Thank you, Kim!
Wednesday, June 11, 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.
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2014
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June
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- Sunday night, 11:23 p.m.
- Random weekend pictures
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- Ma-Ma-Ma Bell
- Decimal points. Use 'em.
- Stop!... Shovel time!
- Rorschach
- June 6, 1944
- Medicine by committee
- Great deals on prions! This week only!
- Methinks I smell a rat
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June
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16 comments:
My ex was half way through her family practice residency before she discovered that one of the MA's had been documenting infant weights incorrectly during clinic visits. The scale read in pounds and ounces but the dimwit MA was documenting pounds and decimal pounds in the chart. She never figured out how many kids they hospitalized for failure to thrive because of this blunder.
If the patient weighs 1,210 pounds, they should have used a large BP cuff.
Are we still talking about yesterday's horse? Can't figure out how to 'sit' a horse for a BP, though.
I am surprised they used pounds and ounces for infants. Wheen my son was in the NICU everything was grams and I had to translate to lbs for friends and family.
That was 9 years ago. My 2lb 2oz preemie is now a tall, bright, healthy 3rd grader :-) NICU nurses are the best.
You don't sit a horse for BP. You put the cuff around the tail. Tail is also preferred for cats and dogs.
Nickname : Jabba
Time to back off of the donuts.
Huh? Pounds.decimals vs pounds.ounces can't produce a difference of more than 6 ounces, is that enough to put a baby in the hospital for failure to thrive??
As for this one--can 1210#, 5'5" even sit?
Let a pharmacist correct you. If the patient weighed 121 lbs they should not by JCAHO standards use trailing zeros with decimal points it should be 121 lbs not 121.0 ,lol ,in good jest ,in good jest
Yep 1210 connotes a person of size. The 121 not so much.
Excellent vitals for a horse.
The scary thing is that a poor EHR might ignorantly calculate a dosage from such a weight. You might THINK a human would realize when they mix and administer Cisplatin at 10x the standard dose, but not always; I have seen it. The doctor missed a decimal and it got past two pharmacists and the onc nurses two days in a row before anyone realized (how?!). The patient was flown to a nearby hospital for plasmapheresis. Thankfully, he lived. Can't blame them for suing. The doctor was absolutely sick with guilt though.. it was hard to watch, but surely harder for the patient and family. I hope he recovered without disability.. he was young and had a very treatable cancer.
CHECK YOUR DECIMALS ALWAYS!
Actually that pulse would be high for an adult horse, bp mostly normal though.
Metrics. Metrics. Besides 550 kg just 'sounds' better than half a ton (or whatever 1,210 pounds is).
BMI of 201 sadly I've seen higher, but usually when the height is 5.5"
Yeah, my first thought upon getting this prescription would be "are we making something for a horse? or the zoo?" I've heard of people getting to 500 or 600 pounds, but half a ton?
And yeah, pharmacists (and us techs) hate trailing zeros, or people who don't put a zero in front of the decimal point. It's way to easy to make the mistake of .50 mg into 50 mg and very quickly land someone in the hospital or morgue, and lose your license along the way.
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