So there!

I'd like to thank the anonymous reader who sent this to me.

I'll get you, my pretties! HAHAHAHAHAHAHA!!!

Mary: "Dr. Grumpy's office, this is Mary."

Ms. West: "Yes, I need to make an appointment."

Mary: "Okay, we can see you tomorrow afternoon... What's your insurance?"

Ms. West: "I have Medicare."

Mary: "I'm sorry, we aren't currently taking any new Medicare patients."

Ms. West: "What? Why not?"

Mary: "The new Medicare cuts went into effect this week and..."

Ms. West: "My internist cut me because of this, too. This is ridiculous. I can't find anyone who takes Medicare!

Mary: "I'm sorry, but..."

Ms. West: "I'm putting a hex on your office."

Mary: "Excuse me?"

Ms. West: "I'm serious. I'm a modern witch, and am putting a hex on your office and..."

Mary: "Good bye." (hangs up)


No, I'm not making this up. This was a first for my practice. And that says a lot.

Tuesday morning whatever

Ms. Ictal: "So I had a seizure 2 weeks ago, and you did the episiotomy last week. What were the results?"

Dr. Grumpy: "You mean the EEG?"

Ms. Ictal: "Whatever, the test that started with an "E". What did it show?"

Monday night, 7:05 p.m.

"Hi, this is Mrs. Ramble calling. I need to make an appointment with Dr. Grumpy, who I think I saw once. It's not for the problem he saw me for then, it's for a new problem, but it's been going on for a while, so it's sort of old. Maybe it is the same problem, I'm not sure. But whatever it is, I think I need to see Dr. Grumpy for it, unless it's the problem I had before, in which case he needs to have a new look at it. So can someone please call me back tomorrow?"

Beating my head on the desk

Dr. Grumpy: "How's the tremor doing with the new medication?"

Mr. Shake: "Pretty good. I mean, some days the tremor is still bad, but on most it's okay."

Dr. Grumpy: "Any connection you've noticed on the days when it's worse? Are you more tired those days? Or drink more coffee? Or..."

Mr. Shake: "Mmm... I guess it's worse on the days when I forget to take the pills."

Yes, I'm juvenile

This invitation to a CME (Continuing Medical Education) course showed up in the weekend mail (I have no idea why there is a gray box instead of a picture. I didn't do that).

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For other great MD names, please see this post, and the comments that followed.

Sunday Reruns

Due to a lack of inspiration, and not seeing patients on a Sunday, I'm rerunning this post from April, 2009. It's from back when I had only a few readers, so some of you may not have seen it the first time.



Dr. Grumpy's Guide to Life, Chapter 1


(As a public service I have written the following, for you to print off and use before your next Pump-It-Up party. For those of you who don't have small children, or simply live in a box, Pump-It-Up is a national chain with indoor giant inflatable bouncers to hold kid's birthday parties at).


Congratulations! You've decided to host your child's party at Pump-It-Up.
They and their friends will enjoy it a great deal.

Key things to remember:

1. Going into the giant inflatable bouncing arena to fight your kids with oversized boxing gloves and paddles looks easy. Because of your higher center of gravity, however, you'll quickly find out that you're at a distinct disadvantage. In fact, you will likely get your ass kicked fairly easily by the swarm of 1st graders who will line up for a chance to beat you. Fighting on your knees does not improve the situation, and makes it easier for one of their partners to sneak up and jump on your back.

2. Although adults are welcome to go on all the giant bouncers, they are not adult friendly. In particular, the inflatable obstacle course is a good way to get yourself killed. When a kid claws up the inflatable steps and ladder to both of the slides involved, they have plenty of space to reposition themselves at the top to go down the slide feet first. YOU WON'T, and may find yourself pulling yourself to the top of the ladder, then as you are amazed you made it that far, you'll suddenly pitch forward uncontrollably, going down the slide head first and wrenching your neck at the bottom (which I did). While you're lying there, trying to figure out if you can still move your legs, a friendly teenage attendant will come over to remind you that head-first isn't allowed, and to please not do it again.

