Friday morning

Dr. Grumpy: "This is Dr. Grumpy, returning a page."

Mr. Phone: "Hi, I had an appointment with you last month, and I need to come in again."

Dr. Grumpy: "Okay, my office is closed today. Can I have Mary call you on Monday?"

Mr. Phone: "No, I need to see you today."

Dr. Grumpy: "Well, the office is closed, but you've got me on the phone. What can I do for you?"

Mr. Phone: "Yeah, but on the phone, how do I know it's you? I mean, you could be a phone operator or something. I really want to talk to the doctor."

Dr. Grumpy: "Sir, I promise it's Dr. Grumpy, and I have your chart in front of me. What's up?"

Mr. Phone: "I'm not comfortable with this. I think I'll just go to ER." (click)

Skool Nerse Time

This is Mrs. Grumpy, writing for Thanksgiving.

When I was 5, my family lived in Massachusetts. My dad was a graduate student at the time, my mother was raising 3 kids. Dad worked 2 jobs, AND was an amateur boxer, to support us.

That winter we ran out of money. I didn't have a coat for school, and my parents couldn't afford one. My mom would dress me in multiple layers of her shirts to send me to school.

Somehow, through our church, word got out that there was a little girl who needed a coat. A family out there bought me a brand new one in my size, and donated it through the church.

I still don't know who they are, or how they heard about me. But it was warm, and fit me perfectly, and was my favorite coat EVER. It was still in good shape when I gave it to another family in need. By that time we weren't living in Massachusetts anymore.

Whoever you are who bought me that coat so long ago, thank you. It made all the difference in the world to me. And still does.

Great drug rep moments

"Hi, Dr. Grumpy. It's good to see you. Thank you for signing for samples. I hope you've been doing okay. How are your kids? My son is getting divorced. But that's fine, because I never liked her. Is this going to be enough samples for you? I wish the company would give us more. We also have the new 50mg pills, I don't have any here, but will send you some info. Are you ready for the holidays? My company is doing layoffs. I have no idea if I'll have this job in a month. I'm bringing lunch next week. Do you like turkey? I thought about getting some, but I think that would be overkill. Don't you? My daughter hates turkey, but she has all kinds of food allergies. I bet she got them from my ex, because there isn't anything right about him. She's interested in going into medicine, too. Do you have any advice for her? I can bring sandwiches instead. I found a new place I like, but they toast the bread, and not everyone likes that. I'll ask if they can leave some plain. This drug, by the way, is now on first tier with all major insurance plans. Which plans do you take? A friend of mine should probably see you, I'll have to find out what insurance she's on. Thank you for your time, and I'll see you next week."

November 24, 1931

Ghost ships are the stuff of legends and Halloween stories. But some ghosts are real...




The S.S. Baychimo


The Baychimo was a small, sturdy, freighter owned by the Hudson Bay Company. Her job was to travel the coast of Victoria Island in the Canadian arctic, trading supplies with the local Inuit people for valuable fur pelts. She worked during the area's brief open water season (July to September) spending the rest of the year in Vancouver.

The winter of 1931 came early, and Baychimo was frozen in ice several times while returning home. By mid-October she was stuck fast near Point Barrow, Alaska. Most of her crew were evacuated by aircraft (the first time a long-range air rescue was accomplished).




The Baychimo trapped in ice, November, 1931.


A group of hardy souls decided to stay with her until the spring thaw, as they'd collected a particularly valuable fur cargo that year. They built a shelter ashore, and settled in for several months of night.

On November 24 an exceptionally violent blizzard struck, surprising even the arctic veterans with its ferocity. In the morning, mountains of ice 70 feet high were piled where the ship had been. The Baychimo was gone, crushed under tons of ice and snow and sent to the bottom.

Or so they thought...

The men radioed for rescue, but it would take a few days. As they waited a passing Inupiat told them the ship was adrift several miles down the coast. They set out on foot, finding her again trapped in ice. They took as many pelts as they could before returning to the shelter. Another violent storm was coming, and they assumed it would sink her.

The Baychimo had other ideas.

The second storm pushed her out of the ice and into the open sea, free to wander the icy north alone.

Over the next several years she was infrequently seen, and rarely boarded. Some of the valuable furs were even removed. But no one was able to bring her in. Attempts to restart her engines failed, and storms (which some claimed the ship had summoned) always drove would-be salvagers away. In one harrowing case a group of Inupiat boarded her, only to have a sudden storm trap them on the derelict for 10 days.

She was seen every few years, and each time the assumption was made that it would be the last. Only to have her show up again. Scientists, hunters, and fishermen. Inupiat tribe members. Russian, American, & Canadian ships and planes. All reported her at one time or another as she wandered the Arctic waters.

She was last seen in the Beaufort Sea in 1969, having survived 38 years afloat and alone in one of the world's harshest environments.

Today it's assumed she's at the bottom, and I suspect they're right. But who knows? Alaska has begun trying to catalog the estimated 4000 wrecks along the state's shores, and maybe she'll be found.

Or maybe not.

If at first you don't succeed, try, try, again

So many people these days give up too easily. They try something once, it doesn't work, and so they don't bother to do it again.

It was therefore refreshing to read this news story, about an enterprising gentleman who was willing to try something a second time, after the first hadn't worked out.

Here's the link.

Thank you, Jennifer!

Order! Order in the court!

Mr. Old: "I can't run as fast. I play tennis 5 days a week, and my serve isn't as strong as it was years ago."

Dr. Grumpy: "Dave, you're 85. You can't expect to be the same person you were years ago. None of us can. The fact that you're as healthy and active as you are at 85 is remarkable in itself."

