Friday, December 31, 2010

Survey fun

Okay, gang, I'm doing an online survey this morning and encountered this question:

"Of your epilepsy patients who are taking multiple anti-seizure medications, how many of them are on only 1 medication?"

Thursday, December 30, 2010

Reasons to strangle a patient

One of my epilepsy patients called this morning, asking if we could move up her appointment from next week to today. We're full today, and couldn't do it.

So a few minutes later she called back. She told Mary she'd had 3 seizures last night, and urgently needed to see me. So I added her on to the schedule, and crammed her in when I had a minute.

Dr. Grumpy: "So what happened? Mary said you had a bunch of seizures last night?"

Mrs. Abouttobethrottled: "No, I just told her that. I wanted to get in today."

Dr. Grumpy: "You lied to Mary so you could get in a few days early?!!!"

Mrs. Abouttobethrottled: "Well, your office is closed tomorrow, and next week my office visit co-pay goes from $20 to $30."

"I, uh, had my skin darkened, like Michael Jackson, but the opposite way."

Folks, if you're trying to use someone else's ID, please remember that they should at least be a similar race and sex to you.

Not like this guy.

Thank you, Mike!

That about covers it

While seeing a new consult at the hospital last night, I found this line in the admitting doctor's note:

"I think the patient had a TIA, or stroke, or headache, or some other type of neurology thing."

Wednesday, December 29, 2010


Mr. Ford: "I've been doing some fun stuff. I got a role in Local Theater's new play."

Dr. Grumpy: "That sounds cool. Do you have any acting experience?"

Mr. Ford: "Yeah, I sold cars for 20 years."

Marital status

Like other doctors' offices, my patient information form features the typical questions, including "Marital Status?"

Usually someone writes something simple, like "married", "single", "divorced", "widowed". Or even just letters like M, S, D, or W.

But some people feel the need to make this a bit more personal.

I've actually seen the following:

"Single, and desperate."

"Divorced x 3, widowed x 2, separated x 2."

"Married, but it's an open marriage."

"Married, and hate the bitch."

"Single, but I sleep with my boyfriend."

"Single. Is Mary available?"

"Single. My phone number is below, please call if interested."

Tuesday, December 28, 2010

Tuesday night criminal tip

Attention crooks:

If you're going to steal a TV from a delivery van, it is NOT recommended that you do so from one parked near a police station. Or subsequently wheel it past the police station in a shopping cart. Or wear something as conspicuous as full-body military camouflage while doing so.

Like this guy.

Thank you, Linda!

Minor differences

Dr. Grumpy: "How much coffee do you drink?"

Mr. Java: "None. I quit last month because my cardiologist told me to cut out codeine."

Dr. Grumpy: "You mean caffeine."

Mr. Java: "Aren't they the same thing?"

Instruction manual

Generally, by the time you reach my age, you should have some idea of how to eat the majority of things available at your local restaurants. As a kid you learn pretty quickly that you should peel bananas & oranges before eating* and not eat the bones that are part of your chicken, or ribs, or T-bone steak. Cantaloupe and watermelon rinds aren't recommended consumption, either.

I, personally, don't expect a waiter to give me eating tips (unless I ask first). The only time one did was when Mrs. Grumpy dragged me to a fondue restaurant, and the waiter gave us a spiel on the proper ways to order and combine which foods with which fondue. We got up and left when he reached the 10 minute mark and showed no signs of stopping. I was afraid he was going to start a Powerpoint show.

But there's always someone who has to be different.

Thank you Dr. Fizzy!

*Think about it- SOMEWHERE in human history there was a poor sucker who tried to eat an unpeeled banana, and so all of us today have benefited from what they learned. I think their contribution to humanity is up there with the electric light, but you don't see a town named "Unknown Person Who Ate An Unpeeled Banana, New Jersey" do you?

Monday, December 27, 2010

There's drunk, and then there's REALLY drunk

Great idea. When you're caught driving drunk, just say you aren't.

Like this guy.

Thank you, Alison!

Sunday afternoon, 5:51 p.m.

"Hi, I'm a patient of Dr. Grumpy's. On Christmas eve I was at my daughter's house, and they all pointed out that I was dragging my right leg. It didn't hurt, and I didn't want to ruin the party, so I figured I'd see if it got better overnight. In the morning it wasn't any better, and my right arm and face were numb. But it was Christmas, and even though my granddaughter said I was talking funny, I didn't want to bother you, because it's, you know, a holiday. Besides, it made her laugh. She's so cute! Plus, my son had traveled all the way from Albuquerque to join us, and I didn't want to spoil things. Anyway, it's Sunday afternoon, and I'm on the way home after dropping my son off at the airport. So I'm calling to see if I can get an appointment to see you next week. Can someone please call me back in the morning?"

Sunday, December 26, 2010

Eye opener

In spite of all the freakin' snow we've had, Frank apparently hasn't gotten tired of building snowmen.

So last night he couldn't sleep, and I heard him doing this and that as I dozed. At some point in the wee hours he discovered that he could make a pseudo-clay from toilet paper, water, and glue.

So when I woke this morning, this was sitting on my night table, and was the first thing I saw upon opening my eyes.

Saturday, December 25, 2010

Holiday reruns

For Christmas day I'm repeating this column from last year. It detailed my December 24th run to the grocery store.

Oh, 2 tomatoes, and some paper plates? No problem. Let me get my car keys.

Crap, Local Grocery is mobbed. Hey, bitch! Don't flip me off! I wasn't even looking at that parking space. Chill.

Merry Christmas, Mr. Salvation Army dude. My only cash is $3, but I'll gladly put it in your kettle.

What a fucking mob scene. Hey! Don't push me! I didn't even want the last shopping cart! I'm just here for some damn tomatoes, lady. Merry Christmas.

