That wraps it up

Shutting down for the next 3 weeks. See you in 2020!

For those who didn't see it

Toxic

Phone rings.

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

Mrs. Latrodectus: "Hello, I need to make an appointment with Dr. Grumpy."

Mary: "Let me put you on hold for a sec, I'm scheduling another patient right now."


Mary finishes scheduling the other patient in < 1 minute, goes back to Mrs. Lactrodectus, finds she hung up.

Phone rings.


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

Mrs. Latrodectus: "How DARE you put me on hold. I'm a VERY busy woman!"

Mary: "Sorry, but there's always a lot going on here. Okay... We have an opening next Wednesday afternoon... what are you going to be seeing Dr. Grumpy for?"

Mrs. Latrodectus: "Excuse me? Are you the doctor?"

Mary: "No, I'm his secretary."

Mrs. Latrodectus: "Well, I don't have to tell underlings why I'm coming in. Unless he's willing to get on the phone right now, I have no plans to discuss this on this call."

Mary: "The only reason I ask is because there are several disorders he doesn't handle, and so I don't want to waste your time, or his, if you come in and he doesn't see your condition."

Mrs. Latrodectus: "I'm a very busy woman and don't have time for this nonsense. Why don't you just tell me all the things he doesn't treat and I'll decide if this is worthwhile."

Mary: "I'm not going to do that. Do you want to make an appointment or not?"

Mrs. Lactrodectus: "You have some nerve!"

Click.

Seen in a chart

Day at the Races

Early last Friday morning Mr. Party, a heavy-drinking patient of Dr. Smith (an internist downstairs in my building) wasn't feeling well. He'd quit drinking 2 days before, and decided to go to his doctor's office and wait for it to open.

While standing in the hall, Mr. Party was passed by a drug rep (yes, this one) coming to bring breakfast to me and Pissy's office. She markets anti-seizure medications, and her company has been promoting a campaign to make its reps more aware of the special needs of epilepsy patients.

Anyway, just as she was walking by Mr. Party, he suddenly collapsed and had a generalized seizure, wetting himself and lacerating his forehead on the doorknob as he fell. She then showed her newfound awareness of the special needs of seizure patients by running screaming through the building yelling "Help! Someone call 911!" repeatedly. The whole time she had a cell phone in her hand (Richard Dreyfuss did something similar in "Down & Out in Beverly Hills" for those who remember the flick).

Her meeting with me forgotten, she ran out to her car and decided to, um, I'm really not sure. As she was getting into it she suddenly realized she had a phone in her hand and called 911 herself. She then sat there for 15 minutes, trying to work up the courage to go back and look for her sample case and the tray of bagels she'd dropped in the excitement.

In the meantime, Dr. Smith had arrived at work to be greeted by one of his patients lying unconscious in a pool of blood and urine in front of his office door. At about the same time the police, firemen, and paramedics all arrived. They'd been summoned by the somewhat nonspecific nature of people in the building calling 911 when they heard the rep yelling, but not knowing what was going on.

Mr. Party was admitted to the hospital and is suspected of having had an alcohol-withdrawal seizure.

Dr. Smith waited until they loaded Mr. Party into the ambulance, then called building maintenance to shampoo the carpet in front of his office.

The drug rep found her sample case and bagels, and rescheduled her meeting with Pissy and I to later in the morning. During it she mentioned that she's considering a career change.

Midnight. Not a sound from the pavement.

Dr. Grumpy: "So that was 2 weeks ago that you were in the hospital... How have you been doing?"

Mr. Percheron: "I'm fine, I mean, I don't remember much about that day, but everything else has come back. What was that called?"

Dr. Grumpy: "Transient Global Amnesia. It's uncommon, and fortunately generally benign. You'll probably never remember the day it happened, but that's not a big deal."

Mr. Percheron: "Maybe you can help me with this?" (hands me a folded paper).

Dr. Grumpy: "What is it?"

Mr. Percheron: "It's from the hospital. They sent me a satisfaction questionnaire about my stay. But I don't remember anything about it."

"That's not my specialty."

Seen in a chart:

Research

I think we'd all agree that going through alcohol withdrawal is a bad thing.

I think even more of us would say that having a stroke is also pretty serious.

So you definitely don't want to do BOTH at the same time.

Of course, someone had to actually study this. So they did.

In a landmark piece of research, it was discovered that people who have a stroke AND go through alcohol withdrawal during their admission have more complications, poorer outcomes, and tend to be in the hospital longer than stroke patients who don't withdraw and see pink elephants.

Really.

This creates an all new research path: think of other conditions that are worsened by alcohol withdrawal. It's just like Mad Libs! Write a series of articles where you fill in the blank:

“Alcohol withdrawal is associated with worsened outcomes in  _______.”

If you play your cards right, this kind of research could get you an academic appointment! Let me throw out some suggestions, and you guys can take it from there:


"heart attacks"

"life"

"karaoke"


Have fun! And keep me in mind when you become chairman!


Thank you, SMOD!

"Play with me, kids"

There's a pediatrics office down the hall from me. Yesterday a letter for them accidentally ended up at my place, so I took it over there. I noticed this on the waiting room toy shelf:

Adulting

11:45 at night. My cell phone rings, waking me from sleep.

It’s Craig.

Dr. Grumpy : “This is doctor. … I mean, hi, Craig. You okay?”

(loud noise, someone yelling in background)

Craig: “Hi, Dad. Hey, how do I put out a fire in a microwave?"

