Tuesday, December 10, 2013

Come on, baby, light my fire

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

Mr. McGee: "Hi, my wife saw Dr. Grumpy about a month ago, and he started her on a new medication."

Annie: "Okay, let me look at the chart... Looks like it was Lotsix."

Mr. McGee: "Yeah, that's it. Anyway, she's been much more confused since starting this, and I'd like to stop it if we can."

Annie: "What's she been doing?"

Mr. McGee: "Well, she's obsessively setting things on fire, and..."

Annie: "Uh, did you just say she's setting things on fire?"

Mr. McGee: "Yes, all the time. Clothes, walls, furniture, at least 2 or 3 times a day I catch her trying to light something. I've gotten rid of all the lighters and matches around, but she always seems to find more. She's never done this before, and the fire department is getting tired of coming to our house. This morning they suggested I call you guys to discuss this."

Annie: "I'd definitely stop it. Immediately. This has been going on for a month with her lighting things? Why didn't you call sooner?"

Mr. McGee: "I figured she'd get used to it."

Monday, December 9, 2013

Dr. Grumpy's gift guide

You've perfected your sexy pole-dancing moves, but none of your local strip bars are currently hiring. What's a girl to do? You have to earn a living.

Now, for only $499, you can take your show on the road with the trailer-hitch dancing pole! No smoky bar needed! Pull up to a skanky street corner and start the show!





The stage supports up to 200 lbs. Dollar bill storage box and stereo & light systems not included.

Saturday, December 7, 2013

Dr. Grumpy's Gift Guide

Regrettably, these fine outfits aren't as easily available as they were in the 1970's. But I'm featuring them anyway, as a throwback to how REAL men used to dress, before the most important thing was whether or not you had an iPhone pocket.

I wonder if the hats were included.



Friday, December 6, 2013

Zzzzzzzzzzzzzzzzzzzzzz

Dr. Grumpy: "Any triggers to your headaches?"

Mr. Coriolis: "They only occur when the barometric pressure drops."

Dr. Grumpy: "And what medications..."

Mr. Coriolis: "See, I began tracking barometric pressure with an iPhone app, comparing it to my headache diary" (takes out a notebook) "and here are some graphs I made up. I downloaded the barometric pressures of cities I've been in going back 38 years, to when I was born, and then I graphed them against..."

Thursday, December 5, 2013

Dr. Grumpy's gift guide

How many times a day do you find yourself wondering "Gee, how many eggs do I have at home?" 5? 10? 78?

If you're like me, you really don't care. But, if this a subject of serious importance to you,  it creates a real dilemma. I mean, if you're at the store, you can always hedge your bets and buy more eggs, but what if you get home and find you already have some? Then you have more eggs than you need, taking up space you could be chilling Diet Coke in.

By the same token, you can NOT buy them, then get home and find you're out. And now your plans to serve cheese omelets at the formal dinner party are in disarray.

Sure, you can always call home and ask someone, but if your kids are like mine they won't look. They'll set the phone down, play Metroid for 2 minutes, then pick it up and give me a made-up number.

But now... THE PROBLEM IS SOLVED!!!




The Egg Minder is the latest in modern chicken ovum tracking devices. It's a computerized egg tray that keeps count of how many eggs are left and which one is the oldest. AND you can access this valuable data from your smartphone anytime! It will even send you a push notification when you're running low. So you never have to have an "OMG HOW MANY EGGS ARE LEFT AT HOME?!!!" panic attack ever again.

It also holds 14 eggs. Since they're generally sold in multiples of 12, those with OCD will need to buy 7 dozen eggs and 6 Egg Minders to get a perfect fit. And then you just know you'll drop one while transferring them.

Wednesday, December 4, 2013

Paging Dr. Yossarian

Yesterday I received this fax from a pharmacy company. As best I understand it, they don't authorize the drug involved... So to get it covered I need to call...


Tuesday, December 3, 2013

The telltale cup


Rick was my resident for a month during internship. He was notoriously lazy. The last to arrive for a code, the first to leave after call, and never seeming to be around when you needed him.

