Mary, make an appointment for her

It is never a good sign when:

The Monday before Thanksgiving a drug rep who sells Alzheimer's medication drops off a jack-o-lantern bag full of cookies, with a note that says "Happy Halloween!"

Ever.

Sunday morning, 2:18 a.m.

My cell phone wakes me with a message. It's a patient with a relatively urgent question.

I knew the call would take a while, so stopped in the bathroom, then walked to my home office, flipped on my computer, and opened the patient's chart. This took maybe 5 minutes from the original message.

Then I dialed him up.

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

Mr. Etiquette: "Um, huh, oh."

Dr. Grumpy: "You called me?"

Mr. Etiquette: "Man, you just woke me up."

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

Mr. Etiquette: "Took you long enough to call back, and I dozed off again. I can't believe you woke me up."

Dr. Grumpy: "Well, in your call you said..."

Mr. Etiquette: "That doesn't matter. I can't believe you woke me up. This is incredibly rude."

(hangs up)

How can I leave this behind?

Okay. There are many ways to give yourself a bigger butt if you so desire (I personally like eating PB M&M's).

But injecting your ass with "Fix-a-Flat" isn't one of them.

Thank you, Rick & EMTGFP!

Medical marijuana

In my career I've caught 5 patients smoking marijuana in the hospital, roughly 2 years apart from each other.

For reasons I don't understand, all 5 times they were in the same telemetry room.

There is nothing special about this room. It's a generic room on the 7th floor, facing the nurses station, but no more or less so than any other room. Different nurses have come and gone. But patients keep smoking weed in there.

Room 7310 is truly one of the great mysteries of the universe.

More fun with Mary

Mary: "Dr. Grumpy's office. This is Mary."

Miss Meyer: "Hi! I'm having terrible back pain and need to get into Dr. Grumpy right away! It's an emergency. I can't even sit for more than a few minutes!"

Mary: "Well, you're in luck. Our 3:00 patient just canceled, so he can see you this afternoon."

Miss Meyer: "Oh, I can't do that. I have tickets for the premier of 'Breaking Dawn.' "

Nuts and bolts

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

Mr. Lost: "Hi, I can't find your office."

Mary: "Okay, where are you?"

Mr. Lost: "I'm at the hardware store, like you said."

Mary: "I said we were across from the hospital."

Mr. Lost: "Oh. Well, I'm at the hardware store, in paints."

Mary: "Well, your appointment is NOW. Can you come over here?"

Mr. Lost: "It would be a lot easier to find if you guys were in the hardware store. I think more people come here than the hospital."

Today's criminal tip

When going to court, keep in mind:

1. Don't steal a car to get there.

2. Don't park the stolen vehicle in the police department's lot.

Like this lady.

Journal of Grumpy Physics

Theory: Various mathematical models have been used to postulate the motions of planets, galaxies, neutrinos, baseballs, and other objects of varying mass. However, the movements of certain objects are less predictable. An ongoing study into the variable location over time of one of these items has revealed, to date, no clear pattern for its movement.

Methods: In 2000 an unidentified hospital staff member placed a 24 oz plastic flask of Nestle Coffeemate (Hazelnut flavor) into a nursing station refrigerator on the 8th floor of Local Hospital. A regional neurologist has casually noted the movements of the flask of proto-dairy product at intermittent intervals over time while scavenging for Diet Coke. The flask has been consistently identified over time by it's original expiration date (February, 2002) stamped on the rim.

Findings: The Coffeemate bottle has now been in the refrigerator for over 10 years. Careful observation (okay, lifting and shaking it a little from time-to-time) showed that its weight gradually decreased in the first several months of it's presence, then stabilized. While weight can vary depending on local gravity, the Earth's gravitational force has not changed substantially during this time, nor has the hospital been relocated to a planet with lesser gravity. The contents have not been directly inspected by the author during this time.

The bottle has remained on the same shelf (center shelf, refrigerator door) since its original placement. Its specific location on the shelf has varied (sometimes next to the Ranch dressing, at other times between the ketchup and mustard, and once briefly near a bottle of banana-based ketchup that a Filipino traveling nurse brought). Overall its location has been reasonably predictable within the limitations of the Heisenberg Uncertainty Principle and Schrodinger's cat.

