Random pictures

Okay, time to hit the mailbag for some shots you guys have sent in.


First is this bizarre placement for a Hall's cough drop ad:

"Endorsed by Linda Lovelace."

Next is a bit of jealousy. While drug reps haven't been able to give really cool pens to us human-specializing doctors since 2009, my colleagues in veterinary medicine still get them. Like this:

Then there's this supreme plaque seen at the Toledo Zoo:

"Courts have scales, fish have scales.. Is that it?"

Here's the last word in 1-stop shopping (okay, 2nd-to-last-word. The last word would be booze).

And then there's this screen pic, which really gives you confidence in the IT guy.

Years after it was run, it's still hard not to love this awesome ad for an antipsychotic drug.

"I think the tie is scarier than the cane."

And, lastly, from the "check out our website" department.

"Are you allergic to 10W40?"

Dr. Grumpy: "What medications do you take?"

Mr. Ford: "I have a list here, hang on..."

(takes a folded piece of paper out of his wallet and hands it to me)

One out of three

Mrs. One: "Hello?"

Mary: "Hi, this is Mary, from Dr. Grumpy's office. I'm just calling to remind you of your appointment tomorrow at 8:45."

Mrs. One: "It's on my calendar. I'm quite aware of it. I'm an adult, you know, and you don't need to bother me with such condescending behavior. Reminder calls are demeaning."

Mary: "Sorry."

_____________________________


Ms. Two: "Hello?"

Mary: "Hi, this is Mary, from Dr. Grumpy's office. I'm just calling to remind you of your appointment tomorrow at 2:30."

Ms. Two: "Great! I'll be there! Thank you!"

Mary: "See you then."

_____________________________


Mr. Three: "Hello?"

Mary: "Hi, this is Mary, from Dr. Grumpy's office. I'm just calling to remind you of your appointment tomorrow at 4:15."

Mr. Three: "It's about time."

Mary: "Excuse me?"

Mr. Three: "It's about time you called. I was wondering if you people were going to have the simple courtesy to do a reminder call."

Mary: "Okay, this is your reminder, and so we'll see you at..."

Mr. Three: "Customer service in medicine is obviously dead, or you would have called earlier."

One way, or another

Him: "Good morning, thanks for calling Local Grocery."

Me: "What time does the post office in the store open?"

Him: "I don't know their hours. You'll have to call back around 9, when they open."

Friday whatever

Dr. Grumpy: "Are you right or left handed?"

Mr. Vocab: "I can write with either, I'm bisexual."

Dr. Grumpy: "Um, you mean ambidextrous?"

Mr. Vocab: "Yeah, whatever it's called."

Memories...

Dr. Bond was an attending physician where I trained, known for insanely long wait times (like 3 hours or more). Although I never really understood why (and still don't) he had a loyal following of patients who put up with it and came armed with books, magazine, and coolers.

They'd wait in the lobby, then get taken back to an exam room where they'd wait a few more hours... and at some point he'd see them.

Until one night.

I was the neurology resident on call, and around 11:00 that night was paged by the head of the hospital's janitorial services.

Apparently, Dr. Bond's 4:45 patient had been put in a room... and forgotten. The staff left around 6:00, and the patient, used to Dr. Bond's usual waiting times, just stayed in there. Eventually he fell asleep (the badly-rattled cleaning lady actually thought she'd found a body).

So I walked across the street to the clinic (not exactly a great idea in that area) and briefly met with the patient. After determining that he wasn't dead (he'd just left his hearing aids at home) I called Dr. Bond to ask him what to do.

To his credit, he drove in to see the patient for the regular appointment that had been scheduled for that afternoon.

Maybe

Dr. Grumpy: "Any other questions?"

Mr. Rem: "Do you think I'm so tired because of all the Oxycontin I'm on?"

Dr. Grumpy: "That could do it... Um, I don't have you listed as taking Oxycontin."

Mr. Rem: "That's because I didn't tell you. I'm on 80mg three times a day."

Dr. Grumpy: "Um, yes, that could make you tired. Why didn't you tell me that?"

Mr. Rem: "I didn't think it was relevant."

"I'll be damned if I'm buying the next round."

Seen in a chart:

Memorial Day

Howard Gilmore was born in Alabama, and joined the navy when he turned 18. For an enlisted man to become an officer was a rarity at the time, but after 2 years he was appointed to Annapolis following competitive examinations.

He was, as a fellow officer described him, "one of the finest men I ever knew, but he was born under an unlucky star." While ashore in Panama during the shakedown cruise of the submarine U.S.S. Shark, he was attacked by local thugs and had his throat cut. He survived, but was left with a bad scar.

A few years later his first wife died, at a young age, from a disabling disease.

The day after the Pearl Harbor attack he was assigned to command the U.S.S. Growler, a submarine that was nearing completion. He supervised her during commissioning, and then took her through the Panama canal to fight in the Pacific.

Through 4 patrols, he led his crew on a series of successes. In July, 1942 Growler single-handedly attacked 3 Japanese destroyers, sinking one and badly damaging the other two. He was awarded the Navy Cross for this action. On a second patrol later that year he sank 4 Japanese merchant ships.

Shortly after Growler left on her 4th patrol, his 2nd wife fell down a flight of stairs and was in a coma for several months. Because his sub had already left, this information wasn't relayed on.

In early February, 1943, Growler was hunting off the Solomon islands, sinking one freighter and damaging another. Just after 1:00 a.m., in the early morning of February 7, 1943, she was stalking a Japanese convoy and preparing for a surface attack. Gilmore and 6 others were out on the bridge, planning strategy, when they were spotted by the enemy.

A convoy escort, Hayasaki, came after them, intending to ram the sub. In the darkness the course change wasn't immediately seen, and the enemy vessel got quite close before being detected. Gilmore ordered a sharp turn... but it was too late.

