Patient Quote of the Day

"I have very little memory that I forgot that, whatever it was."

Tonight on National Geographic

These majestic creatures are some of the most faithful, devoted, servants a medical office will ever have. They endure daily burdens. They get twisted, tilted, leaned upon, smashed into desks and filing cabinets, and never complain about their lot in life.

Eventually, as happens to all things, their time comes to an end. Sometimes they tilt too far. Or stop rolling. Or dump their once-loyal masters one too many times.

And then, because no one seems to ever want to take them outside, or thinks that someday they'll have time to fix them, they go to their final, secretive, resting place:

This picture is a rare peek at the mysterious chair graveyard in the back of the Grumpy/Pissy medical compound. Every medical office, however, has one of these rooms. Every law office. Every office in general.

As the years go by they're joined by outdated computers, broken printers, seasonal decorations, telephones, and other aging items. Why we keep them is a mystery. Perhaps because no one wants to take them to the dumpster, or the recycling place. Or we're hoping the Smithsonian will call, needing one for their "Prehistoric Offices" display. Or we're simply afraid to toss them, with a strange belief that someday they'll magically fix or update themselves.

Anyone need a chair?

Attitude

Dr. Grumpy: "Also, since you had a seizure, you'll have to stop driving for 2 months."

Mrs. Imspecial: "That's ridiculous. My husband is a doctor."

Dr. Grumpy: "Yes, but that doesn't change anything. The law is pretty clear. No driving until you've been seizure-free for 60 days."

Mrs. Imspecial: "I'm married to a doctor. You work with him at the hospital. I'm sure there's some exemption you can get for me."

Dr. Grumpy: "No, there isn't. The only thing that matters here is that you had a seizure."

Mrs. Imspecial: "I'm very busy with our kids, and don't have time for such nonsense. My husband is a doctor."

Dr. Grumpy: "That doesn't place you above the law. Think about what would happen to the kids if you had a seizure while driving."

Mrs. Imspecial: "Don't play scare games with me. I'll have to get a second opinion. I can't believe he referred me to you. He's a doctor, you know."

Font issues

Dear Biogen,

Thank you for your Avonex demo pack.

In a recent nonscientific survey, 8 out of 11 people thought the C and L were a little too close together, and read the box somewhat differently.

Relevance

Dr. Grumpy: "Any major illnesses run in your family?"

Mr. Heme: "My grandmother once had a blood clot in her nose. It was really gross, too. With snot and everything."

2:17 a.m.

My cell phone rings.


Dr. Grumpy: "This is Dr. Grumpy."

Officer Peel: "Hi, doctor, this is Officer Peel, of the Grumpyville police. Sorry to wake you."

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

Officer Peel: "Do you know a lady named Dee Mentia?"

Dr. Grumpy: "Yes, she's one of my patients. Actually, she's in Local Hospital at the moment, with pneumonia."

Officer Peel: "Yeah, she keeps calling 911 from her hospital room and says she's being held hostage in your basement."

Dr. Grumpy: "Oh my..." (starts laughing) "Do you need to come search my basement?"

Officer Peel: "Nah, but can you do something to stop her? The 911 operators are busy enough as it is."

Dr. Grumpy: "Will do, sorry."

Office Peel: "Thanks. Have a good night, doc."

Mary's desk

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

Mrs. Flush: "Hi, I have an appointment in 20 minutes with Dr. Grumpy, and won't be able to make it. My kid clogged the toilet, and it's backed up all over the floor. I have to stay here and wait for the emergency plumber."

Mary: "Okay, that's fine. Just call us when you have time to reschedule and..."

Mrs. Flush: "I will. Are you going to charge me for the last minute cancel? I can text you a picture if you need proof."

Seen in a hospital chart

Helluva long week.

Saturday afternoon

I'm on the weekend Costco run with Craig.


Mrs. Patient: "Hi, Dr. Grumpy!"

Dr. Grumpy: "Mrs. Patient. Good to see you. Stocking up here, too?"

Mrs. Patient: "Yes, me and my friend Cindy came over to get some things."

Cindy: "This is your neurologist?"

Mrs. Patient: "Yes, it's Dr. Grumpy."

Cindy: "Can you tell me about the vaccination schedule for cats? I was thinking of getting a kitten."

