Mary's Desk, October 20, 2009

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

Ms. Daughter: "Yeah, I need to make an appointment for my Mom, she has Alzheimer's disease".

Mary: "Okay, what about Wednesday at 2:00?"

Ms. Daughter: "No, I need all day Thursday".

Mary: "All day?"

Ms. Daughter: "Yeah, I mean, it's not really an appointment. I've got to drive to Southern City for a business meeting, and need someone to watch my Mom."

Mary: "Uh, we don't do that."

Ms. Daughter: "Come on. The nursing homes charge a fortune for adult day care. Can't I just leave her there for a few hours and you can bill Medicare for an appointment? I'll be back by 4:00, and I'll supply her lunch and insulin."

Mary: "Ummm..., ma'am, we really aren't an adult day care service or care home."

Ms. Daughter: "You won't do this, either? Great. I've tried almost every damn doctor in the area. What is wrong with you people?! Don't any of you care anymore?"

(hangs up)

Holy Toast, Batman!

Following this morning's Darth Vader toast post, so many of my awesome readers have sent me this link that I'm just going to put it up.

This site shows you how to order parts to convert your own toaster into a Jesus toaster.

Uh, That's, Uh, Great, Thanks.

While doing some advance holiday shopping last night I stumbled upon this remarkable gadget.

(click to enlarge)





I want to know if it comes in a Batman model? What about Superman? Or Jesus?

I Don't Really Want To Know More...

I'm in the hospital stairwell, heading for the 4th floor. From somewhere up the staircase a female voice drifted down.

"Sometimes it's like some kind of yogurt, sometimes randomly like cottage cheese..."

Then a door somewhere upstairs closed, mercifully cutting off the rest of the sentence. I'll just tell myself she was discussing a new dairy product diet.

Getting Even

As you may remember, Mary saw fit to torture her poor, aging, employer a few weeks ago.

One of her jobs (besides playing Farmtown online) is to fax my notes to other physicians' offices. So late this morning she had a bunch of them to send.

Around 11:30 the girls decided to order lunch from Chipotle, and faxed over an order. Mary went to pick it up.

While she was out I fished the fax confirmation sheet from Chipotle out of the trash, along with some of the medical office fax confirms on my patient notes. I doctored them up to make it look like she'd accidentally faxed all the patient notes to Chipotle. I put them on her desk, and went back to my office.

When she found them she was frantic for about a minute. Then she came back here to kill me.

It was SO worth it.

Monday Morning, 12:14 a.m.

My cell rings. It's that most dreaded of all numbers, the Local Hospital ER.

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

Clerk: "Please hold for Dr. Wokemeup."

(pause, bad music)

Dr. Wokemeup: "Hi, Grumpy?"

Dr. Grumpy: "What's up?"

Dr. Wokemeup: "Do you know a patient named Mr. Headbleed?"

Dr. Grumpy: "No, doesn't sound familiar."

Dr. Wokemeup: "I didn't think you would. He's visiting from out of state, and says he doesn't have any local docs. Anyway, it doesn't matter. At the family's request we're transferring him to Major Neurology University Medical Center. Thanks for returning my call."

And he hung up.

Getting Ready for Monday

There are Emergencies, and then there are EMERGENCIES!

From an internist's orders on a 34 year old lady admitted with a stroke (she'll be okay, don't worry):

"1. Brain MRI: Routine.

2. Head and neck MRA: Routine.

3. Echocardiogram: Routine.

4. Bring patient some tampons ASAP!!!"

On Call Follies

Dr. Grumpy (starting to look through a chart): "Why did they consult neurology on this guy?"

Nurse: "He had a seizure this morning. Dr. Stevens came by an hour ago, and thought it was from the antibiotic."

Dr. Grumpy: "Hmmm... Why is he in the hospital in the first place?"

Nurse: "Dr. Stevens? Uh, I think he was making rounds."

Life's a Bitch, and Then You Die

I'm on call this weekend, but am going to bitch about something unrelated.

A friend died last week. Not a close friend, or even someone I'd talked to recently. We did residency together, and practiced in the same city. But as time and geography do, we hadn't been in contact for a while. Not that we ever had a falling out, as much as we had our own lives. Occasionally we ran into each other at various places, and it was always good to see him.

He died of shit luck. That's all. And he was in his early 40's, a year younger than me. When a young person dies we always hope they did drugs. Or committed suicide. Or some risky behavior we can blame it on so we can say, "Geez, I don't do that sort of thing, so it won't happen to me". Not here. Just shit luck that can't really be prevented.

In residency we had all kinds of odd adventures, besides the usual war stories of medical training. Like when our hospital paid for the residents to go to a Neurology Academy meeting in Seattle. A bunch of us played hookie, and used our department stipends to go barhopping. Since we had no money for cabs, we were limited to bars in walking distance from our cheap motel. And they were all gaybars. So we wandered in and out of 10-15 gaybars over the course of the day.

All the geeks in neurology residency (let's face it, that was all of us) would watch Babylon 5 together once a week, and he and I would argue about it for the next week.

