Thursday, June 3, 2010

Attention patients, drug reps, and planet Earth!

Mary is trying to quit smoking.

Therefore, DO NOT, under any circumstances, give her attitude.

If you do, we at Grumpy Neurology, P.C., cannot be held responsible for anything she may do to you. And believe me, you don't want to find out.

Any attempts to give Mary attitude are at your own risk. So don't say I didn't warn you.

Wednesday afternoon front desk insanity

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

Mrs. Nutz: 'Yes, I need to make a new-patient appointment."

Mary: "Okay, we can see you tomorrow morning, at 11:00."

Mrs. Nutz: "I'm having a lot of leg pain. Can your doctor find out what's wrong, and fix it?"

Mary: "Well, he'll do his best, I mean, he'll need to evaluate you and..."

Mrs. Nutz: 'I'm leaving on a vacation this Sunday, and I need this problem fixed by then. Otherwise it will ruin my trip. Is he going to be able to do that?"

Mary: "Well, like I said, he hasn't even seen you yet, so it's hard to..."

Mrs. Nutz: "Well I need it fixed. This is ridiculous."

Mary: "Okay, how about I get you scheduled? What's your insurance?"

Mrs. Nutz: "I have a very high deductible, so I'll be paying all of this out of pocket. How much is it?"

Mary: "Well the appointment is $300, but if you need tests done it..."

Mrs Nutz: "$300!!! That's insane! Okay, I'll bite. But I will only pay it if your doctor can guarantee, in writing, that I will be figured out and completely fixed before I leave on my trip. Otherwise I want my money back."

Mary: "We can't do that. I won't schedule you under such a condition. I don't know any doctor who will see you like that."

Mrs. Nutz: "Doesn't anyone want to help patients anymore? Whatever happened to that damn oath they take?" (Hangs up).

Wednesday, June 2, 2010

Not helpful

Dr. Grumpy: "Are you allergic to any medications?"

Ms. Vague: "Yes, several."

Dr. Grumpy: "What are their names?"

Ms. Vague : "I don't know. Can't you get the list from my last doctor?"

Dr. Grumpy: "Okay, we'll have you fill out a release... What's that doctor's name?"

Ms. Vague: "I have no idea. It was a man. I think I saw him when I lived in Missouri. Does that help?"

You can't afford to be sick!

I hate these ads.

You've seen them. They're in newspapers and regional magazines across the country. Some smiling mom and her cute kid. It's an ad for some local clinic, always with a tagline like "You can't afford to be sick!" or "You don't have time to be sick!".

And they list things they treat, like headache, sore throat, ankle sprain, runny nose, and skinned knee (who the hell goes to the doctor for a skinned knee?). They make no mention of heart attack. Or accidental amputation. Or arrow through the head.

It's so comically misleading. As if there's something abnormal about being sick. Face it. The germs outnumber us. Being sick is part of the price of doing business of Earth. We all catch the crud here and there. And we all trip and fall, spraining this and scraping that.

These ads give the impression that it's horribly abnormal to catch some mild illness or suffer a minor injury. Better yet, they make it sound like they can magically fix you, like they're going to wave a wand, and the germs will suddenly vanish or you'll grow new skin immediately.

All they do is give you Sudafed and/or Tylenol and/or a band-aid, (which you could have bought yourself) and bill your insurance.

What really peeves me is that this enforces a cultural dependency on medical care. Yes, I'm a doctor. Medical care is how I earn a living. And there are certainly MANY conditions where you absolutely, positively, should see a medical professional. And I know sometimes it's hard to know what's what.

But did your Mom send you to the doctor for every little thing? (I know, some Moms did) Probably not. She sent you to bed, gave you some Tylenol, and told the school you were out. Or she gave you Tylenol and sent you to school.

And I'm willing to bet you felt a hell of a lot sicker at some point in college, after toga night at McBarfy's house of cheap beer. And you didn't see a doctor for that, either.

We have a lot of treatments in medicine. But the majority of things you get in your everyday life will get better with or without a doctor.

"The art of medicine consists of amusing the patient while nature cures the disease."

Voltaire wrote that around 250 years ago. And, for the most part, I won't argue with him.

Tuesday, June 1, 2010

So you are

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

Mr. Huh: "I don't know. I'm an only child."

Monday night, 9:27 p.m.

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

Mrs. Cabinet: "Yes, I'm one of your patients, but I'm calling about my husband. He was putting cole slaw away after our Memorial Day barbecue, and he bumped his head on a cabinet."

Dr. Grumpy: "Did he get knocked out? Or is he sleepy? Or weak anywhere?"

Mrs. Cabinet: "No, but he has this big lumpy bruise on forehead. I want an MRI on him, immediately. We can do it tonight. Just tell me where to go."

Dr. Grumpy: "Well, I really can't order that on him. I mean, he's not my patient, and I can't set up tests after office hours. The best I can suggest is that you take him to an ER, and let them assess him, and see if they feel he needs further testing."