Mrs. Patient: "Dr. Grumpy only treats humans."

Cindy: "Well, he's still a doctor isn't he?"

Craig: "Dad, can I get a pizza sample?"

Dr. Grumpy: "Sure."

Cindy: "You're a doctor and you let your kids eat cheese?"

Mrs. Patient: "Cindy, shut up. I'm sorry, doctor."

It's the word!

Swedish marines stationed in Afghanistan re-enact the classic scene from Grease.

Yes, it did

Dr. Grumpy: "How have you been doing since the carpal tunnel surgery?"

Mr. Wrist: "Great! The numbness is gone. The surgeon you recommended did a great hand job! Uh, I mean, job on my hand. I, uh, oh shit, that sounded bad."

Mary's desk

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

Mrs. Troponin: "I need to make an appointment with Dr. Grumpy."

Mary: "Okay, we can see you next Thursday, at 10:00."

Mrs. Troponin: "That sounds great!"

Mary: "What will you be coming in for?"

Mrs. Troponin: "I'm having chest pain when I go up stairs, and my internist told me to see a cardiologist."

Mary: "Dr. Grumpy is a neurologist. He doesn't see this kind of thing."

Mrs. Troponin: "I know, but I can't find a cardiologist who takes my insurance and can get me in this week."

Mary: "Well, you'll have to call your internist about that... But Dr. Grumpy isn't what you're looking for. I'll cancel the appointment and..."

Mrs. Troponin: "How about if I say I'm coming in for foot numbness or something. Will he treat my chest pain then, if I just kind of mention it?"

Mary: "No. Call your internist."

Seen in a medical journal

This is an advertisement for:

A. The new James Bond flick? Did they fire Daniel Craig?

B. That hot new cologne, eu d'Charcot.

C. Boy, those leather scrubs are really sexy. Wish my neurologist looked like that.

D. The DocMatic electric shaver for when (like this guy) you spent the night on the doctors lounge couch.

E. The sequel to "Hysteria" showing Dr. Granville perfecting his invention.

F. An ultrasound machine? Really? Are you kidding me? An effing ultrasound machine?

The tube

Mr. Barone: "My symptoms all get worse around 8:30.”

Dr. Grumpy: "Didn't we talk about this at your last visit? I suggested taking your pills at 8:00, to see if that helped. Did you try it?"

Mr. Barone: "It doesn't work. I can't take them at 8:00.”

Dr. Grumpy: "Why not?"

Mr. Barone: "I'll miss the beginning of "Everybody Loves Raymond."

Weekend on call

On Saturday night I was at the nurses station, writing a note. A demented elderly man kept calling for his daughter, (who'd gone home for the night).


Patient: "Dana! Dana! Dana!"

Nurse: "Morris, Dana went home. She'll be back in the morning."

Patient: "Dana! Dana! Dana!"

Nurse: "Morris, Dana's not here. You're okay, and she'll be here again tomorrow."

Patient: "Dana! Dana! Dana!"

Nurse (in deep voice): "There is no Dana, only Zuul."

Overheard at the nurses station

"I'm so pissed. I paid $80 for this eyelash treatment, and it looks like I'm being attacked by tarantulas."

Dear Webmaster,

Thank you for your recent letter asking that I send $75 to remain in your online doctor directory. I'd put its name up here, but I'm not even going to give you the traffic.

Regrettably, I won't be sending you the $75, and really don't give care if you remove my name.

I'm sure this hurts your feelings, so I'd like to explain why I'm not sending you any money.

1. I never signed up for your directory in the first place. In fact, your letter asking me to renew was the first I'd heard of you.

2. Most companies take credit cards for payment. The fact that you only accept 2 methods of payment is a little alarming. One was for me to do a direct bank-to-bank transfer, and your letter included your bank name, account number, and routing information. This is not a typical way to pay for a medical listing.

3. The other way you accept payment is for me to send a cashier's check to an address in Bucharest, Romania. Nice try.

4. Your math was somewhat concerning, as the letter says that for $75 I get "1 year + 3 FREE months! That's 18 months for only $75." Granted, maybe you use a different calendar than I do.

5. You spelled "doctor" as "docter."

6. You didn't spell my name correctly. Or my street name for that matter. Or even my fucking city. This does not give me a lot of confidence in your ability to provide an accurate listing for my $75.