Hi, it's me. I have the tomatoes. What brand of paper plates do you want? No, it looks like they're out of those. Okay, I'll get Chinet. Says they're made from recycled paper. Hope it's not toilet paper.

No, Mr. Salvation Army. I gave you my last $3 on the way in. Remember? Merry Christmas.

Hello? No, just leaving. Lettuce? Yeah, hang on. I can go back. Looks like some guy in a Santa hat is yelling at the Salvation Army guy for blocking the door, but security is leading Santa away now. Shit, somebody took my parking space as soon as I pulled out. Let me find another one.

Sorry, Mr. McDonald's manager. I didn't realize this space was for McD's customers only. It's not marked that way. I'll move my car, don't worry. Merry Christmas.

Mr. Salvation Army, it's me again. I had to come back. You have my $3 already.

Lettuce... hey, stockperson, whatever sex you are, where's the lettuce? You only have 3 heads left? Wow. I had no idea there'd be such a rush on iceberg for Christmas. Well, this one looks like it's been dropped the least.

It's a self-checkout. Look, I don't recognize you as one of my Alzheimer's patients, but you obviously are not grasping how to work this thing. So go over to the cashier and check-out the old fashioned way. I think she's one of my dementia patients, so I'm sure you'll have a lot to talk about while you hold up that line.

What the fuck! It's not taking my credit card! All I want is one fucking head of bruised iceberg lettuce!


How long will that take?


Well, fine. I'll go over to the ATM across the parking lot. Look at that line and NO, YOU BELL-RINGING ASSHOLE! YOU ALREADY HAVE MY $3! IF I HADN'T PUT IT IN YOUR FUCKING KETTLE I'D HAVE BEEN HOME BY NOW!

This is the line for the ATM? There are 5 freaking ATM's here? Oh, great, the other 4 are all out of cash due to the Christmas rush. Fine, I'll wait.

Hello? No, I'm in line at an ATM. I need to get cash to buy lettuce and... Because I gave it to the Salvation Army guy, that's why! Look, it's taking longer than I thought!

NO, MR. SALVATION ARMY! I just got this $20 out of the ATM after waiting for 15 minutes, because I gave you my last $3 and now the credit card machine is broken, and if you approach me again I'm going to shove that fucking bell up your ass.


Fine I'll take this bag of salad instead, but it better be for the original $1.29. Merry Christmas.

Don't even think about it, Mr. Bell Ringing Salvation Army Guy.

When I got home Mrs. Grumpy told me she'd just found an extra head of lettuce in the refrigerator. She'd forgotten she'd bought one yesterday and put it in the produce drawer.

Merry Christmas to all, and to all a good night.

Friday, December 24, 2010

Christmas Eve history lesson

Quartzsite, Arizona is a small town along U.S. Interstate 10, and many just stop there for food and gas on the way to other places.

In the local cemetery is a small pyramid with a copper camel on top, marking the grave of a mostly forgotten man named Hadji Ali.

Very little information about his background is known. He was born in 1828 in what was then called Greater Syria (today that includes Syria, Israel, Lebanon and Cyprus). His parents were likely Bedouins. He was Muslim.

What is known is that he played a central role in what's now a mostly forgotten (but well worth remembering) oddity of American and Canadian history.

The idea was first proposed in 1836, but wasn't taken seriously until 1848. Following the Mexican-American war, the United States found itself in control of a large desert, covering what's now New Mexico & Arizona, and parts of Texas, California, and several other states. The U.S. Army needed to establish bases and supply lines in the area, both for the border with Mexico and the continuing wars with Indian tribes.

The railroad system was in it's infancy, and there were no tracks through the area. It's part of the largest desert in North America. The only way across was to use horses. But horses, like humans, are heavily dependent on water. This made the area difficult to cross, and vulnerable to attacking Apaches.

And so in 1855 Jefferson Davis, then U.S. Secretary of War (later to become President of the Confederacy during the Civil War), put into action an idea proposed by several officers: buy camels to serve in the desert. Congress appropriated $30,000 for the endeavor, and officials were sent to Turkey to do just that.

Between 1856-1857 the U.S. Army bought 62-73 camels, transporting them from Smyrna, Turkey to Indianola, Texas. To handle them they brought over 8 camel drivers, with Hadji Ali in charge.

The camels worked remarkably well... To a point.

They were perfect for the environment. The huge southwest desert didn't faze them. They led supply trains all over, from Texas to California. With their low need for water, and bodies specially adapted to arid environments, they easily crossed areas where horses and other pack animals couldn't.*

But there were problems. The Americans had envisioned combined forces of camels and horses, each making up for the deficiencies of the other. But horses and donkeys are frightened of camels, making joint convoys difficult and requiring separate corrals. The army was also unprepared for their intrinsically difficult personalities- camels bite, spit, kick, and are short-tempered. Horses are comparatively easy to handle.

With the start of the American Civil War, the U.S. Army Camel Corps was disbanded. Troops and horses were needed on the east side of the country, while camels weren't. Most of them escaped into the desert, and thrived there for a while. In an attempt to preserve them, the Arizona territory actually outlawed camel hunting, a law that's often scoffed at by those who don't know the reason behind it.

But the camel story didn't end there. One of the soldiers, Frank Laumeister, saw business opportunities in Canada. He bought a herd, and in 1862 took them north to British Columbia. The Cariboo gold rush was in progress, and pack animals were needed.

Canadian prospectors and a friend.

The results in Canada were mixed. The camels were strong, and could carry twice as much as mules. But their broad feet, while perfect for the sand and dirt of the desert, were cut up by the rocky terrain of the Pacific Northwest. It became necessary to make special protective shoes for them (given their difficult nature, it's unfortunate that history hasn't recorded how they responded to having shoes put on them).

