Tuesday, November 18, 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
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November
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- Black Friday deals
- Black Friday reruns
- Scrolling through Groupon
- Tuesday afternoon
- Doublespeak
- Sunday morning, 3:48 a.m.
- Home moments
- Sigh
- Crystal ball
- Elevator talk
- Run that by me again
- Lunch with Dr. Pissy
- Weekend reruns
- Land of confusion
- Happy pills
- Mary's Desk
- Veterans Day, 2014
- The nature of medicine
- Question of the week
- I'm just here for the knives
- November, 1932
- Overheard in ER
- Halloween memories - epilogue
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November
(23)
25 comments:
Is this a disability evaluation?
Probably just a crappy EMR(yeah I know that that description is universal) that didn't show for an option of a sensation complaint that isn't pain.
And I thought MY notes were bad.
What is your colleague smoking (and where can I get some)?
But does it hurt?
Well then she obviously needs some pain meds that don't reduce pain. She'll be good as new in no time.
I see a drinking game...
I'm hoping it's one of two possibilities. Either Anonymous at 7:04's explanation, or the patient is an idiot.
"Doctor, it hurts right here."
"When did the pain start?"
"I'm not in pain, it just hurts."
I think I've been reading too much of your blog and Not Always Right if I'm able to come up with that explanation and conversation so quickly.
Post call huh
You'd be surprised how many patients come in complaining of pain in some part of their body, but when I ask them to describe it they say it's not painful. I think we describe any irritating sensation as pain.
Another example of a crappy EMR.
was it accompanied by the disclaimer that any errors were due to the transcription software and not the fault of the author?
patients sometimes report that the doc didn't seem to make sense, or to know what he/she was talking about, or to really listen to what patient was saying...this note supports all three patient reactions!
I'm going with "Thank you, EMR" on this one.
I think The Patient Doc nailed it--it's something other than pain. Either it was misreported or it's software that lacked a proper category.
I think one or the other of the options of lack of places on the documentation or poor patient communication are likely. Or the patient just didn't know how to describe non-pain pressure.
I know how that can be. My left knee (due to a life-long leg-alignment issue) tends to be wonky. I frequently feel pressure in it, but it rarely actually hurts, and that's when I've been walking on it a lot. There's a lot of discomfort, but not much pain. But that can be hard to explain, particularly since my verbal communication skills are much poorer then my writing skills.
I hang out on Not Always Right, too, Denise. I just use my nickname on FB. ;p And I totally understand what you mean. :)
But, what is it on a scale of 1-10 (or is the scale in this case 0-10)?
It does pain me to read this, however.
Her non-pain goes to 11.
"or the patient is an idiot"?
nice attitude
Alright, how would you classify someone who claims to hurt but also claims to have no pain?
I retract my previous comment asking how you would classify them. Instead, I have a better technique for making someone rethink their original position.
You see how Candida Gomez and other people further down in the comments explained that it might be because "pain," while not necessarily accurate, is the only word they can come up with to describe it?
That gave me new knowledge, and a different way of thinking about it. Now that I'm aware of this new information, I feel bad about my original "idiot" comment.
The only thing a sarcastic "Nice attitude" is going to do is make me defensive and cling to my original position, hence my retracted previous comment.
On the other hand, Shel Silverstein (May he R.I.P.) could've done something with these lyrics.
So is it painful or not?
In our EMR's patient foolishness goes in quotes. This would probably read - Patient complains of "pain" which "does not hurt" and "is not painful". Boom.
Painless pain is the best sort to have.
If this was done by a neurologist, I'd assume the patient reports pain but physical exam actually does not elict pain when jabbed,prodded etc.
Diagnosis would be phantom or referred pain then, hence the neuro eval.
But that's a cocakamine way to write it. I suspect the doctor's feeling no pain himself.
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