Results: It's still there.

Discussion: There have been a number of postulates to explain this sort of object persistence. While local changes in Brownian kinetics or gravity are possible, the most likely cause of the flask's roughly unchanged location is attributable to the nature of Homo Sapiens. This local species appears to be disinterested in removing objects that are not the direct property of a given individual. Therefore, it's likely that only the specific animal which originally placed the Coffeemate on the shelf will be inclined to retrieve it, regardless of its current condition.

Its persistence, in spite of clearly being empty for several years, is likely due to one or more of the following possibilities:

1. The original owner no longer works at the hospital, or at least not on that floor.
2. The original owner has forgotten it's theirs, and therefore isn't touching it.
3. People are lazy.

It should be noted that item #3 is actually a unifying theorem for #1 & #2.

In conclusion, the author would like to note that I didn't put it there either, and so I ain't touching the freakin' bottle. The last time I tried to do something nice like that I almost got my hand chewed off by a rabid oncology nurse.

Religious crime in America

People are so strange.

Thank you, Janine!

Rats to rats

Mr. Muroidea: "I used to be a stockbroker, but I couldn't stand the rat race, and quit."

Dr. Grumpy: "What do you do now?"

Mr. Muroidea: "I have a farm. I raise rats for labs."

It's almost plausible

He had me going until the Taylor Swift part.

Thank you, Lee!

Distractions

The following was left on Mary's voicemail yesterday:

"Hi, it's about 2:05 and I have a 2:00 appointment with Dr. Grumpy, and I'm trying to get there. I'm on the freeway and my son is driving me, so we just passed 24th street and WHAT THE HELL ARE YOU DOING! DIDN'T YOU SEE THAT TRUCK? WHY DON'T YOU PAY ATTENTION NEXT TIME! ARE YOU BLIND? I KNEW I SHOULDN'T HAVE LET YOUR FATHER TEACH YOU TO DRIVE!"

She didn't show up for her appointment, either.

Holy Nuts, Batman!

Pareidolia at its finest. Words fail me.

Thank you, Liz!

Compare and contrast

This is the front-passenger side floor of Dr. Grumpy's car:






This is the front-passenger side floor of Dr. Grumpy's car after this weekend on call:






Any questions?

Med School Memories

It was the early 90's in medical school...

There was one sweltering Summer where the classroom's air conditioner was hyperactive, and we measured it at 60°F in there. It was an unpleasantly humid, high 90's °F outside.

So we'd walk to school in shorts & T-shirts, and put on sweatpants and sweatshirts before going into lecture. It was silly. We had to keep warm clothes in our lockers outside the classroom, and during lectures would slug down hot coffee, tea, and cocoa to keep warm.

We called building maintenance repeatedly to complain, without success. I remember at one point a frustrated guy actually dialed them during a lecture, and screamed "DO YOU HAVE ANY IDEA HOW COLD IT IS IN HERE?" into the phone.

The next day we got to class to find they'd hung up a large wall thermometer, so we could see how cold it was (59°F).

Thanks, guys.

Artisanal Overkill

A fine example of corporate overuse is from April, 2011.

The New York Times interviewed James Goldman, the CEO of Godiva Chocolate. He felt the need to use the word 3 times (!!!) in 2 paragraphs.


click to enlarge

Never saw that kind before

I'd like to thank McDuck Vet for sending this. She says it was in a veterinary supply offer she received.

Age

Dr. Grumpy: "It looks like you had cataract surgery."

Mrs. Nonagenarian: "Oh yes, I was just a girl when they did that."

Dr. Grumpy: "How old were you?"

Mrs. Nonagenarian: "71."

Gratitude

You live out in the boondocks.

3 days ago you developed right-sided weakness and slurred speech, which you attributed to "a pinched nerve in my low back."

Yesterday you came to Grumpyville for a funeral.