The Canadians, like the Americans, discovered they weren't easy to handle. The same problems of difficult disposition and spooking horses came up. In addition, they found camels would eat anything they found. Hats. Shoes. Clothes that were out drying. Even soap. And so, after a few years, the Canadians gave up on the experiment, too.

But they weren't forgotten. A mountain range in British Columbia is called the Camelsfoot. The town of Lillooet has "The Bridge of the 23 Camels". A geographical basin is called "The Camoo".

Some camels were sold to farms. Others escaped into the wild. One was mistaken for a grizzly bear (WTF?) and shot, ending up briefly on a local bar's menu.

The last reliable sighting of a wild camel in Canada was in British Columbia, in the 1930's. The last sighting in North America was in Douglas, Texas in 1941- 85 years after the first ones had landed.

Two fiction movies have been based on the North American camel experiences: "Southwest Passage" (1954) and "Hawmps!" (1976). There's even a folk song called "Hi Jolly!" about them.

And what became of Hadji Ali?

His American hosts had trouble with his name, and pronounced it as a greeting: Hi Jolly! After the camel business shut down he decided to stay here, becoming a citizen in 1880. He tried his hand at several business, and married a woman named Gertrudis Serna in Tucson. They had 2 children. At some point he changed his name to Philip Tedro, but "Hi Jolly" is the name that stuck with him, and is on his Quartzsite tomb.

Hadji Ali and Gertrudis Serna

He prospected around the southwest U.S., occasionally working for the U.S. Army. Once, when offended that he hadn't been invited to a friend's party in Los Angeles, he broke it up by repeatedly riding through it in a wagon pulled by 2 of his remaining camels.

He spent the last few years of his life in Quartzsite, Arizona, dying in 1902. His adventures had impacted 2 countries and covered 3 continents. It had been 51 years since he'd left his native Middle East on one of the oddest military missions on record.

*Technically, it should be noted that camels are originally from North America. Really. Their ancestors evolved in North America 23-40 million years ago, but left. One group went west into Asia (then down to Africa), several million years ago, over the Bering Strait Land Bridge, evolving into today's camels. The rest migrated to South America 3 million years ago when the Isthmus of Panama formed, and became llamas and alpacas.

Thursday, December 23, 2010

Genetics 101

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

Mr. Gezundheit: (sneezes, blows nose) "Yeah, I caught this cold from my wife."

Today's featured gift #1

Today I'm presenting 2 gifts to wrap up this year's guide. A big "THANK YOU!" to all who sent in ideas. If yours didn't make it, don't despair. I'm saving some for posts over the year. Feel free to keep sending them, because I'm planning on doing this again next year. It's you guys who make it fun to write this.

And now, on to the gifts!

I have plenty of patients with migraines. I do my best to treat them. I have an arsenal of medications to work with.

But, if you prefer more touchy-feely ways of treating them, there's now this:

Yes, they are what you see: Goggles you strap to your face, with moving magnets on stems that rub you around your eyes. Batteries are even included!

Last week I polled 10 random migraine patients who came to the office, and all of them thought this gadget looked closer to being a torture chamber than a migraine treatment. One said "It looks like an iron maiden for the face!"

Today's featured gift #2

Do you miss your college apartment, with the leaky toilet that spontaneously flushed every hour (sometimes more)? Neither do I.

But if you do, now you can buy a clock that will recreate the experience!

Yes, for only $24.98 you can recreate that "cheap apartment with the alcoholic repairman who can never fix the damn thing" feel. Clock does not include rodents, sexually loud neighbors, or intoxicated roommate listening to Metallica at 3:00 a.m.

Wednesday, December 22, 2010


Mrs. Neck came in for a routine follow-up today, hobbling with her left foot in a cast.

Dr. Grumpy: "Good heavens! What happened?"

Mrs. Neck: "I broke my foot."

Dr. Grumpy: "I'm sorry. How did it happen?"

Mrs. Neck: "I was unpacking after our trip, and dropped the first aid kit on it."

And don't let them drink out of the toilet, either.

I'd like to thank Webhill, who noticed this at her doctor's office.

Today's featured gift

Maybe you're a bank robber with sensitive skin. Or Al-Queda has been recruiting you, but your delicate complexion can't handle the Afghanistan sun. Or you're a radiologist who shies away from that big yellow ball in the sky outside your nice, dark reading room.

Fortunately, Coolibar has a line of sun protection with people like you in mind.

Tuesday, December 21, 2010

Help! I'm being attacked by a giant spider!

Mary's desk, December 21, 2010

(Lady walks up to the counter, signs in)

Mary: "Um, your appointment was at 9:00, and it's now 9:28. I'm afraid we won't be able to see you."

Mrs. Notontime: "That's ridiculous. I'm here. You have to see me."

Mary: "I'm sorry. Dr. Grumpy tries to run on time, and has already started with his 9:30. Today is packed, but I can get you in on Thursday."

Mrs. Notontime: "This is illegal. You are in violation of state law, which defines being late for an appointment as more than 30 minutes. Therefore, at 28 minutes, I'm not late."

Mary: "Ma'am there is no such state law, and you're not going to be seen."

Mrs. Notontime: "I'm reporting you to the governor!"


Christmas catalogs

So many catalogs feature idyllic holiday scenes. Usually there's a Christmas tree in the middle, with presents piled under it. A few toys. Children playing in the background. Some mistletoe and holly. A fireplace. All trying to get you to order junk for people you don't like.

So why should a science supply company be any different? Shouldn't they have a holiday catalog, too?

(click to enlarge)

Because if finding a skull or anatomically-correct partially-dissected torso under a tree doesn't say "Merry Christmas!", I don't know what does.*

* Depending on the location of the tree. If it's one in your front yard, that isn't good.