7. Lastly, as if the above weren't big enough concerns, I was still curious to look at the website listed on your letter. I was suitably impressed to see that it:

- Had nothing on it mentioning a doctor locating service.

- The first link featured said "MEET BEAUTIFUL RUSSIAN GIRLS!"

- The second link was for an online Viagra pharmacy (maybe useful if you click on the first link).

- The third link said "This domain name is for sale! Click here to buy it."

Yours truly,

Ibee Grumpy, M.D.

Mary's Desk, Tuesday afternoon

Mary: "So we can see you this Thursday at 4:00. What's your insurance?"

Mr. Ximénez: "Major Illness, Incorporated."

Mary: "Are you on their PPO or HMO plan?"

Mr. Ximénez: "PPO."

Mary: "And what's your birthday?"

Mr. Ximénez: "My, this is a lot of questions. I didn't expect the Spanish Inquisition!"


Sadly, she didn't get it, and asked me about it later.

"NOBODY..."

Queen Square

Dr. Grumpy: "Now I'm going to check your reflexes. Let me tap you with this rubber hammer..."

Miss Temmi: "My boyfriend has one of those hammers, and also taps on my knee reflexes with it."

Dr. Grumpy: "Oh, is he a doctor?"

Miss Temmi: "No, he says it turns him on."

Wake up call

Due to the death of our 15-year-old television, Mrs. Grumpy and I bought a new TV for our bedroom a few months ago.

So, early Sunday morning, around 1:00 a.m., we were both sound asleep when the TV woke us up. It was making a loud obnoxious beeping sound. Then the screen suddenly flipped on, all white, with gazillion megawatt intensity. Snowball's shadow was burned into the wall where he was sleeping.

Then, in huge letters, the screen said "CABLE CONNECTION HAS BEEN LOST."

Like I give a fuck when I'm sleeping.

After the adrenaline rush calmed down I got up, turned the TV off, and went back to bed.

20 minutes later I'd just started dozing again when the beeping and prison floodlight effects started again, but this time the screen said "CABLE CONNECTION HAS BEEN RESTORED."

So tonight I'm going to figure out how to turn this thoroughly worthless message off.

Attention TV manufacturers:

This is NOT a feature I want. If I'm watching TV, and the cable goes out, I will notice it and do not need you to tell me. Conversely, if I'm not watching TV, and the cable goes out, I DON'T CARE. Waking me up to let me know is only going to piss me off.

Thank you,

Ibee Grumpy, M.D.

Today's tips

1. If you drive, don't drive drunk.

2. If you get caught for driving drunk, don't drive drunk again.

3. If you get caught for driving drunk a second time, don't drive drunk again.

4. If the police notice you're driving erratically because you're drunk (again), pull over.

5. Do not run away from your vehicle in the forest.

6. If you run away from your vehicle, do not leave your wallet in it.

7. Do not run through deep snow. You leave footprints.

8. If it is cold out, do not toss your jacket aside. If the footprints keep going, they will follow them, not your jacket.

9. Do not climb a frozen tree, especially to a height of 30 feet. You're not fooling anyone.

10. If cornered by police while up in the tree, do not ask them if they caught "the guy who was driving" in slurred speech.

11. If the police point out that there was only one set of tracks, do not insist that "the other guy" (presumably the one who was driving) carried you on his back.

12. Insisting that you're an innocent owl, instead of a drunk guy in a tree, isn't going to fool them.

13. Shaking the branches to make snow fall on officers, and then yelling "Look! It's snowing!" isn't going to make them go away. They will just get a chainsaw.

14. Claiming that you were "just out for a run" isn't compatible with previously claiming to have been an owl. They fly.


And if you don't think one drunk guy could do all of the above, think again.

Alternative medicine

Dr. Grumpy: "Didn't you used to take blood pressure medication?"

Mr. Mercury: "I did, but I was able to control it with lifestyle changes."

Dr. Grumpy: "Did you lose weight?"

Mr. Mercury: "Nope. Got a divorce."

Liar, liar, pants on fire

I'm with a patient, and Mary calls me out of the room.

Mary: "There's a lady on the phone, and she wants to be worked in today. I told her we don't have anything."