The steps in the obstacle course ladders are designed for kids and adult pygmies. You will be lucky to be able to use them as toeholds. Trying to climb them with your feet sideways only helps somewhat.

As you struggle through the obstacle course, you can expect to be passed by several kindergartners, who will wonder why their friend's Dad is so slow.

3. You WILL be injured. At present my neck is still stiff and my left ankle is killing me. I also have multiple bruises from falls and being stepped on, and several knee and elbow scrapes. When you first enter the facility and fill out the forms about how many kids you have with you and how many pizzas and bottles of pop you want, I recommend you give them a card listing your insurance coverage, hospital preference, and blood type.

4. Do not feed yourself or your kids a large meal before going unless you wish to spend some of the bouncer time you paid for watching a friendly teenage attendant clean Taco Bell out of a bouncer.

5. If one of the fun-loving kids traps you inside something by turning off the air compressor, don't panic. Before you asphyxiate from vinyl a friendly teenage attendant will turn it back on again, then lecture you not to do it again.

Enjoy! You just paid a fortune for your injuries!

If you follow these simple precautions, you will likely live to see your child's next birthday party - which will also be held at Pump-it-Up.

Saturday hot tub reading

Okay, sitting in the hot tub with Marie today, and catching up my journals. This afternoon I learned that:

Patients taking 2 pain medications have less pain then patients taking only 1 pain medication (The Lancet (2009; 374: 1252-1261).

For my fellow U.S. citizens who are convinced that only our country wastes money on this stuff, the study was paid for by the Canadian Institutes of Health Research.

This is not meant as a slight to my northern colleagues, but simply to point out that pointless research is a universal human trait. If our prehistoric brethren had journals, I'm sure they'd have studies on how wood held in the air is easier to light on fire than wood being held underwater.

Dear GlaxoSmithKline Pharmaceuticals,

Thank you for your recent letter concerning Super Poligrip denture adhesive.

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It was thoughtful of you to notify me that this product (all 3 varieties) will no longer be available. How much it cost you to send this letter to every doctor in the U.S. & Canada I have no idea.

In all honesty, I have never, ever, ever, recommended a specific denture adhesive to anyone. In fact, in 12 years of practice, I don't think a patient has ever mentioned their chosen brand of such a product to me. Generally, the study of neurology is pretty far removed from whatever substance people might be using to glue their false teeth to their gums.

My office colleague Dr. Pissy, for whatever reason, hasn't gotten your letter yet. I told him this was likely because he was on your Poligrip consumer, rather than prescriber list. He was not amused.

Yours truly,

Ibee Grumpy, M.D.

Anticipation

Dr. Grumpy: "So the meningioma has been stable on MRI for 10 years now. It should still be followed, but not as often. I'll check a repeat study in 5 years if nothing changes."

Mrs. Ocd: "So, another MRI in 2015?"

Dr. Grumpy: "Yeah."

Mrs. Ocd: (whips out iPhone): "Can I do a Tuesday afternoon?"

Thursday night, 8:05 p.m.

"Hi, I have an appointment with Dr. Grumpy tomorrow, but I keep my schedule on my cell phone calendar, and I've lost the phone. Can someone please call and tell me what time my appointment is? My cell phone is 867-5309. Thank you."

Weather Report

Yes, I know it's raining. I have windows at my office, and occasionally look outside.

And I understand you running late for your appointment. I mean, the rain mucks up traffic, and makes everyone fall a few minutes behind.

We appreciate you calling to say that you'll be a few minutes late. We believe you that it's raining. We can see that for ourselves.

You really don't need to send Mary a picture from your car to prove it.

Attention Boy Scouts of America

DO NOT EVER send out a note saying there will be no food provided at a night meeting, and so we should feed our kids dinner beforehand, AND THEN HAVE SURPRISE PIZZA AT THE MEETING!

My kids overoverovergorged.

Next time you do this I am calling the den leaders (you know who you are) at 2:00 a.m. to come over to my house and clean up 3 kids worth of barf.

Thank you.

Department of Contradiction

Looking through some hospital notes today, and came across this:

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