Monday, December 20, 2010

Modern education

Mr. Phud: "I'm a college professor."

Dr. Grumpy: "Oh, what do you teach?"

Mr. Phud: "Auto repair, financial planning, and photography."

Today's featured gift

"Hey, where should I put this quarter?"

We all like saving money, but it's important to have a bank.

And what could be more tasteful than one that allows you to stick it in a rectum, then farts when you do?

Makes a great gift for your proctologist!

Sunday, December 19, 2010

Worst Christmas Story Ever

It's been 4 years since a friend sent me this holiday story.

I think it's time to share it with you guys.

Click here.

That's why they call it a stroke

Although I'm not on call, I somehow ended up getting dragged in to the hospital last night to do a consult.

Mr. Onan: "... Then my right arm just went limp, like a dead weight. I couldn't move it at all."

Dr. Grumpy: "What were you doing when this started?"

Mr. Onan: "I was, um, you know..."

Dr. Grumpy: "No, I don't."

Mr. Onan: "Um... I was masturbating."

Dr. Grumpy: "Oh! Okay. So, when the right arm stopped working, what happened?"

Mr. Onan: "I switched to my left."

Dr. Grumpy: "WHAT?!!! When did you call 911?"

Mr. Onan: "After I finished. Look, doc, Viagra is expensive, and I didn't want it to go to waste."

Saturday, December 18, 2010

Things you won't find for Kindle

Finding a good book can be tricky, even in this era of giant bookstores, online bookstores, and e-Book readers.

Until now.

Thanks to a remarkable website, it is now possible to get such intriguing volumes as:

A Popular History of British Seaweeds

The Armpit of Desire

Blessed are the Cheesemakers

How to make your own sex toys

Menopop- A menopause pop-up and activity book

"Wow! Where can I find such amazing titles" You ask? Click here.

Operators are standing by!

Friday, December 17, 2010

First impressions

Dr. Grumpy: "Hi, I'm Dr. Grumpy. Have a seat."

Mr. Pile: "Hi, Doc. Pleased to meet you. Hey, sorry about what I did to your lobby bathroom. It was like, a major league crap. You know what I mean?"

Today's featured gift

Need a tie or scarf for that special person? Neither do I. But if you do, wouldn't you want something like gonorrhea or ebola virus on it? Of course you would!

(click to enlarge)

Yes, now fashionable neckware for both sexes comes in an assortment of unpleasant pathogens, including plague, dust mites, and mad cow disease! Also available in not just 1, but 2 types of breast cancer!

Operators are standing by!

Thursday, December 16, 2010

Dear Local Nutritionist,

Thank you for dropping off some "Healthy Eating Whole Grain Low-Sugar Preservative-Free Cookies" at the office today, with a note saying that you want to help my staff eat healthy over the holidays.

I must say they've had some of the desired effect. The box's picture of an adult male wearing candy-cane-striped 1980's exercise short-shorts has made us all lose our appetites.

Wednesday afternoon rounds

Dr. Testosterone: "You paged me?"

Dr. Grumpy: "Yeah, I saw Mr. Trauma, who you consulted me on, and I'm just trying to get an idea of why you called me."

Dr. Testosterone: "Which patient was this?"

Dr. Grumpy: "He was riding his bike and was hit by a drunk driver, and suffered multiple fractures."

Dr.Testosterone: "Oh, yeah. I want your input as to why he fell off the bike. Did he have a seizure, or balance problem, or something like that?"

Dr. Grumpy: "Uhh... Your dictation says he fell off because he was hit by a car!"

Dr. Testosterone: "So? My dictation doesn't mean anything."

Wednesday, December 15, 2010

Dumpster diving with Dr. Grumpy

After 10 years of faithful service, our office credit card machine won't be supported in 2011. Apparently some sort of new gadget is required. So I ordered one last week, and it came over the weekend.

Monday was a pretty frantic afternoon here, and Mary had to leave 15 minutes early to meet with her son's teacher. Since I was done with patients, and to procrastinate on dictations, I pulled out the old machine and installed the new, shiny, credit card gadget.

I tested it (it works) and on the way home tossed the old machine in the environmentally-friendly electronic recycling dumpster at Local Electronics Store.

So Tuesday morning Mary comes in, and runs back to my office. She looked frantic.

Mary: "Where's the old machine?!"

Dr. Grumpy: "I installed the new one last night."


Dr. Grumpy: "I put it in the recycling dumpster down the street."


Dr. Grumpy: "Calm down, I mean, how much could be in it? 10 or 20 bucks?"

Mary: "$458!!!

Dr. Grumpy: "WHAT?!!!"

Mary: "You had a few cash-pay patients yesterday, and..."

Dr. Grumpy: "Is my first one here yet?"

Mary: "No."

I grabbed my coat and yelled to Pissy's staff we'd be back in a few minutes. Mary and I ran to my car, and drove over to the dumpster.

Someone had left the lid open overnight, and so there was snow on the pile of computer monitors, old hard drives, iPods, and cell phones. In conduct unbecoming a neurologist, I climbed into the dumpster and frantically dug through the snow (forgot my gloves at the office, too). Several downtown homeless people stopped to watch, and one kindly yelled that there weren't any cans in there.

I found the machine, tossed it to Mary, climbed out, and we sped back to the office.

While I was with the first patient Mary transmitted billing from the old doodad and wiped its memory.

My patient asked why I didn't have my usual Diet Coke on my desk. I told her I didn't need it.

Matching microbiology

After you've handled the putter in the previous gift, you should definitely wash your hands. So you may want bacterial-themed soaps from this site.

We at Grumpy Neurology, Inc. recommend good hygiene!

Today's featured gift

I know there are golf fanatics out there, who live to play.

But sometimes you can't get out to the course. Maybe the weather is bad. Or you're just too busy at work. Or you can't get a decent tee time.