Mrs. Cabinet: "I don't want to take him to an ER. He only bumped his head. Going there would be overkill."

Monday, May 31, 2010

Memorial Day, 2010

The lawyer from South Dakota

On memorial day, veterans graves across the country are honored with wreaths and flags. But some veterans have no graves to honor, and can only be remembered.



Lieutenant Commander John C. Waldron, U.S.N.


He & his men changed the course of World War II in the Pacific, and didn't live to know it.

He was a lawyer, born in Fort Pierre, South Dakota. His father was descended from English settlers, his mother was a Sioux Indian.

He was married, with 2 daughters.

He was admitted to the state bar in South Dakota, but rather then going into practice decided to join the U.S. Navy. He was chosen to be a pilot, in the new field of naval aviation.

He trained to fly torpedo planes (no longer in use). Their goal was to fly close enough to an enemy ship to drop a torpedo into the water, then get away as fast as possible. This was a difficult job. It required the planes to fly in a low, straight line as they approached the enemy, making them easy targets for enemy fighters and anti-aircraft.

Waldron was a good pilot. He was chosen to teach at Annapolis, and later Pensacola. He flew planes off 1 battleship and 3 carriers.

He and his wife held parties for other pilots at their Norfolk home. He was very proud of his little girls. Some pilots remembered being taken to his daughters' darkened bedroom and asked "Did you guys ever see such pretty little girls?"

With war looming in the Summer of 1941, Waldron and his men were assigned to the aircraft carrier U.S.S. Hornet, in the Pacific theater.

He was determined. He once told his pilots that "if we run out of gas, we'll piss in the tanks." He wasn't looking for glory, or to become a martyr, or a hero. He was just doing his job.

On the morning of June 4, the Hornet was somewhere off Midway island, placed there to defend against the massive Japanese force sent to capture the Pacific base.

Waldron likely had few illusions about his chances. Although his men were well-trained, their "Devastator" torpedo bombers were already obsolete. The new "Avenger" planes were much better, but only beginning to roll out of the factories. And with the enemy coming, they had to make do with what they had. Before the battle he called his men together and said "If there is only one plane left to make a final run in, I want that man to go in and get a hit."

The Japanese "Zero" fighter was a lethal weapon. Though poorly protected, it was quicker and more maneuverable than it's American counterparts. And it was flown by some of the best pilots in the world.

On the morning of June 4, 1942, Waldron led Torpedo Squadron 8 off the Hornet. He had orders to search for the Japanese in a specific area, but had a hunch (he called it his "Sioux intuition") that the heading he'd been told to follow was wrong. He disobeyed orders, and it turned out his intuition was correct.

Waldron led his 15 planes straight to the enemy fleet. Forced to fly straight & low to aim their torpedoes, they were sitting ducks as the Zeroes swooped down and destroyed them one by one. Out of 30 men, there was only one survivor, Lt. George Gay. He saw Waldron stand up in his plane as it burst into flames, just before his own plane was shot out from under him. They didn't get a single hit.



The 15 pilots of Torpedo Squadron 8, photographed in May, 1942. Waldron is standing, 3rd from left. Lt. George Gay, (circled, 1st row) is the only man in the picture who survived.

In a few minutes all the planes of Torpedo Squadron 8 had vanished beneath the Pacific, leaving only Lieutenant Gay hiding from the Zeros under his flotation device. It was a disaster for the Americans.

But unbeknownst to all but Lt. Gay, they changed the course of the Pacific war.

The deadly Zeroes were now at sea level, on the prowl for more torpedo planes. But the next American wave, this time of dive bombers, was high above. They might have been easy targets, too. But as they came down the Zeroes were no longer in a position to defend their fleet, and couldn't gain altitude in time to stop the bombers. Between 10:20 and 10:25 a.m that morning the Japanese lost 3 of their 4 aircraft carriers to the bombers. The last carrier followed them a few hours later.

The loss of the four carriers, with their planes, pilots, and crews, was a blow the Japanese navy never recovered from. The war went on for 3 more years, but the tide was turned by the sacrifice of a group of men, led by a 41-year old lawyer from South Dakota.

A
ll my readers, no matter what country they're in, owe their freedom to soldiers in all military branches. So remember them today.


The fallen from Torpedo Squadron 8. Their only grave marker is the blue Pacific water.

Lt. Commander John C. Waldron
Lt. Raymond A. Moore
Lt. James C. Owens, Jr.
Lt.(jg) George M. Campbell
Lt.(jg) John P. Gray
Lt.(jg) Jeff D. Woodson
Ens.William W. Abercrombie
Ens. William W. Creamer
Ens. Harold J. Ellison
Ens. William R. Evans
Ens. Henry R. Kenyun
Ens. Ulvert M. Moore
Ens. Grant W. Teats
Robert B. Miles, Aviation Pilot 1c
Horace F. Dobbs, Chief Radioman
Amelio Maffei, Radioman 1
Tom H. Pettry, Radioman 1
Otway D. Creasy, Jr. Radioman 2
Ross H. Bibb, Jr., Radioman 2
Darwin L. Clark, Radioman 2
Ronald J. Fisher, Radioman 2
Hollis Martin, Radioman 2
Bernerd P. Phelps Radioman 2
Aswell L. Picou, Seaman 2
Francis S. Polston, Seaman 2
Max A. Calkins, Radioman 3
George A. Field, Radioman 3
Robert K. Huntington Radioman 3
William F. Sawhill, Radioman 3

Saturday, May 29, 2010

Insurance premiums at work

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

Mr. Shakes: "Yeah, I see you for epilepsy, and I missed my medication this morning, and I just had a seizure."

