011-04-18T11:22:10.284-04:00I wonder which costs more --- the ER visit, CAT sc...I wonder which costs more --- the ER visit, CAT scan and labs, or the epilepsy pills? ....Sigh.Frantic Pharmacisthttps://www.blogger.com/profile/15804872250102867314noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-86728901469770533492011-04-18T11:17:52.976-04:002011-04-18T11:17:52.976-04:00Uh, "Nobody wants to read about the good pati...Uh, "Nobody wants to read about the good patient" or something like that.<br /><br />Try me, just once--please.<br /><br />Forgot to ask for more, or could not afford to pay for more ? See a lot of that lately, also see a lot of pill splitters lately.Packerhttps://www.blogger.com/profile/10790343423937405624noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-30374204092016259402011-04-18T10:38:04.332-04:002011-04-18T10:38:04.332-04:00Glad to know our family med patients aren't th...Glad to know our family med patients aren't the only ones who have compliance issues; I think that would be the part of doctoring that would have driven me a little crazy had I managed to get to med school. But I think the ones that were saved and otherwise helped would have kept me coming back for more. Too bad I'm just a pencil pusher, though it still beats the pants off of my former job!medrecgalnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-22829632786304085862011-04-18T10:33:10.203-04:002011-04-18T10:33:10.203-04:00She wasn't post-ictal. I know her quite well.She wasn't post-ictal. I know her quite well.Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-62512985261349540572011-04-18T10:30:44.656-04:002011-04-18T10:30:44.656-04:00so was she post-ictal or just stupid? My husband ...so was she post-ictal or just stupid? My husband says that you can always tell when he is out of his post-ictal phase because he realizes, finally, what is going on and says GODDAMMIT really loudly. Usually while looking up at me from the floor.<br />In other news, I got to explain seizure first aid to my CERT (Civilian Emergency Response Team) training class. I had more experience with it than most of the other folks- lucky me! : )rothasenoreply@blogger.com