Dr. Grumpy: "So put her in for Friday. Don't we have an opening then?"

Mary: "Yes, but she's insisting on today. She says she's a close friend of your mother, and your mom told her that you'd get her in. That's why I'm checking with you."

Dr. Grumpy: "Mmmph. That's not something my mom would do..."

I walked over and grabbed Mary's phone.

Dr. Grumpy: "This is Dr. Grumpy. What's my mother's first name?"

Mrs. Reede: "Carol."

Dr. Grumpy: "Wrong."

Mrs. Reede: "Um, Susan?"

Dr. Grumpy: "Nope, thank you for playing."

I hung up.

Mary: "That was awesome."

"CALL THE COPS! HE MIGHT CATCH A COLD!"

 

Thank you, Webhill!

Mary's desk

Mary: "Dr. Grumpy's office, can I help you?"

Mr. Prevost: "Yes, Dr. Intern referred me to see Dr. Grumpy, and I need to make an appointment."

Mary: "Okay, we have an opening this Thursday, at 1:30. Would that work for you?"

Mr. Prevost: "Sounds good. What bus number takes me there?"

Mary: "Uh, I'm not sure?"

Mr. Prevost: "Okay, it has to be either Red Line 42 or Blue Line 17."

Mary: "I really don't know, sir."

Mr. Prevost: "Screw this. I'll find a place with a helpful staff."

(hangs up)

Hmmm...

While flipping through a patient's hospital chart yesterday, I discovered this:

Medical research

             

The British Medical Journal recently contributed an important piece of literature to answer an age-old nurses station question: "Who the hell ate the chocolate?"

The article's introduction states "Subjectively, we noted that chocolate boxes emptied quickly and that determining which healthcare professionals ate the most chocolates was a common source of workplace conflict. Literature on chocolate consumption by healthcare workers in a hospital setting is lacking."

To study this critical issue, the authors placed 2 boxes of chocolates (1 each of Cadbury Roses and Nestlé Quality Street) at the nurses stations of 4 floors in 3 separate hospitals (258 pieces of chocolate in total). They were covertly observed and critical data collected.


They found that:

1. When a box of chocolates is placed out on the ward, there's an average delay of 12 minutes before someone opens it. The Cadbury box was more likely to be opened first.

2. The half-life of a box (time until 50% of chocolates had been eaten) was 99 minutes. Chocolates that were still present at the end of the 4-hour observation period were deemed "lost to follow-up."  Overall, 74% of chocolates were eaten during the observation time.

3. Chocolates are consumed in a non-linear fashion: initially there's a flurry of consumption when a box is opened ("Oooh! Chocolates!") which gradually tapers off ("No, I've had enough") with increasing intervals between pieces being eaten ("I'm trying to diet.").

4. Cadbury chocolates were consumed faster than Nestlé.

5. A statistical breakdown of "WHO ATE THE CHOCOLATE?!!!" revealed the following:

"Medical students who reached for one were shot."

Personally, I believe further research is needed, and propose the following:

1. A similar study comparing dark vs. milk chocolate.

2. A study powered to prove/disprove that ones with nougat are the last to be eaten.

3. Comparison of M&M's (plain vs. peanut vs. pretzel vs. dark vs. peanut butter). For example, in my office the half-life of a 1 lbs. bag of the peanut-butter ones is about 38 seconds, while up front the plain ones go faster.

4. Getting a staff breakdown to figure out who's pushing in the bottom to see what filling it is. And when you find out, beating them senseless.


More research of this type is necessary, and so, when you hit up a doctor to bring in some chocolates, remind them you're only doing so for science.

Lastly, I loved the "authors' conflict of interest disclosure" from the article:

"Competing interests: All authors have completed the ICMJE uniform disclosure form and declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years. Other non-financial relevant interests: PRG is particularly sentimental about, and incredibly fond of, Lindt Lindor white chocolate truffles; DJM advocates abstinence as the only effective way to avoid chocolate over-consumption; PLRN is influenced by the intoxicating smells emanating from the Cadbury’s chocolate factory at Bournville near his home; FDA supports her native Ghana’s cocoa exports by eating a single Heroes chocolate (Cadbury) every night; HEC declares an interest in polishing off leftover Bounty chocolates (Mars); RDM’s Germanic background means that he is hard-wired, like his brethren, to love all milk chocolate; and CAM reports a preference for Milkybar buttons (Nestlé)."


