Thursday, December 3, 2009

Just Say No

Things are tough all over. Occasionally I get patients asking me if I'll forgive their appointment co-pay. Usually I can't, because most insurance contracts forbid it, and because I'm trying to stay afloat, too.

So today I had a lady tell me she can't afford her $25 visit co-pay, and could I PLEASE write it off? She used the "I need the money more than you do" line.

I know she has legitimate financial hardships, but I refused.

Why?

Do I need the $25 that badly?

I did it because she smokes 2 packs a day. And ADAMANTLY refuses to quit.

Let's look at this:

The average price of a pack of cigarettes in the U.S. right now is $5. This varies by brand & your state taxes, and whether you buy them by the pack or case. But roughly $5 a pack.

So for her, that's $10/day. Or $300/month. Or $3600/year.

I told her that. If she quits smoking, that would be like her getting a $3600 annual raise, without any additional taxes. Ignore the health benefits, just look at the money alone.

All that money for making one life change. That would help her financial situation A LOT. It's a hell of a lot more money than making a $25 co-pay once or twice a year.

She got pissed off and left. Told me that I "don't understand".

She's right. I don't.

For an excellent post on drug co-pays from the pharmacy view, check out this one from The Angry Pharmacist.

Now THAT'S Exciting!!!

From a fax on my machine this morning:


"Our company is looking for males over age 25 who do their own shopping. We're doing a very exciting market research study on the following topic:

PACKAGED SALAD

We think you'll find the discussion to be exciting and enjoyable, and will reimburse you for your time. Please contact us today, as spots will go fast!"

Wednesday, December 2, 2009

Edgar Allan Poe

Generally, I try not to copy things from other blogs.

But sometimes I MUST make an exception when I see something so good, so clever, that I want to share it and say LOOK AT THIS! IT'S FREAKING AWESOME!!!

And when I do that, I make sure I properly credit it.

Maybe it's because I'm a literature buff, and took too many of those classes in college. Edgar Allan Poe is featured in most of them, and his most famous work is The Raven.

So on reading other blogs today, I found this excellent post written by Maha. She's an ER nurse who writes Call Bells Make Me Nervous. Check her site out. And Maha, please forgive me, but I just had to share your remarkable piece of writing.

So, without further ado, I present Maha's satire on The Raven. It's called The Drunkard.

Had Edgar Allan Poe Been an Emergency Nurse…


The Drunkard

by Maha

Once upon a midnight dreary, while my back ached, weak and weary,
Over many a quaint and curious patient at the triage door.
While I nodded, nearly napping, suddenly there came a tapping,
As of someone rudely rapping, rapping at my triage door.
"'Tis no drunkard," I muttered, "tapping at my triage door--
A well man and nothing more."

Ah, distinctly I remember the bloody night before November,
And each and every staff member had brought a patient to the floor.
Eagerly I wished the morrow, vainly I had sought to borrow,
From my books of assessments thorough –to avoid the cookies from days of yore
And drink my latte from so long before.

But the stinkin’ sad uncertain shuffling of a drunkard’s gait that’s struggling
Thrilled me – filled me with supreme annoyance, never felt before.
So that now to still the beating of my heart, I stood repeating
“Tis no drunkard entreating entrance at my triage door –
Some late UTI-er entreating entrance at my triage door;
This is it, give Toradol galore”.

Towards the patient I finally headed, hope for sleep completely shredded,
“What,” barked I, “please don’t have a complaint I’ll deplore,
But the fact is I was napping and so intently you were tapping,
And so rudely you came slurring, ranting at my triage door”.
And without regard or thinking, he barfed upon my triage door,
Chunky vomit and lots more.

Then, of course, the air grew denser, thanks to the obscene Spencer,
A man now pickled, whose foot-falls dragged in the department’s floor.
“Wretch,” I cried, “why did God bring thee – by the devil he hath sent thee
Respite – respite and Valium please for thy abnormal CIWA score
Why, oh why this loud decree of your drunken presence on my door?!”
Screamed the drunkard, “I barfed some more”.