This morning at the ceremony your friends noticed you were dragging your right leg & unable to sign the memory book, and suggested you come to Local Hospital (conveniently located down the street from Local Cemetery).

So you limped over here "just to get checked out" before going back to Boondockville.

And now you're angry at me because you got admitted, and demanding I pay for any food in your fridge that goes bad in your absence.

Some days I don't know why I do this.

This is my practice

The following is, verbatim, an email that Mary sent me this morning. It speaks for itself.


"Your 11:00 just called. The maintenance people at her apartment building painted her door shut, and she can't get out. She'll call back to reschedule."

Fax follies

This morning I found a records request on the fax machine, with this written at the top.

My life of phone calls

Dr. Heller: "This is Dr. Heller, on behalf of Major Illness Insurance test authorizations. Who am I speaking to?"

Dr. Grumpy: "Hi, this is Dr. Ibee Grumpy. I'm calling to get an MRI authorized."

Dr. Heller: "Okay, let me look at our file... It looks like we denied the MRI because it isn't clinically indicated."

Dr. Grumpy: "Well, this is a young man with memory problems, and I want to make sure his brain looks okay."

Dr. Heller: "Have you checked labs for metabolic causes? Have you ruled-out depression?"

Dr. Grumpy: "His labs look fine. Depression certainly could be the cause, but I want to make sure he doesn't have a tumor."

Dr. Heller: "Our policy is that he needs to be evaluated by a psychiatrist for this before we do the MRI."

Dr. Grumpy: "I tried that, but your company doesn't cover any psychiatrists."

Dr. Heller: "That's correct."

Dr. Grumpy: "So how do I go about getting this done?"

Dr. Heller: "You're his doctor."

He's dead, Jim

My car battery died on Saturday, so I took it over to Local Car Place.


Dr. Grumpy: "Hi, I bought this battery around Christmas, and it's dead now."

Counter guy: "Hang on, let me check it..." (connects a gadget to battery) "Hey, your battery is dead."

Dr. Grumpy: "Yeah."

Counter guy: "Were you able to start your car with this?"

Dr. Grumpy: "No."

Counter guy: "That's because it's dead."

Dr. Grumpy: "That's why I brought it in."

Counter guy: "Yeah, it's good that you did, because it's dead. Looks like it's under warranty. Did you want another one?"

Dr. Grumpy: "Yes."

Counter guy: "Okay. You'll need one, because this one is dead. It won't start a car."

Dr. Grumpy: "I'll just take a new one."

Counter guy: "Let me get you one. I wouldn't continue using this one, because it's dead."

Weekend reruns

The week after Halloween is the ideal time to prove the theory of evolution.

Certain species of bugs have developed a really bad taste so predators won't eat them (at least, that's what I've read. I haven't personally done insect taste tests).

Did they actually evolve in that direction? What is the evidence?

Let's look in Dr. Grumpy's break room:


Post Halloween day #1: Everyone brings their leftover candy to the office. We put it in a big bowl in the break room. We are too damn sick of candy to touch it.

Post Halloween days #2-3: Predators (okay, me, Pissy, and the staff) arrive. The choicest (i.e., chocolate) items disappear first. Reese's PB cups, M&Ms, Milky Way, Snickers, Kit-Kats, Twixt, Butterfingers, Three Musketeers.

Post Halloween days #4-5: Other stuff starts to go. Skittles, Laffy Taffy, Smarties, Runts, Starbursts.

Post Halloween days #6 and on: This is when we find the survivors. Just like the unpalatable bugs, some candy types will sit there for quite a while. Candy Corn, Tootsie Rolls, Circus Peanuts, and those horrible taffy things in black and orange wrappers (the latter, I suspect, were only made once in the 1960's and have since just been re-gifted. I think people who got them as kids now give them out as adults, and the cycle continues).


Granted, I have no evidence to suggest that Darwin's staff dumped leftover candy at the office. If they did, however I'd suspect that's more likely to have led him to the theory of evolution than a trip to the Galapagos.

For more background on truly horrible Halloween candies, read this.