Thank you, Jodi!

2014

What's that? The Northern Lights? Nope.

It's obviously the night sky... and it is. With a single pale dot. You can see it if you look closely. It's roughly halfway down the ray of sunlight on the right.

It's not much. In our era of 10 megapixel cameras the dot is tiny. It's only 0.12 pixels, in fact.

And... that's us. That miniscule dot is planet Earth, seen from 3.7 billion miles (6 billion kilometers) away. Voyager 1 took the picture in 1990, looking backwards during its ongoing journey out of our solar system.

"From this distant vantage point, the Earth might not seem of any particular interest. But for us, it's different. Consider again that dot. That's here. That's home. That's us. On it everyone you love, everyone you know, everyone you ever heard of, every human being who ever was, lived out their lives. The aggregate of our joy and suffering, thousands of confident religions, ideologies, and economic doctrines, every hunter and forager, every hero and coward, every creator and destroyer of civilization, every king and peasant, every young couple in love, every mother and father, hopeful child, inventor and explorer, every teacher of morals, every corrupt politician, every "superstar," every "supreme leader," every saint and sinner in the history of our species lived there – on a mote of dust suspended in a sunbeam.

"The Earth is a very small stage in a vast cosmic arena... Our posturings, our imagined self-importance, the delusion that we have some privileged position in the universe, are challenged by this point of pale light. Our planet is a lonely speck in the great enveloping cosmic dark. In our obscurity – in all this vastness – there is no hint that help will come from elsewhere to save us from ourselves.

"The Earth is the only world known, so far, to harbor life. There is nowhere else, at least in the near future, to which our species could migrate. Visit, yes. Settle, not yet. Like it or not, for the moment, the Earth is where we make our stand. It has been said that astronomy is a humbling and character-building experience.

"There is perhaps no better demonstration of the folly of human conceits than this distant image of our tiny world. To me, it underscores our responsibility to deal more kindly with one another and to preserve and cherish the pale blue dot, the only home we've ever known."

- Carl Sagan.

Boxing Day sales

Mrs. Grumpy bought a new vacuum at a post-Christmas sale. And, I must say, I think they nailed us.

Anyway, I'm signing off for a week to spend quality time with the kids, dog, and likely vacuum. We're mercifully going to get away from the snow for a few days, too, and visit relatives. I have one scheduled post for New Year's Day, but otherwise things will be quiet here until January 6, 2014.

Happy new year to all!

BREAKING MEDICAL RESEARCH!!!

Apparently from "The Journal of No Shit, Sherlock."

Christmas day, 2:10 p.m.

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

Mr. Dickens: "Hi, I need you to call in some Imitrex for my sister."

Dr. Grumpy: "What's her name?"

Mr. Dickens: "Martha Cratchit."

Dr. Grumpy (grabs iPad): "Hang on... She's not in my system..."

Mr. Dickens: "Well, she sees a neurologist in Grumpyville. Aren't you guys all connected?"

Dr. Grumpy: "No. You'll need to call her neurologist."

Mr. Dickens: "I don't know who that is. Can't you help me out? It's her Christmas present."

Dr. Grumpy: "Imitrex? Is this a prank call?"

Mr. Dickens: "NO! My sister takes it for her migraines, and I thought I'd get her some."

Dr. Grumpy: "Okay, but I can't help you. She's not my patient."

Mr. Dickens: "Can you at least tell me what pharmacy she goes to, and if it's open today?"

Dr. Grumpy: "I have no idea. Look, I can't help you, and..."

Mr. Dickens: "Isn't it in the neurological database thingie you guys use?"

Dr. Grumpy: "There is no such thing."

Mr. Dickens: "Where's your Christmas spirit? Help me out here."

Dr. Grumpy: "I can't call in a prescription on a patient I don't know."

Mr. Dickens: "Scrooge."

(click)

December 25, 1914

Trench warfare is nothing new, but in World War I it became the standard. The Western Front was a seemingly endless series of ditches inhabited by young men ordered to kill each other.