Growler struck the Hayasaki amidships. The collision bent the submarine's bow sharply to the left and destroyed her forward torpedo tubes. As Gilmore ordered the crew to clear the bridge and get below, they were raked with machine gun fire. Two crewmen were killed, and Gilmore was wounded.

The Japanese vessel, undamaged, raced away and turned around, intending to ram the submarine again and send her to the bottom. Gilmore, wounded and now the only living person on the bridge, couldn't get to the hatch quickly and realized the submarine had to dive immediately if she were to have any hope of surviving. He yelled "Take her down!", repeating the order to make sure he was understood. He knew this would leave him on the surface to drown.

Growler's executive officer, Arnold Schade, hesitated for a few seconds, but realized the situation, too. He followed the commander's last order and submerged to avoid the oncoming ship.

After hiding deep to escape Hayasaki for several hours, Schade brought Growler to the surface. The Japanese ship had left, and the submarine slowly cruised around the area looking for Gilmore while the crew carried out makeshift repairs. Though badly damaged, she was able to make it to Brisbane.

Commander Gilmore was never found. His posthumous Medal of Honor was presented to his widow when she recovered from her injury.

Breaking and entering

Apparently, we missed the memo about yesterday being an early release day for a teachers meeting.

So the twins texted me while I was with a patient to say they were locked out, since neither of them had brought a key.

Fortunately, my last 2 patients of the day had cancelled, so we were able to close down early. On the drive home I ignored the text fight that broke out between the kids over whether the front or back yard was a better place to wait.

So I got home to find Craig planted in front of the garage, staring at his phone. He told me Marie had gone into the back yard to wait on the patio, and he didn't think that was a good idea for whatever reason. They were continuing to text insults to each other over which yard was better.

Such are the conflicts that shape our lives.

Anyway, I opened the garage, unlocked the door, and we went in.

To find Marie sitting in front of the TV, eating popcorn, and texting Craig back.



Dr. Grumpy: "Marie, how did you get in here?"

Marie: "I picked the lock on the back door."

Craig: "How did you do that?"

Marie: "I used my student ID to push the first lock in. Then I got Frank's old croquet set and bent one of the hoops around, so I could fit it through the crack and slide the second lock over."

Dr. Grumpy: "How come the burglar alarm didn't go off?"

Marie: "I twisted the croquet hoop the other way, like this, to reach around the corner and flip the alarm switch off."

Craig: "You didn't tell me you were inside! Why didn't you let me in?"

Marie: "Because you called me a bitch for going to the back yard."


We've lived in this house for 12 years, and this is the first time anyone's broken in. My neighborhood must be safer than I ever imagined.

Wednesday reruns

Dear Dr. Dipshit,

You sent a fax over to my office this morning that only said "PLEASE CALL ME ASAP TO DISCUSS MUTUAL PATIENT IMA DINGDONG!!! I'M AT 867-5309!!!".

I can only assume you did this because you are incapable of actually dialing a phone by yourself. Obviously, if someone at your end can look up a fax number, they could have found my phone number, too.

Mary brought it back to me about 3 minutes after it printed, and interrupted me while I was with a patient because it looked urgent.

I don't mind being interrupted, because a patient emergency should always take priority. So I called 867-5309.

The call was immediately transferred to your answering service, who told me your office was closed and offered to page another doctor on call, who likely had no idea why you were trying to reach me urgently. I begged the operator to see if your office had a backline she could connect me to, and she kindly did.

The lady (Jenny, I assume) who answered your back line obviously didn't give a shit. I told her I was Dr. Grumpy, and I was returning YOUR fax about Mrs. Dingdong. She told me the office was closed, and I should leave a message with the answering service. When I repeated that YOU HAD FAXED ME, she said you were having coffee with a drug rep, and didn't want to interrupt you (I guess it's better for a doctor to be interrupted when with a patient, huh?).

I told her that the fax said it was an emergency, so she sighed heavily (I could hear her rolling her eyes), whined, and said, "okay, let me go see if he's done".

I was then placed on hold for 2 minutes and 38 seconds (while I'm with a patient at my end) before another of your staff came on, said you were still with the drug rep, and asked me which patient it was on, what their date-of-birth was, and why was I calling in the first place? Could it wait until your office opened after lunch?

Sorry I hung up at that point, but I didn't want to scream and swear at some poor staff member that you'd stuck between us. Obviously, you and I have a different definition of "emergency".

And you can call me back if you need me. Or, better yet, just tell the patient to.

Brevity

Seen in a hospital chart. This was the entire physical exam performed by a neurosurgeon:

"Wait, he left out cyanotic."

For non-medical readers: NAD = "No apparent distress."

Here's another thorough note, this time by an internist:

"Pregnant or non-pregnant. Are there any other human health conditions?"

For all these years, I thought the neurological exam consisted of checking multiple subsystems covering cognition, Cranial Nerves, strength, coordination, sensation, reflexes... and other stuff. Apparently I was wrong, as this hospitalist's entire neuro exam shows:

Sunday night, 11:52 p.m.

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

Mr. Levodopa: "Hi, I'm a patient of Dr. Brain's, and I have Parkinson's disease."

Dr. Grumpy: "What can I do for you?"

Mr. Levodopa: "Well, he has me on Sinemet, one pill four times a day. Is that okay?"

Dr. Grumpy: "Are you having any problems? Or side effects?"

Mr. Levodopa: "Nope. This dose has worked great for me since 2012."

Dr. Grumpy: "Then I'd leave it as it is."

Mr. Levodopa: "Okay. I just call his office every week to make sure, and he's out of town right now."

Patient quote du jour

"I'm allergic to any and all manufactured products, regardless of what it is or what it's made from."