When I was trying to decide if I should ask Mrs. Grumpy to marry me, he gave me some advice that helped push me in what's turned out to be the right direction.

And it just sucks. Like me, he busted his ass through a combined 14 years of college, med school, residency, and fellowship. Then building a solo practice from scratch. And now he leaves behind a wife and 4 kids (younger than mine, too).

Anyway, don't mean today to be a downer, and I'm not looking for sympathy. Just venting.

But since this is a humor blog, I'll end it with a memory of him.

He was known for being gruff, and didn't really give a shit about what people thought of him or who he offended.

There was a day in the late 90's, when a drug rep had brought lunch to the practice we'd both started out in. She was obnoxious beyond belief. She would not shut up. And at the end of each sentence she'd ask "With this information, is there anything else I can do to help improve your patient care?"

We were trapped. And being new physicians, I was afraid that if we walked out we'd get in trouble, as her company was sponsoring some research at our institution. Gruff wasn't as concerned with this as I was.

So at one point in her sales monologue from hell, I passed him a note that said "We're trapped and will die here". He passed it back, and had written "I'll take care of it".

A second later she asked her standard "With this information, is there anything else I can do to help improve your patient care?"

And Gruff said, "Yeah! Show us your tits!"

She froze in horror, and in that second we both bolted.

We didn't get in trouble. Better yet, we never saw her again, either.

Goodnight, Dr. Gruff.

It's Happened! In My Lifetime! Hallelujah!

Ladies and Gentleman, one of the most horrible, awful, traumatic diseases in history HAS BEEN CURED!

Kapidex is a rehash of Prevacid, a drug used to treat gastric reflux (that's a fancy name for heartburn, huh?)

But Kapidex also treats Non-Erosive Reflux Disease. AKA NERD!!!

(click to enlarge)




There you go! Nerdhood, one of the most socially debilitating diseases known to man, has been CURED!

To give credit where credit is due: this breakthrough wouldn't have been possible without the 1970's efforts of renowned researchers H. Winkler and A. Fonzarelli to bring the condition to widespread public attention.

The data is preliminary, and hopefully more information will be forthcoming. Will the drug cause one to grow a leather jacket? Or make hair follicles part themselves differently? Or alter one's taste in music to something other than "Men Without Hats Greatest Hit?"

And, most importantly, can the drug be dissolved in Diet Coke (uh, not that I'd personally have a reason to want to know that).

(Many thanks to my reader Jason, who sent me the PI for the drug)

Bad Ideas in Currency

A few weeks ago I had a long phone meeting for $275. It was for a market research company, who wanted my opinion on migraine treatments.

So today I received payment from them, with this awesome check;





I was worried the bank teller would hit me over the head 275 times with a hammer. Fortunately, they just credited the money to my account, although the guy began giggling.

From Hawaii, With Love

When the kids were younger, we had a part-time nanny named Syndee. I was anything but fond of her. I don't remember how Mrs. Grumpy found her.

Syndee did a good job with the kids, so I turned a blind eye to her many shortcomings (which could be several posts alone). Her main issue was a remarkable lack of IQ and common sense. It was not uncommon to realize she'd been outsmarted by Snowball (and he's slow). She occasionally still calls to see if we need a babysitter. Rarely she'll call me for medical questions, as she does not grasp the concept of what being a specialist means. She's also learned (since she knows our home number) that it's easier to reach me then her own doctor.

Last week Syndee got married, and went off to Hawaii for her honeymoon.

This morning, at 12:05 a.m., I was woken by our home phone ringing.

Dr. Grumpy: "Mmmph, hello?"

Syndee: "Hi! Dr. Grumpy! It's me, Syndee!"

Dr. Grumpy: "What the hell?... Syndee do you know what time it is?"

Syndee: "Sure! It's just after dinner! Why, is your clock broken?"

Dr. Grumpy: "No, it's after midnight here."

Syndee: "It is not! I wouldn't call that late!"

Dr. Grumpy: "Syndee, you're in another time zone."

Syndee: "What's a time zone?"

Dr. Grumpy (sigh): "Why did you call Syndee?"

Syndee: "Well, um, In the last few days I've developed a bladder infection and..."

Dr. Grumpy (seeing an opportunity to get even): "What the HELL have you been doing on your honeymoon to get a bladder infection?"

Syndee: "Well, um, my husband and me, um we, um... Can you just call in some antibiotics for me?"

Dr. Grumpy: "Why didn't you call your regular doctor for this?"

Syndee: "Her office was closed, and I didn't want to bother her."

Dr. Grumpy: "Good night, Syndee." (hangs up)

Tricky Case

I just got interrupted for a call from the ER.

68 year old male.

Family noticed he's staggering today, and has slurred speech. They brought him to ER.

Head CT, EKG, all labs normal EXCEPT for a blood alcohol level of 0.277 (which is more than 3 times the legal limit).

AND HIS INTERNIST WANTS ME TO COME ADMIT HIM FOR A STROKE!!!!!!!!!!!!!!!!!!!