Huh?

I got dragged in to do a consult (and I'm not on call!) today. As per tradition, I stopped in the doctor's lounge to grab a Diet Coke on the way up to the floor.

It was the usual Saturday mid-day crowd of surgeons and hospitalists, some at computers, others watching the Saturday college football games.

As I paused to look at the score, some TV announcer chimed in "Be sure to stay with us at halftime. Many Big State University alumni died serving their country in World War II, and BSU invited them to today's game. Nearly 50 were able to be here, and there will be a special Veterans Day tribute by the marching band."

Zzzzzzzzzzzzzzzzzzz

Dr. Grumpy: "Any major illnesses run in your family?"

Mr. Ceruleus: "My dad died in his sleep, so I guess, um, sleeping?"

GET A FREE iPAD!

How many times have you seen that?

All the damn time. Every medical journal, CME service, and medical supply company has some such crap. If you order the gold-level service you get an iPad-mini, go with the platinum and you get an iPad. My wife has seen it from companies selling school nurse supplies in bulk

Of course, the iPad isn't really "free." Its cost is figured into whatever they're charging you for the purchase, or they're taking a slight loss hoping to get you as a loyal customer (doesn't work, guys. Ask any pharmacist who's forced to hand out gift cards to people who transfer a prescription).

But I digress.

Anyway, my point here is that pretty much EVERY professional level product is often sold with a "get a free iPad" gimmick.

Including, apparently, rats.

Yes, lab researchers, now you too can get a free iPad with your order of research rodents. Need some transgenic rats to test antibiotics? You've got an iPad-Mini! Doing cancer research on knockout rats? Get an iPad!

"Wait, where's the iPad they promised me?"

Be sure to use the promo code, which ingeniously is RatPadB13.

After all, with an iPad you don't need a mouse.

Thank you, Caillin!

Live entertainment

Mary: "Can I get a copy of your insurance card?"

Mr. Garda: "Sure, hang on... Um, I can't find it."

Lady Garda: "JIM!!! Did you lose it again?"

Mr. Garda: "I guess I did... It must have fallen out at the restaurant last night."

Lady Garda: "For Pete's sake! This is the 5th insurance card you've lost this year! I'm tired of calling them to get you a new one!"

Mr. Garda: "I'm sorry..."

Lady Garda: "You're lucky I carry an extra around for you!" (hands card to Mary) "You're a freakin' policeman! Grumpyville trusts you to carry a loaded gun everywhere, and you can't even keep track of a damn insurance card!"

It's 2:00 a.m.*

Midnight. One of my patients is in the Emergency Room:


Dr. ER: "So, it looks like she had another seizure."

Dr. Grumpy: "Yeah, she wanted me to leave her dose as it is, but at this point she'll need to increase it. Have her go to 2 pills twice a day."

Dr. ER: "Okay, should she come see you this week?"

Dr. Grumpy: "Yes... I want to talk to her. I know my 2:00 is open tomorrow afternoon, so have her come in then. I'll let my secretary know in the morning."

Dr. ER "Will do. Have a good night."

Two hours later, my phone chimes.

"Hello, Dr. Grumpy? I was in the ER earlier tonight, and they told me to come to your office at 2:00. So I'm here, but your office building is all locked up and dark. Can you please let me in?"


* The fear is gone

I don't wanna know

I'm going to hope this is a horrible transcription error, and not how someone broke their finger:

Thank you, K!

This guy is good

Thank you, ER's Mom!

Patient quote of the day

"It's not the important things I don't remember. It's the stuff that's important, but not as important as more important stuff. Some stuff, you know, is important and some isn't important important, but still important. So I remember most of the important important stuff, or least the important parts of what's important, but not other important stuff because it's just not as important. I think this is important."

Fine, then call Google

Dr. Grumpy: "What you have is called Essential Tremor. It's a form of tremor that..."

Mrs. Parscompacta: "Wait, are you saying I don't have Parkinson's disease?"

Dr. Grumpy: "Correct. Essential tremor is a different disorder that..."

Mrs. Parscompacta: "This is ridiculous. Of course I have Parkinson's disease."