Sports memories

Since the overpaid crybabies of the NBA have decided to indefinitely postpone their season, I thought I'd bring you a summary of my athletic career. Which I didn't get paid for at all.


In the mid-80's my college roommate suckered me into playing for the Catholic Newman Center's intramural basketball team at BSU. This was because he couldn't find a 5th Catholic guy willing to play. So I was a ringer.

None of us had any reasonable basketball experience, and had never even met before the first game. In spite of this, we put together an impressive record during the 5 game season:


Game 1: Lost, 83-10 (a record that I'm told still stands at BSU).

Game 2: Lost, 75-15 (obviously, we were improving on both offense and defense).

Game 3: Forfeited, because we only had 4 guys show up.

Game 4: Forfeited, because we only had 3 guys show up.

Game 5: Disqualified because we'd forfeited 2 previous games.


And that was our season.

Gone phishing

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

Ms. Phish: "Hi, this is Cindy over at Dr. Weneverheardofhim's office, and we want to refer a patient to you."

Mary: "Okay, what's their insurance?"

Ms. Phish: "Hang on, to refer them we need Dr. Grumpy's address and Social Security number."

Mary: "Uh, you don't need his SS number to refer a patient. I can give his medical ID, which is what all plans require."

Ms. Phish: "No, this insurance requires the doctor's SS number."

Mary: "What insurance is that?"

Ms. Phish: "National Illness."

Mary: "We work with National Illness, and they don't..."

Ms. Phish: "LOOK! Just give me the doctor's SS number, or we will never send you another patient again!"

Mary: "Goodbye."

Attention Johns!

When negotiating payments with a hooker, it is not advisable to call the police to mediate.

Acronyms

I'm doing an online research survey on epilepsy patients, and it refers to Partial-Onset Seizures as "POS."

So one question says: "How many POS patients do you see each month?"

Dear Smith & Nephew Medical Supply,

On behalf of myself, and everyone else who's trying to diet, thanks for your new line of appetite-suppressing sacral bandage ads.





I don't really know what kind of salad I'd put sacrum dressing on, but right now it could be years before I'm interested in eating again.

Yours truly,

Ibee Grumpy, M.D.

Thank you, Jamie!

Tuesday afternoon

I'm heading to pick up the kids, and my cell phone rings. I recognize the number as another doctor's office, and answer it.

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

Phone Lady: "Hi, Mr. Lumbago, I'm calling from Dr. Beard's office. He'd like you to see a neurologist."

Dr. Grumpy: "Um, this is Dr. Grumpy, the neurologist."

Phone Lady: "Why, yes. Dr. Grumpy is who he wanted you to see. Are you familiar with him?"

Dr. Grumpy: "This is Dr. Grumpy. You called my cell phone by mistake."

Phone Lady: "No, we can't give you his cell phone number, but you'll need to call his office. It's 867-5309."

Dr. Grumpy: "This IS Dr. Grumpy. You called me! Not the patient."

(pause)

Phone Lady: "Is this Dr. Grumpy?"

Dr. Grumpy: "Yes."

(pause)

Phone Lady: "Why are you answering Mr. Lumbago's phone?"

Question

Dr. Grumpy: "Any other questions?"

Mr. Clueless: "Yeah, but maybe it's not related."

Dr. Grumpy: "What's up?"

Mr. Clueless: "My wife is having a baby soon. When does the doctor poke holes in her nipples to let the milk out?"

Bad omen

It is never good when the chart begins: "Patient suffered a head injury with intracranial bleeding when a fight broke out at his Bible study group."

Scary Halloween Visitors

I'd like to thank my SMOD for submitting this. He works for a drug company, and says this is an actual training video they use.

Return to San Diego, part 2

Our hotel had this thing near the light switch. I have no idea what it was. I tested it a few times, and determined that it wasn't a motion detector or light sensor. I asked everyone at the front desk, the maid, and the maintenance guy. None of them knew what it was, either.





After various family things Craig wanted to go to Sea World.