And that's where this next gift comes in.

(click to enlarge)

Yes, it's a miniature golf course for your bathroom. It includes a putter, 2 balls (besides your own, guys) and a "Do Not Disturb" sign. I suppose you should also spring for some Clorox wipes to clean the putter between rounds.

Tuesday, December 14, 2010

Holiday travel tips

Attention potheads!

If you want to travel with marijuana and associated paraphernalia by plane, that's your business.

I'm sure there are many creative ways to try and keep airport security from noticing it.

HOWEVER disguising your marijuana grinder as a freakin' hand grenade isn't one of them!

Like this guy.

Thank you, Michelle!


Mr. Acei: "I have terrible back problems."

Dr. Grumpy: "What kind of symptoms do you have?"

Mr. Acei: "My blood pressure goes up."

Dr. Grumpy: "But where does your back hurt?"

Mr. Acei: "My back feels fine."

Dr. Grumpy: "Then why do you say you have back problems?"

Mr. Acei: "What else could make my blood pressure go up?"

Monday, December 13, 2010

Is there a doctor on board?

Now I, Dr. Grumpy, consider myself a reasonably good neurologist. And I stay in my comfort zone. I don't try to treat chest pain, snotty noses, or dogs.

And, unless I really had no other options, would definitely NOT pretend to be able to fly a plane.

But Captain William Hamman, a senior jumbo jet captain for United Airlines, has apparently been doing both. He really is a pilot.

At the same time (sort of like in Catch Me If You Can) he's been passing himself off as a doctor. Not just any doctor, but a cardiologist. And he's done training courses for the AMA, American College of Caridiology, and FAA. He's done CME lectures at accredited training programs.

Guess what? After many years of doing this, he turns out not to be a doctor at all! He never did residency, or fellowship. He briefly attended medical school in the late 1970's, but dropped out and never graduated.

And it took 30 freakin' years for someone to realize this!

Here's the story.

Thank you, Don.

Today's featured gift

Do you have neck problems? Do you need more support under your head? Are you looking for a way to strangle yourself, but don't know how to tie a noose?

Well, look no further!

Here we have a gadget that you simply strap around your neck and gradually pump up until it reaches the level of asphyxiation and/or comfort desired.

We at Grumpy Neurology, Inc. DO NOT recommend that you have another person inflate this for you. Especially if they are your ex-spouse, or someone who will benefit from your life insurance policy.

Sunday, December 12, 2010

On call- Live the adventure

A nurse called me yesterday because a patient was getting worse, fast. So I ordered a STAT CT scan of her head.

So Ms. Nurse asked if I wanted just a head CT, or a if I'd prefer to do a "Stroke Alert!".

This was a new one to me. She explained that a "Stroke Alert!" is a new protocol developed by my hyperactive colleague, Dr. Nerve. When a "Stroke Alert!" is ordered they automatically do a head CT, EKG, a few labs, and call a Nurse Practitioner who's in the hospital to come assess the patient.

So I said what the hell. Let's do a "Stroke Alert!". She said she'd take care of it, and got off the phone.

Roughly 3 minutes later my cell phone rings again. It's the clerk for that floor.

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

Mr. Clerk: "Yes, I'm calling to tell you that there's a Stroke Alert! in progress in room 52."

Dr. Grumpy: "Um, yes... I ordered it."

Mr. Clerk: "Well, the protocol says we have to immediately notify the neurologist on call for all Stroke Alert! situations."

Dr. Grumpy: "Even if the neurologist is the same person who just ordered it?"

Mr. Clerk: "Look, I'm just following the protocol."

Saturday, December 11, 2010

Yet more gifts

Hi, Zuktar the Mighty here, penning a guest column for Dr. G's gift guide.

In the good old days, after vanquishing an opponent, we would celebrate by drinking from their skull. Sure, they leaked a little, and were tricky to grip, but they could hold a lot of wine or espresso, and made a decent insulated container if the coffee were too hot.

But for a modern barbarian, things are different. I mean, that block party tends to empty early if you put skulls next to the punch bowl. And if you hold up a skull at Starbucks and ask the barrista to pour your latte in there, you get some funny looks. Once she collapsed, though luckily a guy dressed as Elvis ran in and saved her.

So what's a 21st century barbarian doing a pencil-pushing desk job to do? Well, fortunately there are options. I can get pen holders made from vertebrae and femurs. These handsome accessories make any desk special.

Particularly when your new boss realizes what happened to the last person who didn't give you a raise.

Click to enlarge

Gifts for the ladies

Diamonds, pearls, and emeralds are so passé and 20th century. Buying jewelry in this era can be such a challenge.
What is it that the modern lady wants as an adornment? Why a necklace with carefully preserved anatomical sections from a bull's penis and testicles of course!

If bull gonads aren't your thing, you can also get pieces of horses and ducks, too.

Of course, some woman prefer bracelets or earrings when displaying dead animals in plastic. Fortunately, you can look here for other tasteful options. Just click on the subcategories.

Friday, December 10, 2010

Stop the presses! Shocking medical research!

Getting hit in the head likely isn't good for you.

Getting in the head repeatedly is probably even worse.

And getting hit hard enough to make you lose consciousness is assumed to be really bad.

Of course, as always, somebody felt the need to prove this. So they studied boxers and found that (GASP!) getting hit in the head repeatedly is bad for you!

Here's the article.

Thank you, Cherie.

Dear Health Monitor magazine,

Thank you for the letter that came this week asking me to remove your pulp rag magazine from my lobby.

(click to enlarge)

A couple points I'd like to make:

1. Your magazine came in freakin' MAY! There's no way my awesome office staff would have left it out there until December to read, anyway.