Dr. Grumpy: "Why do you say that?"

Mrs. Parscompacta: "Because the internet says I do!"

Dr. Grumpy: "Ma'am, I can assure you that you don't..."

Mrs. Parscompacta: "I DEMAND YOU DIAGNOSE ME WITH PARKINSON'S DISEASE!!!"

Dr. Grumpy: "Why do you want Parkinson's Disease?"

Mrs. Parscompacta: "I'm your customer, damn it! Haven't you ever heard 'the customer is always right'?"

Dr. Grumpy: "Yes, but for this..."

Mrs. Parscompacta: "You're the 3rd neurologist I've seen, too. Obviously, I've learned more from Google than you idiots did in training."

Dear Helen Keller Services for the Blind,

Yesterday you sent this email to one of my readers, who kindly forwarded it to me.

And beyond that, I'm not going to say anything.

Thank you, Dilbert!

Hmmm...

Mr. Skip: "My pain is better, but I still have bad days, about once a week. I don't know why."

Dr. Grumpy: "Any side effects on the medication?"

Mr. Skip: "No, but I just don't like taking pills."

Dr. Grumpy: "They seem to be helping you, though."

Mr. Skip: "Yeah, but I'm just not a pill person. I skip taking them every 5 days to see if the pain comes back. It does."

Front counter

A lady comes in to the waiting room, sits down, and grabs a magazine. Other patients come and go, and after a few minutes Mary goes to the counter.

Mary: "Hi, ma'am. Are you here to see Dr. Grumpy or Dr. Pissy?"

Lady: "Neither."

Mary: "Oh, are you picking someone up?"

Lady: "No."

Mary: "Do you need to make an appointment?"

Lady: "No, thank you."

Mary: "Is there anything I can help you with?"

Lady: "No, I'm just reading the magazines. I didn't like the ones Dr. Lung has across the hall, and told them they could find me over here."

Patient quote of the day

"It was dark. I mean, pitch black. I was afraid I'd completely lost my vision and was blind. But then I found the light switch, and flipped it. That made everything fine, and I could see again."

Money changes everything

Dear Dr. Cashpay,

I know you don't remember what it was like to be a peon. It's been several years since you last saw an average patient. Nowadays people pay you $5000/year to "belong" to your practice, and then another $400/hour if they actually have to see/speak/text/stand in your radiant aura.

And you normally don't refer to me, anyway. Since I take insurance, I get paid the same amount of money to see one of your self-important assholes as I do for a decent, but non-wealthy person. So I don't give your patients the priority attention you feel they deserve. But, occasionally, one of them will show up on my doorstep and I'll see them. As did Mr. Rich last week. Unlike most of your peeps, he was quite pleasant.


3 days later:


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

Lacey: "Hello, this is Lacey, calling from Dr. Cashpay's office. He wishes to discuss Mr. Rich's case with Dr. Grumpy."

Mary: "Hang on, he's between patients, so let me get him."

Lacey: "No, we don't work that way. He'd like to schedule a 15-30 minute appointment to discuss Mr. Rich by phone."

Mary: "Wait... You're actually trying to schedule a phone call for the doctors to talk?"

Lacey: "That's what we do here."


This was a first for my office. Mary grabbed me, and I got on the phone.


Dr. Grumpy: "Hi, this is Dr. Grumpy."

Lacey: "Dr. Cashpay would like to schedule a 15-30 minute phone appointment to discuss a mutual patient."

Dr. Grumpy: "That's a lot of time. Is Dr. Cashpay going to pay me for this phone call?"

Lacey: "Certainly not. He works for his patients."

Dr. Grumpy: "But he'll charge Mr. Rich for the time he spent on the phone on his behalf, right?"

Lacey: "Of course. And rightfully so."

Dr. Grumpy: "Look. I've get about 5 minutes on the phone between patients right now. So Dr. Cashpay can talk to me now, at no charge. But I really don't have time to set up phone appointments for this sort of thing."

Lacey: "He's with a patient, and doesn't allow interruptions."

Dr. Grumpy: "Then he can try later, and see if I'm available. Show him how to dial. Goodbye."