We were in line for the Sea Lion Halloween show. We actually got there first, followed closely by a deranged woman and her tribe. She immediately accosted the poor teenager standing at the entrance to ask what time we'd be allowed in. The girl said "about 15 minutes."

So, exactly 15 minutes later the woman wanted to argue about it.

Deranged woman: "Why haven't you let us in?"

Teenage girl: "Gates open at 2. It's 1:56, ma'am."

Deranged woman: "Well, at 1:41 you said 'about 15 minutes.' It's been that. I demand you let us in."

Teenage girl: "Sorry, but it has to be at 2:00. My boss will tell me."

Deranged Woman: "This is ridiculous. I demand you refund my park admission RIGHT NOW!"

Teenage Girl: "You'll have to discuss that with the office by the front gate, ma'am."


Deranged Woman turned away to mumble under her breath for about 30 seconds. During that time a park employee came over with an older couple. Both were using walkers, and he clearly had Parkinson's disease. Teenage Girl put them at the front of the line.

Deranged Woman: "What are you doing?"

Teenage Girl: "These people are handicapped, ma'am. Therefore we allow them in early to give them extra time to find seats."

Deranged Woman: "That is grossly unfair! I demand you make them go to the back of the line (which by now was the size of the Queen Mary)."

Teenage Girl: "Sorry ma'am. Our policy is to assist those with disabilities."

Deranged Woman: "That is discrimination against the healthy. When I go for my refund, I'm going to report you."


At this point Deranged Woman noticed my Grumpyville Faceplants cap.

Deranged Woman: "Oh! Grumpyville. My sister lives in Grumpyville. She's a surgeon. Do you know her? Are you a doctor?""

Dr. Grumpy: "I clean fish tanks." (this is true)

She turned away and pretended I was invisible. Obviously aquatic habitat maintenance people were beneath her caste.

Mercifully, Teenage Girl let us in at this point. While we were waiting the guy doing the pre-show, Biff, sprayed Deranged Woman with a squirt gun, and she dragged her kids out of the theater. Apparently she'd had enough.


Over at the Pets Rule show Craig noticed me staring at a fire extinguisher, and asked why. In a true sign of how bad a neurology geek I've become, I realized I was staring at the "In case of emergency break glass" hammer and thinking what a great reflex hammer it would make.






Craig was hungry, and I got him some chicken fingers (which should be dipped in gold for what they charge). I lost my appetite when I looked at the table across from us.



You'd think they could keep the crack dealers out of the park.


After Sea World we went down the street to Belmont Park, a small amusement park by the beach.

Craig loved the place, because he could run amok without interference from his siblings. They have a cool, older, roller coaster there, The Giant Dipper (he called it "Giant Diaper) which he dragged me on 14 times. By the end of the day I thought I'd need a giant diaper myself.


They also have a ride that sends you up in the air and flips you around. I personally DID NOT find it reassuring that they have a large ladder attached to the fence surrounding it.






While we were waiting at the "Beach Blaster" line a homeless guy (wearing nothing but sneakers and spandex shorts) came over, and tried to earn some change by singing the 1980's Kim Wilde song "Kids In America." Unfortunately for him, the 80's were 21 years ago, he had no singing voice, and he only knew the chorus. So he repeatedly belted out:

"We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!"

Until finally security led him away.


They had some prize games on the midway, where, as usual, you could win stuffed animals. I'd hate to win one of the whales. They were doing a chain hump, and I didn't want to interrupt them.




On the way back to the hotel I stopped for some artisanal Mexican food at Taco Bell, and we sat in the lobby to eat it. While Craig watched TV, I downloaded a few EEG's to my computer to read them. Behind me the front desk phone rang, and I heard the polite clerk have this remarkable discussion.

"Front desk, this is Mike, can I help you? No sir, sorry. We don't have safes in the rooms. We have safety deposit boxes at the front desk, and you can use them at no charge. Just bring down your valuables and... No, there's no way I can move one up to your room, sir. They're built into a concrete wall for security. Um, well, uh, I really have no idea what local companies install safes, especially at 9:15 on a Saturday night. But it's a hotel room, sir. You can't just have someone come up there and install a safe in the wall. Because it's against hotel policy. I am the night manager, sir. I'll be happy to lock up your valuables down here, but there's no way you can install a safe in your room. Okay, sir. Have a good night."