2. In fact, there's no way it would have made it to the lobby at all. It went into recycling shortly after it arrived. My patients prefer reading "People", "Sports Illustrated", and "Better Homes and Trailers".

3. I'm kind of sorry now that I did toss them, as I'd like to know what sort of "advertiser error" would lead you to recall it 6 months after the fact. Please feel free to comment if it's something juicy.

4. (MOST IMPORTANT). There is a DAMN good reason your magazine should have been recalled (or never published in the first place). The issue in question is the one I already featured on this blog because of the wild-eyed, Haldol-deprived, migraine patient you had on the cover!!!

Yours truly,

Ibee Grumpy, M.D.

Biting my tongue

Mr. Bright: "I had a brain MRI."

Dr. Grumpy: "Do you have the report?"

Mr. Bright: "No. That's personal information. Why would you need that?"

Dr. Grumpy: "I'm the brain doctor."

Mr. Bright: "You are? Oh, I thought you were a neurologist."

Dr. Grumpy: "I am. Brains are what a neurologist does."

Mr. Bright: "Oh. Well, my regular doctor said it showed nothing."

My inner voice: "I'm sure it did."

Thursday, December 9, 2010

More fine gifts

I use pens in my office, but at home I use pencils for most things (some of you may remember my tribute to an old friend).

I still haven't found a good pencil sharpener, either (the new X-Acto one we got is a POS).

So I was glad to learn of Mr. David Rees. This former political cartoonist quit his job to pursue a lifelong dream of being a professional pencil sharpener. I am not joking.

Now, I can't afford $17 for a hand sharpened pencil, but I have to respect someone for finding a career that hadn't existed before him.

Here's his site. Check it out. Even if you don't buy a pencil, it's worth the entertainment.

(Disclaimer- I don't know Mr. Rees at all, nor was I paid to put this up. But I do like his idea.)

Using the Jedi Mind Trick

Dr. Grumpy: "When did your headaches start?"

Daughter: "6 months after the car accident."

Mrs. Mother: "NO! You mean they started immediately after the car accident!"

Daughter: "I mean they started immediately after the car accident."

Wednesday, December 8, 2010


Mr. Mesial: "I had another seizure on Sunday morning."

Dr. Grumpy: "What happened?"

Mr. Mesial: "One of my buddies had a bachelor party on Saturday, and I stayed up late and forgot to take my medication."

Dr. Grumpy: "It sounds like that's the cause."

Mr. Mesial: "Um, actually no. I think it's punishment."

Dr. Grumpy: "Punishment?"

Mr. Mesial: "Well, when I was in church later on I realized it was because I had impure thoughts about the stripper we'd hired."

Near death experience

"I was dying... And then, suddenly, Elvis was standing over me! And then he ran away! And then he got married!"

Extra! Extra! Read all about it!

Jokes aside, this guy did good.

Thank you, Lauren!

More gift ideas

Toilets. We all use them at least a few times a day.

So why not make it more and start drinking out of one?

Yes, now you too can have the same drinking privileges your dog does!

If you enjoy coffee, experiment with adding different amounts of cream, and guess what GI disturbance they could be.

Tuesday, December 7, 2010

Yes, I'm a geek

Dear Starbucks,

Due to the cold spell, I stopped off for some hot caffeine this morning, and noticed you were selling a polar bear cookie.

Technically, I think they're polar bear pi. But that's just me.

The price of $1.25 seemed like a good deal. I figured they'd be $3.14.

Yours truly,

Dr. Grumpy

Attention patients!

I'm sorry you were 30 minutes late for your appointment yesterday, and Mary had to reschedule you.

I try to run on time as best I can. I understand that traffic/weather/building collapses are not under your control, but I can't set my entire day back to accommodate you, either.

So I appreciate you being willing to reschedule to next week.

And I understand you having to stop in the lobby bathroom after your prolonged stop behind a broken truck/burning bus/crashed blimp.


When you come out of the john, and notice Mary is busy with a drug rep, YOU SHOULD not sneak back to my exam room in hopes of being seen. I'm not that ignorant of my schedule. When Mrs. Jones and I walked from my office over to my exam room, and found you sitting in there claiming that Mary had told you to go back and wait for me, you looked pretty damn stupid.

Especially since you thought that I'd somehow be less likely to toss you out if you put on a paper gown.

Take your clothes out to the lobby bathroom, get dressed, and I'll see you next week.

Monday, December 6, 2010

Another day at the office

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

Mr. Cowboy: "My dad was gored by a bull."

Dr. Grumpy: "Anyone have a stroke, or diabetes?"

Mr. Cowboy: "Same bull gored my brother, too."

Dr. Grumpy: "I hope you stay away from him."

Mr. Cowboy: "I ate him."

December 6, 1917

It was World War I.

Gigantic convoys of ships carrying weapons, food, and troops went constantly to Europe, bringing supplies to the Allies. They left from several major Canadian and American ports.

On this day one of them went horribly wrong. And outside of where it happened, it's mostly forgotten.

A large convoy was gathering in Halifax harbor for the trans-Atlantic journey. One ship was a freighter heavily loaded with explosives, the S.S. Mont-Blanc.

At 8:40 that morning, due to a series of mutual errors, she collided with the freighter S.S. Imo.

The Mont-Blanc immediately caught fire. Her crew tried to put it out, but due to its rapid spread were unable to. Scuttling attempts were unsuccessful, and the crew were forced to abandon ship. Someone rang a fire alarm, and several firefighting teams quickly responded to the docks. But with the ship in the harbor, there was little they could to but watch it burn. None of them knew about its cargo.

At 9:04 a.m. the disaster happened.

The ammunition cargo on the Mont-Blanc exploded with the force of 3 kilotons of TNT (roughly 1/5 the strength of the Hiroshima atomic bomb). To this day it remains the largest accidental explosion in human history. Windows were shattered 10 miles away. Objects fell from shelves 80 miles away. The explosion was heard over 200 miles away.