Dr. Grumpy: "Okay, have you taken another dose?"

Mr. Shakes: "Yeah."

Dr. Grumpy: "Good. So are you doing okay now?"

Mr. Shakes: "Yeah, I'm fine. I feel good. I'm going to go over to ER after the game."

Dr. Grumpy: "Why? It sounds like you don't need to. Are you back to normal?"

Mr. Shakes: 'Absolutely. But I wanna go get checked out."

Dr. Grumpy: "Okay, but..."

Mr. Shakes: "I'M GOING TO ER, DAMN IT!"

(hangs up)

May 29, 1914




If you read the popular stuff, you'd think there were only 3 major shipwrecks of the 20th century: Titanic, Lusitania, and Andrea Doria. Obviously, there are many more, even if you exclude 2 worldwide conflicts in the last 100 years. The worst peacetime shipwreck in history, the Dona Paz (Philippines), took 4,375 lives as recently as 1987. And I bet you've never heard of it.

Trans-Atlantic crossings have always been critical to both sides of the Atlantic (look at the chaos caused by the recent Icelandic volcanic eruption). Although the giant liners of Cunard and White Star are best remembered, they were by no means alone. Ships were constantly coming and going, carrying passengers and freight, both ways across The Pond.

Although less glamorous than the liners that sailed in & out of New York, there were many busy ships that called on the Canadian ports. One was the Empress of Ireland, which in 1914 was serving the Quebec City to Liverpool route.

Early this morning, 96 years ago, the Empress was outbound from Canada. She was heading northeast on the St. Lawrence River. It was 2:00 a.m., and most of the passengers were sleeping.

In a thick fog, the Norwegian coal-carrier Storstad struck the Empress on the starboard side. The damage was extensive. There was only limited time to sound an alarm, and electricity failed quickly, plunging the ship into darkness. The Empress was gone in 14 minutes.

The survivors were picked up by the few lifeboats that had been launched, and were carried back and forth to the Storstad, which had stayed afloat. Captain Henry Kendall, who was thrown into the water as the ship rolled over, supervised the rescue efforts and likely saved many lives by organizing the lifeboats.

All together the Empress took 1,024 people with her. It remains the deadliest maritime disaster in Canadian history. In spite of this, the ship is mostly forgotten today. The St. Lawrence Seaway is a very busy channel. Hundreds of ships steam over the Empress every day, very few knowing of the tragedy beneath them.

The Salvation Army remembers. A large contingent of members (167) were lost on the ship, traveling to a conference in London. There is a monument to them at Mount Pleasant Cemetery, in Toronto.

The Empress of Ireland is in 130 feet of water, well within the range of scuba equipment, but the currents and poor visibility limit diving

Friday, May 28, 2010

Idiots on vacation

Dr. Grumpy: "How was your trip to South America?"

Mrs. Insensitive Tourist: "It was fine. But Chile was a dump. That earthquake was what, a month or two ago? You'd think they could have the place cleaned up and fixed by now."

Math fail

I'm doing an online medical research survey this morning. It began with this message:

"The study consists of 3 sections, each of which is 15 minutes in length. The study will therefore take 1 hour to complete."

Thursday, May 27, 2010

Dear BCBS insurance company,

Thank you for tying up my fax machine by sending me 27 consecutive copies of this page, with ABSOLUTELY NO OTHER RELEVANT INFORMATION WHATSOEVER!!!

(click to enlarge)




I'm just SO glad to know that my premiums, and our dwindling natural resources, are being put to such good use by you guys.

Thank you.

More priorities

Dr. Grumpy: "So how did this all start?"

Mrs. Trayler: "Well, on Sunday, I was doing some cleaning, and suddenly I couldn't move my right arm, and my daughter said my speech was slurred. So we went to Local Hospital."

Dr. Grumpy: "Hang on..." (logs into the Local Hospital records) "That's weird, the hospital has no record of you being treated there. Are you sure you went to this hospital?"

Mrs. Trayler: "Yeah, but I didn't stay. The lobby was full, and I was worried I'd have to wait, so I left."

Dr. Grumpy: "You left the hospital with a stroke?!!!"

Mrs. Trayler: "I had to. I mean, the NASCAR race was gonna start."

Department of Redundant Radiology Department

This report crossed my desk yesterday.

(click to enlarge)

 
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