The British Empire, France, and (later in the war) America faced off against the Germans, with a few hundred yards of No-Man's Land between them. For most of the tragedy of WWI it was a stalemate. Each side would shoot at the other, or throw grenades, but to leave your trench for an exposed position was almost certain death.

Winter made the trenches even worse. Men were exposed to the elements. The ground was too frozen to dig easily. Snow would melt and fill them with mud that got everywhere. And it was bitter cold. There was no comfortable place to rest or eat, and sanitary facilities were nonexistent at the front. Day after day men staked out their positions against each other.

Christmas of 1914 was just another day. It was cold. The worst war the world had ever faced up to that time was in its 5th month, and the Western Front had already become a stalemate. They shot at each other here and there, but mostly waited.

Even in the most inhumane of surroundings, people still try to be people. Both sides put up a few Christmas decorations in their frozen ditches. On the night of December 24, German soldiers in Ypres lit holiday candles and sang a few Christmas carols. The light gave British soldiers targets... but they didn't shoot.

Then the British soldiers began singing carols, too. The languages may differ, but the music doesn't change. "Silent Night" was the favorite, as it was commonly known in both countries.

After a while, men began leaving their trenches, walking across the desolate No Man's Land. No one fired a shot, even though exposed targets were everywhere. They shook hands and exchanged small gifts, food, and cigarettes. Most knew enough of the others language to talk.

Due to recent fighting there were still bodies on the ground. They each gathered their dead, dug a mass grave together, and buried them. They held a joint memorial ceremony in the freezing night.

The sun rose over Christmas day, to find them still gathered. Soccer balls were produced and matches were played on and off all day. One soldier recalled so many wanted to play that one game had teams of roughly 50 men on each side of the field.

Beats killing each other, eh?

A British officer, who collected trinkets, approached a German officer and asked to exchange uniform buttons. The German produced a scissor, quickly snipped 2 off their heavy coats, and they traded them.

A British machine-gunner who'd been a barber in civilian life spent the day giving haircuts to any German who asked. Many of the young men had been on the front for months, and wanted a trim.

Similar events went on across the Western Front, some ending on December 26, though in other areas they continued to New Years Day. One British captain later described a sing-along which "ended up with 'Auld lang syne' which we all, English, Scots, Irish, Prussians, Wurttenbergers, etc, joined in. It was absolutely astounding, and if I had seen it on a cinematograph film I should have sworn that it was faked!"

"That's funny... Except for their uniforms these guys look just like us!"

 
Officers behind the front were horrified when word of these events drifted back to them. Both sides began posting higher-ranking officials in the front to maintain discipline around the holidays, and strict punishments were threatened for those who celebrated with the enemy.

These rules reduced them, but similar events continued to occur. In 1915 a German soldier wrote that "when the Christmas bells sounded in the villages of the Vosges behind the lines ..... something fantastically unmilitary occurred. German and French troops spontaneously made peace and ceased hostilities; they visited each other through disused trench tunnels, and exchanged wine, cognac and cigarettes for black bread, biscuits and ham." He described the No Man's Land they gathered in as "strewn with shattered trees, the ground plowed up by shellfire, a wilderness of earth, tree-roots, and tattered uniforms."

And in 1916 a 23 year-old Canadian soldier wrote home that German and Canadian soldiers near Vimy Ridge shared Christmas greetings and traded presents: "Here we are again as the song says. I had quite a good Christmas considering I was in the front line. Christmas eve was pretty stiff, sentry-go up to the hips in mud of course. ... We had a truce on Christmas Day and our German friends were quite friendly. They came over to see us and we traded bully beef for cigars."

There are (roughly) 8,700,000 known species on Earth, only one of which routinely kills its own kind in large, deliberate, numbers. War can bring out the worst our species has to offer. Less frequently, though, it reminds us that we are the same. Our causes, weapons, and names change with time. But we are still people.

Winter vacation ditziness

I walk in the TV room to find Marie on the couch with Mello, surrounded by bags of chips and some sodas. She's watching Toy Story 3.


Dr. Grumpy: "Marie, do you know who does the voice of Barbie?"

Marie: "No."

Dr. Grumpy: "The same lady who did the voice of Princess Ariel."

Marie: "Really? They don't look alike."