A mushroom cloud and fireball rose over a mile into the air, and a tsunami wave of water, 60 feet high, was sent surging into Halifax. The steamship Imo was picked up and thrown ashore like a toy. Many people (including the firemen) who'd gathered ashore to watch, or were trying to get to the Mont-Blanc to help, simply vanished.

Fire spread through the city. Since it was winter, many homes had furnaces and heating stoves alight, and the shock wave blew them over, spreading heating oil and coal on the ground. Red hot shards of the ship's metal rained everywhere in the city, starting fires in buildings not directly affected by the explosion. A half-ton section of the Mont-Blanc's anchor was thrown over 2 miles into the city, and is now part of a monument. To this day St. Paul's Church has a piece of wreckage embedded in the building.

The city within 1 mile of the entire explosion (326 acres) was utterly destroyed. Buildings, docks, warehouses, homes, and people- all gone in a few seconds. Large fires swept quickly through many city blocks, fueled by winter stores of coal and heating oil. An inferno grew quickly.

Many of Halifax's rescue workers were injured or killed by the explosion, and so the city's ability to react was already impaired. Firefighters from nearby communities came to help- only to find that fire hose and nozzle sizes weren't standardized, and they couldn't connect to the Halifax hydrants. In spite of this, they and surviving local crews worked valiantly to put out the fires, and began rescue efforts of the many trapped under collapsed buildings.

But it was a northern Winter, and darkness came early, along with bitter cold. Rescue workers struggled through the night, chasing voices and moving frozen debris by hand.

The dawn brought light- and a heavy snowstorm. It became the largest blizzard of that decade, dropping 16 inches of snow on Halifax in a few hours. It put out the last of the fires, but also impaired efforts to reach those who were trapped. Many survivors stuck under debris died from exposure while awaiting rescue.

This view overlooking Halifax harbor was taken after the snowstorm. This had previously been a busy neighborhood and business district. Click to enlarge.

All told, roughly 2,000 people died- 600 of them under 15 years of age. Another 6,000 were seriously injured, with 9,000 total wounded. 31,000 more were either homeless or had only minimal shelter. Many of the wounded were blinded by flying glass, and care for them eventually led to new treatments for eye trauma.

Although there were many heroes that awful day, one man stands out. His name was Vince Coleman, and he was a railway dispatcher ashore. When he learned of the burning ammunition ship, he realized that a loaded passenger train was on it's way to the waterfront depot, and would be there in a few minutes. Instead of saving himself, he ran to the telegraph key and quickly tapped out "Stop trains. Munitions ship on fire. Approaching Pier 6. Goodbye." He was killed a few seconds later in the explosion, and is credited with saving at least 300 lives.

Local hospitals overflowed with the dying and wounded, and anyone with medical training was pressed into work. The overtaxed Canadians were assisted by medical crews from American and British warships that had gathered for the convoy. An old ocean liner was turned into a hospital ship overnight. Other medical responders arrived, sent from all over Nova Scotia to assist.

Word of the disaster reached America in a few hours, and the state of Massachusetts rapidly organized a relief effort. All available trains in Boston were frantically loaded with food, medical supplies, shelter materials, and volunteer rescuers and medical personnel. The first train left Boston the night of the explosion, chugging through the same blizzard that was impairing relief efforts, and arriving roughly 30 hours later. It was followed by many other trains from all over Eastern Canada and America. The supplies and workers they brought are credited with keeping the death toll from going higher.

It's been 93 years since the tragedy, and the American assistance hasn't been forgotten. To this day Nova Scotia annually chooses it's finest Christmas tree and sends it as a gift to the city of Boston. This is the tree that stands in Boston Common every holiday season, remembering assistance in a time of need.

Sunday, December 5, 2010

Sunday morning

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

Mr. Insulin: "Hi, I'm a diabetic, and my blood sugar has been out-of-control today."

Dr. Grumpy: "I'm your neurologist. Why don't you call your internist?"

Mr. Insulin: "His number is out in my car, and it's too cold to go out and get it."

When I see...

I seen a peanut stand
Heard a rubber band
I seen a needle that winked its eye
But I be done seen 'bout everything
When I see a elephant fly

I seen a front porch swing
Heard a diamond ring
I seen a polka-dot railroad tie
But I be done seen 'bout everything
When I see a elephant fly

I saw a clothes horse, rear up and buck
And they tell me that a man once made a vegetable truck
(I didn't see that, I only heard
But just to be sociable, I'll take your word)

I heard a fireside chat, I saw a baseball bat
And I just laughed till I thought I'd die
But I be done seen 'bout everything
When I see a elephant fly

Happy birthday, Walt Disney!

Saturday, December 4, 2010

More gift ideas

It's been another great Christmakuh party. The fireplace is going, you and your loved ones are relaxing after a great meal, there's a game on TV.

What better way to spend time with friends than to throw feces at each other?

Of course, real feces are messy and unsanitary. So those of you who enjoy this popular sport now have another option.

(click to enlarge)

Yes, with Doody-Head you can now throw artificial stool at each other, without having to worry about messy clean up, unpleasant smells, or health code violations. Order yours today!

Friday, December 3, 2010

Friday Afternoon at the Fights

Dr. Grumpy: "Any new issues?"

Mr. Patient: "Nope. I'm doing fine."

Lady Patient: "The hell you are!"

Mr. Patient: "Fine. Then you talk to the doctor."

Lady Patient: "Your driving is terrible!"

Mr. Patient: "My driving is fine."

Lady Patient: "Doctor, he drives too slowly."

Mr. Patient: "At least I know how to drive!"

Lady Patient: "What's that supposed to mean?"