Lady Old: "Dave, listen to the doctor. We're both getting old. We need to accept that, and be glad for what we have."

Mr. Old: "OH! Like you're one to talk!"

Lady Old: "What do you mean by that?"

Mr. Old: "You're the one getting your boobs fixed, or some other procedure, every other month!"

Lady Old: "That's different! It's for my self esteem! So I don't feel old!"

Mr. Old: "It isn't any different! And your boob jobs and stuff are a hell of a lot more expensive than a round of tennis!"

Lady Old "Leave my breasts out of this! This is your appointment!"

Mr. Old "It's not like you ever let me go to yours!"

Nutritional supplements

Dr. Grumpy: "Are you on any medications?"

Mr. Farmdee: "No. I only take supplements that I get from my other doctor."

Dr. Grumpy: "What supplements?"

Mr. Farmdee: "Um... I think they're called Coumadin, Cardizem, and Zoloft."

Monday morning incontinence

Over the weekend they were doing a CPR class in my office building. I saw them bringing the resuscitation dummies in on Friday afternoon.





This morning I got to the building, parked, and sleepily walked to the elevator.

The door opened, revealing a head and torso - separated from each other - lying in it.

After my pulse returned to normal, I called the hospital to let them know they'd left one of the dummies in the building, and where to find it.

Sunday reruns

I'm busy with all kinds of junk today, so thought I'd re-post this one. It was from the days when I was my only reader.


First, let me say that I'm an experienced hiker. When I was in residency I'd hike all over, regardless of time of year. I've hiked pretty much all terrain short of tundra. I've hiked to mountaintops in temperatures of 110 degress. I'm well aware of what precautions have to be taken, supplies carried, amount of water, and other emergency precautions.

So I recently took Craig on a Boy Scout hike. I'm not a member of the den or any of that stuff. I'm just a parent who went on the hike with my kid. They told us to bring water, so I grabbed 2 of my old hiking bottles and we each took one, and some other junk, and took off.

The hike in total was a 2 mile round trip in a well maintained, ranger-patrolled, trail area.

We got to the meeting place, and I was AMAZED at what people were carrying for this pissy little hike on a surprisingly nice day. Water by the truckload. Cases of granola. Two people had backpacks with tents in them (no, rain was NOT forecast, or even suspected). Another guy was carrying a little coleman stove with a gas container (but no food to cook on it). There was a lady dragging a cooler with wheels on it, loaded with water (even though everyone had their own water bottle). Another bozo was even packing a BB gun, assumedly in case we ran into some dangerous, aggressive fauna, like a rabbit.

The leader was a guy in his late 50's with a beer belly, wearing a boy scout uniform. I have to say that nothing could possibly look more dorky on an adult male (not to mention a paunchy one). They say women love a man in uniform, but I don't think that's the uniform they mean.

So the leader introduces himself, and says he'll take the front of the line, and his grandson, who had been an Eagle scout, will be the back of the line. At that point he gestured to his grandson, who was a sullen, glaring, teenager with multiple piercings, a few tatoos, and a pack of cigarettes in his pocket. He was mumbling into a cell phone and exuded a sense that he would rather be having his nuts chopped off than following his dorky looking grandfather around on a hike.

And off we went. 40 people and enough supplies to survive a nuclear war, for a 2 mile hike (NOT a "3 hour tour"). It was scenic and fun, and took about an hour. The only unexpected happening was when we wandered out of the grandson's cell phone range and he began screaming bloody murder. The lady with the cooler offered him a bottle of water to cheer him up.

I was walking ahead of 2 dentists, who spent the time discussing different drilling techniques, the most pus they've ever seen in a dental abscess, and other interesting topics.

And so, at the end of this, we had to fill out a form for my son to get his hiking badge. As I've learned in the last year, the Boy Scouts award badges for the most mediocre of accomplishments, such as a 2 mile hike, attending a rodeo, or breathing. I think the badges would be more meaningful if they were for more challenging things, such as swimming the Amazon, kayaking over waterfalls, and hand-to-hand grizzly combat.

Instructions

Dear Mrs. Tremor,

I apologize for the misunderstanding concerning your medication.

When I wrote: "Take 1 each morning after you wake up", I meant to take it when you wake up, first thing in the morning, and are getting up for the day.

I DID NOT mean for you to take it when you get up to pee at 3:00 a.m., and are going back to bed. Or when you nod off after breakfast for 5 minutes, then wake up again. Or if you lie down for a nap after lunch and then wake up at 2:00 p.m. (which isn't in the morning anyway).

Thank you.

Urgent matters

Dr. Grumpy: "I'd like to start you on this medication because..."

I looked up. Mary is in the doorway. She never interrupts me when I'm with a patient unless it's urgent.

Mary: "Dr. Unka, from down the hall, is on the phone. Says he needs to talk to you right now."

Dr. Grumpy: "Thanks, Mary. Sorry, ma'am, let me just take this call." (picks up phone) "Hello?"

Dr. Unka: "Ibee, I've been meaning to tell you that your office door slams too loudly."

Dr. Grumpy: "Um, I..."

Dr. Unka: "It's really distracting. Can you please call the building people to do something about it?"

Dr. Grumpy: "Sure..."

Dr. Unka: "Thank you." (hangs up).

Can't argue with that

Last night I was reading EEGs at the hospital. They always have a patient form attached, to give you some background on why they're having the test.

So last night I found this.

(click to enlarge)

Trust me. I'm a doctor.

Just read this. Keep reading. It's worth it.

Thank you, Kim!

Specifics

Mrs. Senior: "I can remember exactly when my migraines started."

Dr. Grumpy: "And when was that?"

Mrs. Senior: "I guess when I was younger."