"Spencer!" said I, "this stench is evil!--Spencer this is the needle’s bevel,
Whether taxi sent, or whether ill-fate tossed thee here ashore,
Desolate, yet all undaunted, in this department un-enchanted,
In this hallway by Horror haunted--tell me truly, I implore--
Is there--is there calm from Gravol?--tell me--tell me, I implore!"
Quoth the drunkard, "I need lots more."

"Spencer!" said I, “more upheavals? - Spencer still, if man or devil!
By the score of twenty and eleven – by the Valium we both adore –
Tell this nurse with sorrow laden, who to call? Perhaps thy maiden?
Please, oh please, I beg thee, use the bucket on the floor.”
Quoth the drunkard, "Nevermore."

"Be that word our sign of parting, man or fiend!" I shrieked, upstarting.
"Get thee out of the department and save my night from being abhorred!
Leave no chunks of vomit as a token for my tolerance thou hast broken!
Leave here with this train token! – Quit the bed and leave the main floor!
Take thy stench as you depart, and take thy form from out the door!”
The drunkard started to loudly snore.

And the drunkard, unremitting, still is snoring, still is snoring
On the pallid stretcher mere inches from the door;
And his socks have all the seeming of a mold that is steaming
And the lamp-light o’er him streaming throws his shadow on the floor;
And my break retreating into shadows that was planned for four,
Shall be taken – nevermore!

How Hard Is This To Understand?

Okay. Your epilepsy has been stable for over 20 years. In fact, I only see you once a year for it, and refill your Tegretol while we chat about sports, weather, whatever.

Your medication dose hasn't changed since the 80's, back before I even went to med school.

I write you a new script once a year, that you fax to your mail-order pharmacy.

Normally I see you in January, but you had to move up your appointment since you'll be out of town next month. So you asked me to date your next Tegretol script for January 1, 2010, and you won't send it in until then. Fine. I did just that.

So, after I've given you a post-dated script DON'T FAX IT TO YOUR FREAKING PHARMACY WITHIN AN HOUR OF LEAVING MY OFFICE!!!

Now I've got the pharmacist calling, wondering if I'm demented and don't know the date (not an unreasonable thought). I'm pretty sure he doesn't think you have some sort of special time-traveling fax machine at home.

So don't do it again. Put the script on your refrigerator and don't cash it in until January 1, 2010 LIKE YOU TOLD ME YOU WOULD and we'll all be happy.

Thank you.

Memories...

The peanut post got me thinking...

When I was doing my internal medicine residency, another doc in my class was a girl named Christine. She was just doing a 1 year internship before going on to radiology.

She was a good person, and a good doc. But she was a HORRIBLE black cloud. Bad luck just followed her and her patients, in spite of the fact that she took damn good care of them.

She just had remarkably shitty luck. When she was on call, her service would always max out with admissions, and they were all really sick. Codes would occur. Her patients seemed to die more often then anyone else's. And, again, this was just bad luck. She was a good doc, just always seemed to get the sickest patients.

After the first 6 months of this, she was so burned out that she needed a vacation, and booked a cruise.

On the first night of her cruise, the guy sitting next to her at dinner collapsed and died from a peanut allergy.

How To Irritate Your Neurologist

Dr. Grumpy: "Any allergies?"

Mr. Cereal: "Nuts... Hey, do you know it's safe for me to eat Honey-Nut Cheerios?"

Dr. Grumpy: "Umm..."

Mr. Cereal: "I mean, I know it says 'nut' in the name, but I wasn't sure if they really have nuts in them, or if they just say that".

Dr. Grumpy: "Have you read the ingredient list on the side of the box?"

Mr. Cereal: "No, why?"


Obviously, I'm allergic to nuts, too, of a sort...

Tuesday, December 1, 2009

Tuesday Morning Patient Quote

"Sometimes, when I really hurt, I stop breathing. I mean, like, for hours, literally. It hurts so bad I just stop breathing. After my car accident I went 2 weeks without breathing."
 
Locations of visitors to this page