He wasn't the kind of lazy who intentionally dumped work on others. He didn't see why anyone had to do it, and encouraged me and the other intern, Karen, not to do things either. As a result Karen and I spent a few days getting reamed out by attendings until we figured out NOT to follow Rick's instructions on ignoring labs, med sheets, exam findings, etc.

Rick, as these people always are, didn't feel he was the problem.

Anyway, one day my team was on call, which meant we were responsible for all codes, with Rick being the one who had to run them. Around mid-day there was a code on the 7th floor. Karen and I were both in ER doing admissions, but immediately dropped everything, and (big surprise) got to the room before him. We were frantically trying to remember our ACLS drills when a cardiologist ran in, then the chief resident, pretty much tossing us out.

After a few minutes Rick, the guy who was supposed to be running the code, came in. He was pretending to be panting (not a drop of sweat on him) saying he'd run all the way up the stairs from the lobby coffee place.

He was carrying a styrofoam cup filled to the brim with steaming coffee.

Without a lid.

And he hadn't spilled a drop en route to the code. Not a single brown dribble mark on the sides.




Monday, December 2, 2013

Dr. Grumpy's gift guide

As the Earth continues its trip around the sun, the holidays are again approaching. And with them, of course, the annual Dr. Grumpy Gift Guide!

I'd like to kick things off this year with something truly meaningful, special, and unique.

Chocolates have long been a way of telling that special person how you truly feel. Sometimes, of course, we encounter someone who's special in an entirely different way. When this happens we wonder "What can I give this person to convey my true feelings to them?"

The answer, of course, is this: A chocolate asshole!




Yes, the folks at Edible Anus purvey the finest in anally-shaped candies, using only pure Belgian chocolate. These delectable assholes are available in milk, dark, and white chocolate, and are handmade in England.

For that truly special person you can also order sterling silver assholes. They also have glass ones. I am not making this up.

The tagline on their site is "The anus that made Britain great." I'll defer any commentary on that to my readers across the pond.

Friday, November 29, 2013

Running errands on Black Friday

Dr. Grumpy: "Oh... Look at that. The Okra Haus restaurant is closed. It looks like they're tearing it down."

Marie: "Oh, no! I hated that place!"

Dr. Grumpy: "Then I'd think you'd be happy it's gone."

Marie: "Yeah, but now I need to find another place to despise."

Thursday, November 28, 2013

Thanksgiving

This is the Gray Wolf


"You want a piece of me?"

One of evolution's most successful designs, to this day it's a feared predator across the planet. Its range covers most of the northern hemisphere. One subspecies, the Yukon Wolf, is the largest living wild canid today. They're ferocious hunters.

What makes Gray Wolves so incredibly successful is their social nature. Their intelligence makes them clever, capable of adapting to new situations and prey. They hunt in packs, which allows them to bring down animals much larger than they individually are. Bison. Moose. Musk Ox. They have an impressive array of teeth and powerful jaw muscles that can crack large bones.


"We have sharp teeth for a reason, Phil. Let's use them."

And, somewhere around 30,000 years ago, this social tendency led to them becoming oddly intertwined with a primate species that was gradually spreading across the planet. A branch off the Gray Wolves became hunting partners, guards, and companions. Each species learning from the other in a remarkably successful relationship that continues to this day.

Still vicious. Still wild. Still... Oh, who am I kidding.

This is the modern wolf. From dangerous hunter to pillow for video-game-playing ape.


Her hunting ancestors must be horrified.

Life with dogs. It just doesn't get any better.

Wednesday, November 27, 2013

History reruns

November 27, 1898

Everyone's heard of the Titanic, Andrea Doria, and Lusitania. But most shipwrecks are long forgotten, except in the areas they occurred.

Long before The Perfect Storm was made famous by a George Clooney movie, there was the Portland Gale of 1898. The storm was catastrophic, but is mostly forgotten now.

In 48 hours of early-winter gale over 300 ships were either sunk or seriously damaged. Lives lost is unknown, but likely between 500-1000. Shore towns and cities from Massachusetts to Maine were devastated by rain, sleet, and more than 2 feet of snow, driven by winds measured up to 110 miles per hour. Communities of beach cottages simply vanished.

