Pissy. Must. Die.

Me, Dr. Pissy, and our combined office staffs are having lunch with a drug rep.

 

Ms. Pharma: “That covers all the new info about Nomoshakin, so next time either of you sees a patient with refractory seizures, please keep Nomoshakin in mind. Any questions?” 

Dr. Grumpy: “No, thank you.” 

Ms: Rep: “Okay. Looks like we still have a few minutes, so let me tell you about Gramzap. This is our new, highly potent, highly absorbed, once-daily oral antibiotic. It has excellent coverage against many commonly encountered infections and…” 

Dr. Pissy: “Do you have samples?” 

Ms. Pharma: “Of course! Let me…” 

Dr. Pissy: “Please leave them for Dr. Grumpy. Gramzap sounds better than the weekly shots he gets at the free clinic."

Quote of the day

"I was in the ER last weekend for a seizure. They said my Kepdepatrol level was 4. Or maybe it was 8, actually, it could have been 14, or maybe 28. Whatever it was, it had either a 4 or an 8 in it, I'm not sure which. Does that help?"

Things seen in charts

 Here's this one, showing the hazards of cut & paste:

 

Next we have this bit of bullshit, which was, sadly, the entirety of the chart note and which told me nothing:

 

Apparently someone is hoping there's a CPT billing code for "vice versa:"

Next is another piece of crap someone pasted in. I'm willing to bet that the physician involved pastes this in at the end of pretty much every single note they write.

 

 

 

 

And, lastly:

Translation: just because I'm billing your insurance for treating a disease, doesn't mean you have that disease.

There are 11,000 neurologists in the U.S.

And a few weekends ago, due to a computer glitch, every one of them had an inbox that looked like this:

Voicemail theater

Message left at  6:55 a.m.

"Hi, thith ith Mike Thmith. I haf to canthel my appointment wif Dr. Grumpy for thith morning. I wath in a barfight lath night and loth thome teeth and have an emergenthy dental appointment. Thorry."

Message left at 7:00 a.m.

"Good morning, this is Dr. Perry O'Dontis. I'm sorry, but I'm going to have to cancel and reschedule my appointment with Dr. Grumpy for this morning. My partner is out of town, and one of his patients got into a barfight last night and had his teeth knocked out, so I need to work him in this morning."

Weekend on call

I've been called down to ER to see a fellow who suffered a stroke while at the local casino. His wife has just arrived.

Dr. Grumpy: "I'm glad you're here... his face is kind of drooping on this side. Is that normal for him?"

Mrs. Alteplase: "Let me see... He always has that."

Dr. Grumpy: "Okay. Do you know what medications he's on?"

Mrs. Alteplase: "No, but check his wallet. He always has that."

Dr. Grumpy: "Okay" (I start searching through the guy's pockets). "You know where he keeps it?"

Mrs. Alteplase: "No, but he always has that."

As I find and pull out the wallet a handgun - with the safety off - falls out of another pocket and lands on the floor with a loud THUNK. Me and 2 nurses freeze for a second, afraid it might go off.

Mrs. Alteplase: "He always has that."

Bathroom humor

A reader sent in this picture, where apparently an "out of order" sign just wasn't enough:

 

Of course, art imitates life, and vice versa:

Review of Systems

Dr. Grumpy: "Do you have any other health issues?"

Mr. Toss: "On January 14, 1999, I threw up in a Taco Bell bathroom, but other than that I've been fine."

Accuracy

Dr. Grumpy: "Have you had any surgeries, sir?"

Mr. Plumbum: "Yeah, I got shot, and they had to take out the bullet."

Dr. Grumpy: "Where did you got shot?"

Mr. Plumbum: "Korea."

Breaking the fourth wall

Actual CT scan report:

Thank you, M!

Abracadabra

Dr. Grumpy: "Have a seat, what can I do for you?"

Mrs. Anatidae: "My homeopath says his exam showed I have taurine in my brain, and referred me to you to take it out."

 

Pause

  

Dr. Grumpy: "Ma'am, everyone has taurine in their brain. It's critical for nerve function. It's in most organ systems."

 

Pause

 

Mrs. Anatidae: "So... you're telling me there isn't a surgery or something to take it out? He said there was."

Dr. Grumpy: "No. It's normal to have taurine in your brain. You need it to stay alive."

 

Pause

 

Mrs. Anatidae: "I'm sick of all the lies you regular doctors tell people like me to keep us sick so you can make money off our suffering!!!"

 

She stormed out and slammed the door.

 

Change

Since the twins are both at the same university, we bought them a car to share a few months back.

Yesterday we received a letter from the dealer's accounting department, saying they overcharged us in error, along with a check for the amount.

 

I am not making this up.

Write your own caption

This picture, I swear, is taken from the Disney website, showing a family enjoying the all-new MCU Avengers Campus at Disneyland.

If they're having fun, I can't imagine what the families who aren't enjoying it look like.

 

Meanwhile, up front

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

Ms. Young: "Hi, I was referred by Dr. Neverheardofhim, and he says you need to work me in RIGHT AWAY. Like, today. Now."

Mary: "We have nothing open today... I can do next Wednesday, at 2:30, or..."

Ms. Young: "I looked it up! On the internet it says you are legally obligated to get me in, since my doctor referred me urgently!"

Mary: "Uh, no. If you have an emergency you'll need to go to ER. We don't have any kind of relationship with Dr. Neverheardofhim. The soonest I get you in is Wednesday, though I can put you on a waiting list for..."

Ms. Young: "This is terrible that you're breaking the law like this! I'm going to call my cousin, who's a lawyer!"

She hung up

2 hours later

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

Ms. Young: "Hi, um, I was referred by Dr. Neverheardofhim, I called earlier, and I decided I'll take the Wednesday appointment."

Mary: "I'm sorry, but it's no longer available. We can see you Friday morning, at 8:00, or..."

Ms. Young: "You gave away my appointment? You can't do that!"

Mary: "You never made an appointment."

Ms. Young: "You offered it to me! That's the same thing! I looked it up! On the internet it says you are legally obligated to hold it for me."

Mary: "I'm not going to argue with you. Would you like the Friday morning slot?"

Ms. Young: "This is terrible that you're breaking the law like this! I'm going to call my cousin, who's a lawyer!"

She hung up 

 

1 hour later. 

 

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

Ms. Young: "Hi, um, I called earlier, I was referred by Dr. Neverheardofhim, can I take the Friday morning appointment? Is it still available?"

Mary: "It is, that's Friday morning at 8:00. Okay, what insurance do you have?"

Ms. Young: "Federal United Healthcare."

Mary: "Oh... I'm sorry, Dr. Grumpy isn't contracted with F-U Healthcare."

Ms. Young: "Dr. Neverheardofhim referred me! So you have to take it! I looked it up on the internet!"

Mary: "We don't take that plan, so you'll have to try their website to find a neurologist who does."

Ms. Young: "No, that's YOUR job! You need to find someone who takes my insurance, and have them work me in! It's the law! I looked it up on the internet! I'm going to call my cousin, who's a lawyer!"

Mary hung up