I was impressed. Mary couldn't have done it any better.

Return to San Diego, part 1

So as everyone knows, Craig, his hair, and I had to fly to San Diego last weekend for various reasons. But, while there, we got to do a few things around town.

Namely, his inexplicably favorite place on Earth, Legoland.

They've done up Lego Miniland with ghost figures for Halloween. Maybe it's just me, but I think they look more like something out of a plastic KKK rally.






Throughout Legoland they were constantly blasting Halloween music: Monster Mash, GhostBusters, and oddly, The Time Warp. Yes, the Time Warp. Because nothing says family entertainment like music from a flick that featured extraterrestrial transvestites, multipartner sex in a pool, an axe murder, and cannibalism.

Like KISS, what was a sign of moral decline in the 1970's is now benign family fare. By the time Craig brings his kids here Jenna Jameson will be on the same pedestal as Carol Brady and Shirley Partridge.



We even saw my MIL at the park.






And, as always, I stopped to marvel at one of my idols, made out of Lego's.





We spent the afternoon there, and as we headed out at closing time, Craig wanted to stop and look around the Lego store near the park's entrance.

BIG. MISTAKE.

As we walked into the store, I thought it was really hot inside, as the air was moving and twisting like a heat mirage. Upon getting closer I realized it wasn't a mirage, but millions of humans, like the entire population of southern California, all crammed into an 8,000 square foot retail store. It looked like people would consume all the oxygen in the room before they could buy anything, but the open doors kept a continuous ocean breeze coming.

Picture this: An amusement park packed with Lego-crazy chidren, many of them in Halloween costumes. And now they're all being funneled to the exit, past the same Lego store. Naturally they're all going to want to stop inside (which is, of course, why the park is designed that way). So the place is insane. It made black Friday and 3rd world bazaars look like peaceful, orderly affairs. The noise was like a packed stadium during 3rd down & long.

As soon as we got in Craig and his hair vanished, disappearing into the mass of humanity, and only reappearing when he had the question "Can I have this?" (which applied to pretty much everything in the store). I felt bad for the staff, who were horribly outnumbered, and who after closing would have to rebuild the shelves from kids randomly moving merchandise from it's original location.

After the vampire at the counter sucked the green corpuscles out of my wallet, we headed to the car. On the way we passed a poster featuring Lego Star Wars characters. And, to my horror, Craig yelled "DAD! LOOK! His head is a penis!!!"





Back at the hotel Craig went swimming while I worked on my computer. They were serving a light dinner, and at one point I went in to get something. Craig wanted some cookies, so took my key-card and went in ahead of me... then let the door close behind him as he disappeared into the serving area.

Leaving me locked outside.

I knocked. No one answered. After a few minutes he showed up, with a plate full of cookies, and asked me why I hadn't come in with him.

Gotta love kids.

Today's criminal tip

When someone steals your marijuana stash, don't call the police to report it as "stolen jewelry."

Thank you, Nathan!

Artisanal link

It's been a few months since I had time to collect and publish some of the horrifying bullshit artisanal pictures you guys have been sending in, but I promise I'll get around to it.

In the meantime, here is an awesome site by a kindred spirit who hates the word as much as I do.

Enjoy!

Thank you, YellerDawg!

Zombies! At my office!

At the start of her appointment today Mrs. Married said her husband was running late, but would be coming to the appointment. So I told Mary to send him back when he got here.

A few minutes later he shows up.

She introduced him as "this is my late husband."

Proofreading

I'd like to thank Dani for sending me this bizarre chest X-ray report.

Upstanding Gentleman

Who says chivalry is dead?

Thank you, Lee!

Bad reactions

Mr. Singsing: "I'm allergic to Oxycontin."

Dr. Grumpy: "What happens when you take it?"

Mr. Singsing: "I have no idea, but I woke up in jail."

Hot date?