Mr. Patient: "You can take it however you want."

Lady Patient: "I'm not the patient here!"

Mr. Patient: "Maybe you should be."

Not helpful

Mr. Corpuscle: "I had some blood tests at the lab last week."

Dr. Grumpy: "Do you know what they showed?"

Mr. Corpuscle: "They haven't called me. It looked red, though."

More Medical Research

War zone.

The phrase immediately brings to mind explosions in the background. Shell holes. Cries of the dying and wounded. The sound of gunfire, off in the distance (I'm getting used to it now).

Definitely not the kind of place where you'd go for a good night sleep.

At least, that's what I think. I mean, given a choice between a war zone and my bedroom here in quiet Grumpyville, I think I'd sleep better here. In a scientific poll (okay, I asked my kids) 100% of respondents agreed you'd likely sleep better at home than in an active military operations area.

Of course, someone had to prove this.

So, in a study involving over 41,000 soldiers, they compared sleeping habits at home to sleeping habits in war zones in Iraq and Afghanistan.

They found that soldiers in war zones don't sleep as well as those at home.

In a breakdown of groups, soldiers who'd been directly involved in recent combat situations had more trouble sleeping than non-combatants.

Here's the complete story.

Thank you, NLK!

Thursday, December 2, 2010

There goes my office overhead

We generally take the sun for granted. It rises and sets pretty reliably, and is a relatively ordinary star.

But let's face it: We're here because it's there. If it were to burn out tomorrow, AND we had the capacity to use all wood, oil, nuclear fuel, etc. (including what's still underground) we could keep the planet warm enough to support life for maybe 72 hours. Maybe.

But it's always been free. Until now.

Ms. Angeles Duran, of Spain, has registered herself as the owner of the sun. Really.

She claims that while international treaties forbid nations from owning stellar objects, individuals may do so. So she went to a local notary and registered herself as the sole (sol?) owner of a very large furnace, currently located 93,000,000 miles from her.

She says she's going to start charging the rest of us for using her property.

Here's the story.

Thank you, Kayden.

More gift ideas

You've overdone it at the luau. You had WAY too much pineapple, roast pork, poi, rum, and cheap beer.

And the pork was sitting out far too long when you went back for thirds, and now you've got salmonella. With serious gastrointestinal disturbances of the type not portrayed on dinner plates.

So what should you use while spending a few hours in the bathroom? Not just any old toilet paper, but Luau TP!

Yes, for only $2.99/roll you can have festive luau-themed toilet paper to remind you why you're in this situation in the first place.

Wednesday, December 1, 2010

Good thing they didn't steal cucumbers

4 pairs of boots, 3 pairs of jeans, 1 wallet, several gloves.

Sounds like a decent amount of stuff, huh?

Believe it or not, 2 women who were shoplifting actually stole all that by hiding it in the fat folds of their breasts, bellies, and armpits!

Here's the story.

Thank you, Amanda & Carol, for sending this in.

Great office moments

Dr. Pissy: "You going to pick up your kids?"

Dr. Grumpy: "Yeah, I have to stop at the deli first."

Dr. Pissy: "Why?"

Dr. Grumpy: "It's the first night of Hanukkah, I need to pick up potato pancakes for dinner."

Dr. Pissy: "That sounds good. You bringing any in tomorrow for us?"

Dr. Grumpy: "No."

Dr. Pissy: "That's not very christian of you."

Air traffic control

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

Mrs. Compass: "Yeah, I have an appointment there at 9:00, and I don't see your name on the directory."

Mary: "What building are you in?"

Mrs. Compass: "Medical #5."

Mary: "Okay, we're in Medical #1, on the 6th floor. If you go out to the parking lot and face east, it's the big white building."

Mrs. Compass: "Okay, I'm on my way." (click)

(3 minutes later)

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

Mrs. Compass: "Yeah, I can't find your building."

Mary: "Where are you now?"

Mrs. Compass: "In the parking lot, facing west."

Mary: "We're behind you. Turn around. It's the big white building."

Mrs. Compass: "Oh! I see you! On the way." (click)

(3 minutes later)

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

Mrs. Compass: "Um, I think I got turned around and lost in the parking lot."

Mary: (sigh) "Okay, where are you?"

Mrs. Compass: "Facing your building. It's the reddish colored one."

Mary: "No, that's not our building... Hang on..." (walks to window) "What are you wearing?"

Mrs. Compass: "A red sweater, and a black baseball cap."

Mary: "Can you wave your arms and jump up or down or something... Okay! I see you. Turn to your left. No, I mean your other left. Yes. Now do you see the big white building?"

Mrs. Compass: "Oh! It's right in front of me!"

(at this point Dr. Pissy, the rest of the staff, and I were all standing at the window, in hysterics, while Mary tried not to lose her composure)

Mary: "Great! Just walk straight toward us!"

(Lady in red sweater and baseball cap walks about 10 feet toward us, then turns around and goes back the other way)

Mary: "Stop! Turn around!"

Mrs. Compass: "I thought you said I had to go east?"

Mary: "Yes, but now you're going west."

Mrs. Compass: "Are you sure?"

Mary: "Promise. Just turn around and walk toward the white building."

A few minutes later her flight landed successfully at my office. As she was filling out the paperwork, she said "You know, I started out in this building, too, and noticed your name on the directory. But I was sure you were in building #5, so I figured it was another Dr. Grumpy, and left."

The First Night

The official Grumpy family Christmakuh tree is up, and I want to wish my Jewish readers a very happy Hanukkah!

Last January, trying to get some deals on leftovers, Mrs. Grumpy and I hit a Mikasa outlet store after the holidays.

Mrs. Grumpy: "Do you have any Hanukkah stuff?"

Clerk: "No, we only carry Mikasa."
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