Wednesday, April 16, 2014
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Blog Archive
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2014
(261)
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April
(23)
- Hey, it's for a good cause
- Fly me to the moon
- Groundhog Day
- Weekend reruns
- Seen in a hospital chart.
- Striptease
- Monday afternoon
- Think
- Weekend on call
- Sigh
- Holy shit! I'm rich!
- "Ommmmmmmm..."
- This is a good thing
- How ya doin'?
- 1 in 206
- That's some pen
- Dr. Grumpy: dementia magnet
- Great headlines
- Seen in a hospital chart:
- Quote of the day
- Pathology
- Poke into others as you'd have poked into you?
- Why I do what I do
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April
(23)
17 comments:
I would love to read a blog by that doctor.
"Insanity is doing the same thing over and over and expecting different results."
Ha! I've seen something eerily similar happen to a patient in my ER and the 4 courses unfortunately did not produce the "ommmmm" moment :(
But the leathers and visit from the po po did help.
comfortably numb
I'm with the earliest Anonymous -- would love to read a blog by that doc!
I guess that's a fuck-ton of Haldol.
"Nichols and May's 'A Little More Gauze' was what inspired me to go into medicine in the first place."
"And yet he STILL won't shut up about his political views."
then we cold cocked the sucker with a Louisville slugger, so that is why we called the neuro consult.
Got to wonder what the guy was smoking before the unpleasantness.
@ Nurse Lilly: a METRIC fuck-ton. Not that fun-sized baggage
Should have used Haldol, Ativan, baseball bat, then Neuro consult. Would save two doses of Haldol.
Must have been a fun time in the ED that night. Yikes!
SkullCandy
Why waste time in a four year psychiatry residency? Try the haldol mantra. Hasn't that doc heard there are 27 studies showing haldol is neurotoxic
Full moon was on Monday Night.
Next comes the Propfol drip...
I hate purple haloperidol. It's those tardive dyskinesias and the fact that broken teeth and lockjaw is so unpleasant. Dang those ER docs. If Haldol ever invented an aerosol, the shipment would be high-jacked before it would ever reach its destination,though.
The antipsychotic medicine makes people more psychotic in the long term.
It seems paradoxical that drugs that ameliorate acute psychotic symptoms over the short term will increase the likelihood that a person diagnosed with schizophrenia will become chronically ill. But that disturbing fact showed up in the very first outcome studies, and has continued to show up in outcome studies ever since.
"One Year After Discharge: Community Adjustment of Schizophrenic Patients" 1967 NINA R. SCHOOLER; SOLOMON C.GOLDBERG; HELVI BOOTHE; JONATHAN O. COLE . http://ajp.psychiatryonline.org/article.aspx?articleID=150571
"Relapse in Chronic Schizophrenics following Abrupt Withdrawal of Tranquilizing Medication" 1969 ROBERT F.PRIEN,JONATHAN O. COLE and NAOMI F. BELKIN http://bjp.rcpsych.org/content/115/523/679
"Discontinuation of Chemotherapy for Chronic Schizophrenics." 1971 Prien RF, Levine J, Switalski RW. http://www.ncbi.nlm.nih.gov/pubmed/4992967
"Are there schizophrenics for whom drugs may be unnecessary or contraindicated?" 1978 Rappaport M, Hopkins HK, Hall K, Belleza T, Silverman J. http://www.ncbi.nlm.nih.gov/pubmed/352976
"Maintenance antipsychotic therapy: is the cure worse than the disease?" 1976 Gardos G, Cole JO. http://www.ncbi.nlm.nih.gov/pubmed/2021
I ran across a retirement home where thay spiked the OJ with Halperidol.What ever became or prolixin or the " typical" major tranks.? chemical strait jacket with cotton mouth to boot.
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