I'd like to thank Kate, for sending in this item. It was in the Police Records section of her local paper today.

Patient quote of the day

"Doc, I'm 77 this year. Last year I was 76. Next year I'll be 78."

Mary's Desk

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

Reverend Bully: "Yes, this is Reverend Bully, and I need to make an appointment."

Mary: "Okay, what's your insurance?"

Reverend Bully: "Major Illness HMO."

Mary: "Okay, we'll need a referral from your internist, but let me schedule you... We can see you on Friday, at 11:00."

Reverend Bully: "I need to be worked in today."

Mary: "Okay... we don't have anything today. Did your internist speak to Dr. Grumpy about this?"

Reverend Bully: "No, but God told me I needed to be worked in today."

Mary: "All right, but..."

Reverend Bully: "This is God referring me! You can't say no!"

Mary: "Okay, then have God either fax us a referral or talk to Dr. Grumpy personally."

Today's criminal tips

Just remember folks: when burglarizing a store it's always important to sign out of your Facebook page before leaving the scene.

Also: when going door-to-door to show off your winkie, you shouldn't display the goods at the local police chief's house.

Education

Mr. Hedbutt: "Where'd you to go college, doc?"

Dr. Grumpy: "Big State University."

Mr. Hedbutt: "Really?"

Dr. Grumpy: "Yes. Why?"

Mr. Hedbutt: "I'm surprised. Usually Dr. Concierge, my internist, knows better than to refer me to you public school people."

The throne

I'd like to thank my reader, Rose who brought this drug ad to my attention. And Webhill, for her suggestions.


I'm not trying to make light of IBS, or patients with it, but let's face it. This ad could have been done better.

1. This lady is obviously in a public bathroom. So why is she leaving the stall door open?

2. The idea of having her shiny laptop (which looks suspiciously like a MacBook Pro, without the logo) on the skanky bathroom floor is just WRONG. You want to take that stuff back to your desk?

Also, it implies that she's touching it with her hands while on the toilet. A recent British study found that 1 out of every 6 cell phones had fecal material on them, likely from poor handwashing. Adding laptops to this list, given that they often have more than one user, is NOT a good practice.

3. The slogan stinks.

Weekend reruns

I have a nice young lady in my practice who, as far as I can tell, has only made one major mistake in life. She fell in love with, married, and had kids with Mr. Dumb. He later decided he'd rather be a crackhead, and dumped his family in favor of the excitement of living on the street and smoking crack.

So Miss Nicelady heroically soldiers on, dealing with single Mom stuff. She was awarded child support from Mr. Dumb. Unfortunately, this only gets withheld from his paycheck on the rare occasion he's actually working. So it amounts to $20-$30 once every few months, when he finds temporary work as a dishwasher.

So at her appointment today I asked her how things were going. She paused, and then began laughing.

2 months ago she suddenly began getting steady money from his child support withholding- $100 or so every 2 weeks. She was thrilled, and didn't want to look a gift horse in the mouth.

Until one night, when some guy she'd never heard of called to see why she was stealing HIS money!

Get this:

Mr. Dumb, trying to get crack money, sold his identity (Social Security Card, Driver's License, etc) to Mr. Dumber for $50.

Mr. Dumber, now hiding under Mr. Dumb's ID, went off and got a job.

And so, when Mr. Dumber began getting paychecks, his salary was withheld and sent to my patient.

Basically, Mr. Dumber paid $50 in order to have $200 a month withheld from his paychecks. How inconsiderate of Mr. Dumb not to have mentioned these minor details to his purchaser.

In addition, Mr. Dumber was also angry at my patient (like it's her fault) because he got pulled over one day, and discovered Mr. Dumb's license was suspended 2 years ago.

Miss Nicelady told me the best part of the whole thing was when Mr. Dumber told her he was going to call the police on her.

Crime in America

When armadillos are outlawed, then only outlaws will have armadillos.

Thank you, Helle!

Weekend update

Due to bizarre circumstances, Craig and I are flying to San Diego this weekend on short notice. So my posting will be limited over the weekend. Likely just any news stories that catch my eye.