Best used car ad EVER

Sooner or later, I'm going to have to unload my 2000 Maxima. When I do, I'm pretty sure I won't be nearly as creative as this guy, who sold his 1996 one with this ad.





Original story.

Thank you, Don!

Dr. Grumpy's gift guide

Today wraps up the 2013 guide. Thank you to all who sent ideas, and keep them coming! I'll be doing this again next year, and they'll be featured then.

"Patella" is such a great word. I mean, nothing about the sound of it would ever make you think it's just a kneecap.

Better yet is Patella Brothers. Unlike Mario Brothers, these guys design some interesting housewares, including dinner plates.

Want to freak your guests out? Why not serve them on a plate with bugs on it?

"Waiter, there's a bug in my ceramic."

This next one features a rock, nails, and a dead roach stuck in goo! Doesn't that help your diet?

"Honey, next time the Grumpys invite us over, tell them we have plans."

And this one is a strange combination of objects titled "I Eat You Pinoccio" (REALLY!).

Be sure to check out the rest of their stuff at the link above.

I hope you all enjoyed the 2013 gift guide. If you got some good ideas from it, you should probably see a neurologist.


IG

Dr. Grumpy's gift guide

Doesn't your dog deserve something nice this year, like clean and shiny fur?

I can't vouch for the quality of this brand, but I must say they have an, um, interesting name for their line of pet-hair-care products. The kind that will make snooping dinner guests call the ASPCA when they see it in your medicine cabinet.

"Oooh... They even have one called 'Dirty Talk' and another named 'Quickie.' "

Commodity trading

Here in the U.S., and pretty much ALL of the civilized world, money is still the standard method of financial transactions. Barter is generally not accepted. Especially when it involves a large, potentially dangerous, carnivore instead of currency.

Apparently, though, Mr. Fernando Aguilera of Florida hadn't heard of this. Thirsty, wanting a beer, and having no money, he decided to catch a live ALLIGATOR (a 4 foot long juvenile), carry it into a liquor store, and offer to trade it for a 12-pack. Being a gentleman, Mr. Aguilar was willing to take any brand they'd give him.

The owner of the store not only declined Mr. Aguilar's gracious offer, but called police (the alligator was underage).

Police have charged Mr. Aguilar with possessing an alligator (and, subsequently, assaulting a TV reporter). The alligator has been returned to the wild. And, inevitably, a local official said “I have never experienced anything like this in 25 years in law enforcement.”

And in Florida, that means something.

Thank you, Don!

Dr. Grumpy's gift guide

Guys are terrible at thinking of gifts. I know I am. You just never know what to get your special someone, something that says it all.

But now there's an easy answer: coated globs of moose shit!

 

These lovely accessories are available in earrings, necklaces, cufflinks, and a wide variety of forms. No moose were harmed in the manufacturing process, though I suspect some intestinal bacteria didn't fare as well.

Holiday memories

Back where I trained, he ran one of the country's top neurosurgery residencies. Before his retirement he was widely considered one of the best brain surgeons in the world, and people came from all over the planet to see him.

His position, and skill, brought him enormous financial rewards. Because of the size of his house he threw a large Christmas party every year to which all the neurology and neurosurgery people were invited, including peons like me and the other neurology residents.

He was also socially inept, and entertainment was never his thing. Obligated to host the party, he firmly planted himself by the door, greeting all who came with "Glad you could make it. Food is to your left, bar on the right." This was his mantra, repeated endlessly all evening until it was replaced with repetitions of "Thank you for coming. The valet is to your right."

For one night every year he was the highest paid doorman on Earth.

I went to his parties for 4 consecutive years. In that time I never once saw him leave the door (maybe he had a foley) and never heard him say anything there outside of those 2 phrases.

We all learn a lot from residency. Among other things, I learned I didn't want to be a doorman.

The fun ships

In a court filing concerning the Carnival Triumph's "cruise-o-sewage" last February, the cruise line's lawyers stated that a cruise ticket "makes absolutely no guarantee for safe passage, a seaworthy vessel, adequate and wholesome food, and sanitary and safe living conditions."

Thanks for clearing that up Carnival. I'll keep it in mind when planning next summer's vacation.

Source.

Dr. Grumpy's gift guide

Ladies, how often have you wanted to pee standing up? Well, now you can!