But the storm is still called by the name of it's most prominent victim: the steamship Portland.




In 1898 the Boston, Massachusetts to Portland, Maine route was a busy one, used heavily by both business and leisure travelers. Some took trains, while others preferred steamships. The latter traveled on coastal steamers, usually by night (the equivalent of a "red-eye" flight today). A ticket was $1 to $5, depending on your accomodations. You'd board in the evening, have dinner on the ship, sleep in your cabin, and the next morning were there. The ships went back and forth 3-4 times a week.

The New England weather can be notoriously vicious. A storm was coming in when the Portland sailed on the evening of November 26, 1898. Her captain, Hollis Blanchard, was known for being cautious, but apparently saw nothing in the conditions or forecast that unduly alarmed him. At 7:00 p.m. the ship sailed from India wharf in Boston, never to return.

The ship was sighted by others in the next few hours, but as the storm worsened, eventually vanished in the gale. When and exactly how she foundered will always be a secret, as she took all 192 passengers and crew with her. Recovered watches had all stopped between 9:00 and 10:00, though whether this was a.m. or p.m. is unknown.






The next day wreckage began washing ashore: furniture, timbers, luggage, lifebelts, and lots of bodies. Although the picture above shows a lifeboat being launched, none were ever found, and the severity of the storm makes it unlikely this was even attempted.

Several entire families were lost in the tragedy, traveling home after Thanksgiving in Boston. Their memorials are scattered across New England graveyards. The Portland black community was hit particularly hard, as (except for the officers) the majority of the crew were black men. In 1898 (33 years after the Civil War) service on these ships was considered a very respectable job for a black man, and those who served were generally veterans of the trade, supporting families ashore. They were often more sought after than white men for the same positions, as white men looking for these jobs were younger, less experienced, and seen as more likely to leave the job without notice.

The Portland herself would remain hidden for a long time. In 1989 the wreck was located, but the technology wouldn't allow an accurate identification. So it was forgotten again until 2002, when it was found by side-scan sonar. It's since been explored by divers, though at a depth of 460 feet in very cold water this is limited and dangerous.





If you're interested in learning more about the Portland and gale or 1898, I recommend the book "Four Short Blasts" (the title refers to the whistle distress signal of the time) by Peter Dow Bachelder. The book also has a brief history of the American Life-Saving Service, which eventually became today's U.S. Coast Guard.

Tuesday, November 26, 2013

Not even close

Dr. Grumpy: "Okay, let me have Annie schedule that test..."

Mr. Gallery: "I have a question for you" (takes out an iPad) "I read on your website that you majored in art?"

Dr. Grumpy: "Um, no. My undergraduate degree is in physics. I'm pretty sure it says that on my site."

Mr. Gallery: "Are you sure? I thought I'd read that somewhere. Maybe it was Yelp or something."

Dr. Grumpy: "I'm sure. Believe me. I have no knowledge of art whatsoever."

Mr. Gallery: "Oh" (looks disappointed, puts away iPad) "I was really hoping you could help identify some of the paintings at my parent's house. I even took pictures of them."

Monday, November 25, 2013

Telephone book

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

Mrs. Frantic: "I need you guys to get my Dad in today! I think he had a stroke, or a seizure, or a heart attack, or one of those things!"

Mary: "Calm down, ma'am... Have we ever seen your father before?"

Mrs. Frantic: "No! He's visiting from California! And he's not acting like himself."

Mary: "Okay, we don't have any openings today, and I think your best option is to take him to ER."

Mrs. Frantic: "But he needs a work-up NOW! You need to see him and do tests and stuff!"

Mary: "I understand that, but we can't do those tests in our office. That's why you need to take him to emergency."

Mrs. Frantic: "I don't want to take him to ER! He needs to see a neurologist!"

Mary: "We can't see him today, and so..."

Mrs. Frantic: "FINE! I'll just move on to the 'H's'."

(click)

Friday, November 22, 2013

Rimshot

Dr. Grumpy: "Any memory problems since starting the new pill?"

Lady Geritol: "I'm not sure. Honey, have I been forgetting things?"

Mr. Geritol: "I don't remember."
 
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