I’m suddenly REALLY AWAKE.

(loud crash)

Craig: “Never mind, my roommate put it out.”

Voice in background: “What a mess, I'm going to get some towels."

Dr. Grumpy: “What’s going on?”

Craig: “Oh, nothing big, I guess. Hey, what’s a good way to get smoke out of a dorm room?”

Dr. Grumpy “Open the door and all the windows and put that fan you have in one of them.”

Craig: “Hang on… Okay, where’d I put the fan… guess that outlet isn’t going to work anymore, I’ll call maintenance in the morning.”

Dr. Grumpy: “Craig, what’s going on?”

Craig: “We were just making cookies, it’s fine now. I mean, it will be when the smoke is gone. Hey, can you order me a new microwave ramen dish thing from Amazon or something?”

Dr. Grumpy: “Why do you need a new one?”

Craig: “The other one is, um, kind of melted. I don’t think I can use it again.” (voice in background says something) “can you toss me some towels? Thanks. Sorry, Dad, there’s water everywhere. We had to throw a few buckets of water inside the microwave. (voice in background says something) I don’t think we can eat it, with the plastic melted into it on that side.”

Dr. Grumpy: “What…”

Craig: “Hand me the bag, I’ll just toss the ramen thing in there. OW! SHIT! IT’S HOT! SHIT! Hey, Dad, I think I burned my hand.”

Dr. Grumpy: “Put ice on it.”

Craig: “Will a cold Diet Coke can be okay?”

Dr. Grumpy: “If it’s all you have.”

Craig: “Okay.”

Dr. Grumpy: “Craig, What’s going on?”

Craig: “Oh, … We were just trying to make cookies. My roommate and I felt like cookies, so we bought a tub of cookie dough at the store.”

Dr. Grumpy: "You were making them in a microwave ramen dish?”

Craig: “It’s all we had, so we filled it up with dough, more like a cookie cake, I guess, figuring that way we’d be able to cook it all at once."

Dr. Grumpy: “Didn't the dough's microwave directions give you a time?”

Craig: “The tub didn’t have microwave directions, just regular oven, so we used those, but i guess that was too long. The cookie cake exploded and the bottom of the ramen pan melted and was smoking, then caught fire. My roommate tried to smother it with some paper towels, but then they caught fire, too."

Dr. Grumpy: “I wouldn’t…”

Craig: “Some guy on YouTube said it would bake them, but it didn’t. Hey, how long will it take all the smoke to clear from my room? I want to go to bed.”

Dr. Grumpy: “So go to bed.”

Craig: “I don't want to go to bed and leave all the doors and windows open, someone might steal my stuff.”

Dr. Grumpy: “Maybe a few hours.”

Craig: “Oh, good. I thought it might be days."

Taking a break

Gang, due to a great deal of insanity I'm going to take a few weeks off from the blog. Hoping to be back on November 18, 2019.

All is fine, but I need to decrease the things I'm juggling for a short time.

See you then!

I'll tell you where you can put your shoe

Here's another great computer chart system. When you order a shoe for someone who just had foot surgery, it gives you a list to pick where the shoe should be worn:

Thank you, J!

"I should do WHAT with it?"

Casa De Mentia

Jack is a nice guy, unfortunately now progressing through Alzheimer's disease. Although his cognition is shot, his baseline friendly personality has stayed with him. He's always accompanied by his doting daughter, Susan, and yesterday there was a guy with them I hadn't previously met.


Dr. Grumpy: "Hi Jack, hey Susan. Have a seat. Hi, sir. I don't think we've met. Are you Jack's son?"

Guy: "No, I'm, uh, actually a tax auditor."

Dr. Grumpy: "A tax auditor?"

Susan: "Yes, I asked him to come with us today. He's auditing our taxes."

Guy: "They asked me to come today. I don't normally go to doctor appointments with people. Actually, this is a first."

Dr. Grumpy: "What's going on?"

Susan: "Apparently there's an issue with our taxes. Can you explain?"

Jack: "Hi, Dr. Gravy."

Susan: "It's Dr. Grumpy, Dad."

Guy: "I was sent to audit their taxes because of errors that were, incredulous, to say the least, and my department was concerned about fraud, but when I got there I found that..."

Susan: "Me and Larry have been letting Dad do our taxes."

Dr. Grumpy: "WHAT? You mean, recently?"

Susan: "Yes, ever since we got married 35 years ago. He's always done them."

Dr. Grumpy: "Jack, have you been doing their taxes?"

Jack: "Are we going to be done here before the Cubs game starts?"

Susan: "Daddy, it's football season."

Dr. Grumpy: "Wait... Susan, you let your Dad, who we've done all kinds of paperwork and POA and legal forms on for his Alzheimer's disease, DO YOUR TAXES?!!!'

Susan: "I asked him if he'd still be able to do them, and he said yes."

Jack: "I'm a CPA. Last week I was named to the top 10 CPA's in Bayonne."

Susan: "Daddy, you've been retired for 15 years."

Jack: "Is the Cubs' game on tonight?"

Guy: "Excuse me, doctor, but just to make sure, is this man mentally capable of doing income taxes?"

Dr. Grumpy: "NO. Absolutely not. Do you need me to put in writing?"

Guy: "Please."

Susan: "Dr. Grumpy, I have a question?"

Dr. Grumpy: "Yes?"

Susan: "Do you know a good accountant?"

License plate of the year

Thank you, Glenn!