Yes, with the GoGirl funnel you can whiz without having to touch that disgusting thing on the toilet seat. It's ideal for camping, road trips, and bypassing that long line at the ladies room. Simply walk up to a mens room urinal (there's always one open) and strut your stuff!

The Go-Girl is available in lavender and camouflage colors. And has the awesome tagline "Don't take life sitting down."

Dude, remember to turn off your microphone

On call, Sunday morning, 2:18 a.m.

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

Dr. ER: "Hi, Ibee. It's Susan, over in emergency. I need your help."

Dr. Grumpy: "What's up?"

Dr. ER: "I have a 20-something guy here, who a few hours ago abruptly became paralyzed from the waist down, with severe lumbar pain. He can't move his legs at all. I sent him for a STAT MRI, which was normal, and..."

Dr. Grumpy: "Does he have reflexes?"

Dr. ER: "Yeah, and sensation is good, too. But he can't move either..."

(yelling, screaming, swearing in background)

(pause)

Dr. ER: "Ibee, are you still there?"

Dr. Grumpy: "Yeah. What was all that noise?"

Dr. ER: "Never mind... When we refused to give him more Dilaudid he just got up and walked out. He's gone."

Dr. Grumpy's gift guide

You're a medical student on a gastroenterology rotation, watching a colonoscopy. As the camera snakes up some guy's nether regions, the attending suddenly points to the monitor, turns to you, and says "does that look normal?"

Of course, you have no fucking clue (neither did I, but there are reasons I'm a neurologist). So what do you do? Well, now you can just quickly check your iPhone!

These attractive iPhone cases come in a wide variety of pathology (normal is above) including inflammation, diverticulitis, malignant, pre-malignant, Crohn's disease, and many more! With this helpful guide, your biggest issue will be finding a way to change phone cases quickly without the attending noticing.

NOTE: Dr. Grumpy is not responsible for you failing the rotation, not clinching the GI fellowship you wanted, or getting GoLytely and shit on your iPhone.

Dr. Grumpy's gift guide

Love cupcakes? Who doesn't? (okay, I'm not fond of them, but am in the minority).

What could make a cupcake even more appetizing than it already is? More frosting? Sprinkles? Realistic sores from sexually-transmitted diseases?

Mmmmm... chancres.

These delectable "clapcakes" are available in Gonorrhea, Syphilis, Herpes, and, um, a handful of other reasons to use condoms.

Bon Appetit!

Mary's desk, December, 2013

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

Dr. Manding: "Hi, this is Dr. Dee Manding, and I need Dr. Grumpy to order a STAT brain MRI on me."

Mary: "Hang on... I'm not seeing you in our system. Are you a patient?"

Dr. Manding: "No, I'm a doctor. I just moved here. And I need an urgent MRI. They won't let me order it myself, so I need your doctor to do it."

Mary: "Okay, I can run this by him, but if you're not an established patient we can't order tests on you."

Dr. Manding: "I can't believe this. I'm a doctor!"

Mary: "What do you need the MRI for? I can check with him and..."

Dr. Manding: "How DARE you ask me that! I'm a doctor! If I say I need an urgent MRI, that should be good enough for you!"

Mary: "Let me go ask Dr. Grumpy."

(goes and finds me, I agree with her. I've never heard of this person)

Mary: "Okay, Dr. Manding. I spoke to Dr. Grumpy, and he says that unless you're a patient he can't order tests on you. You're welcome to come in for an appointment, though. We can see you tomorrow morning at 9:30, or..."

Dr. Manding: "I wouldn't come see Dr. Grumpy at all with this level of service. I'm a doctor, and deserve better."

Click

Dr. Grumpy's gift guide

Going to Nazi-themed dinner parties can be so awkward. The silverware is always a problem, as I never remember if I can mix Abwehr forks with Wehrmacht spoons, or if I'm supposed to butter pumpernickel with my Kriegsmarine or Luftwaffe knife.

I'm sure all of us encounter this problem regularly, and my fears of causing a serious breach of etiquette used to keep me from going.

But no more!

With this useful guide YOU VILL know which Gestapo fork is for eating strudel, what type of spoon to use for stirring kaffee, and the proper knife for cutting schnitzel.

Or else.

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."

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.

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.