Legal adults

Craig: "What's that?"

Marie: "It's a box of mini-quiches Dad got from Costco. I'm making some for breakfast."

Craig: "Is there more than one kind?"

Marie: "Uh, it says some are spinach and cheese, and some are bacon and cheese."

Craig: "Can you make extras and I'll have some?"

Marie: "Sure."

Craig: "What kind do you want?"

Marie: "I'll just make the whole tray, and I'll eat whatever ones you don't want."

 

Fifteen minutes later

Marie: "Hey, how came all the bacon ones are gone?"

Craig: "I ate them."

Marie: "WHY DIDN'T YOU SAVE SOME FOR ME?"

Craig: "You said I should eat whatever ones I wanted, and you'd eat the rest."

Marie: "So you only left me spinach ones?"

Craig: "I hate spinach."

Marie: "You still should have saved me some bacon!"

Craig: "That's not what you said!"

Marie: "But they're my favorite, you dickhead!"

Dr. Grumpy: "Uh, I have to go to Costco today, I'll just get another box."

Marie: "And I get all the bacon ones."

Craig: "I'm not visiting your island in Animal Crossing if you're going to be this way."

Memories

It's been about 9 years since BlackDog died, so here's the whole story.

She'd been in declining health for some time. Not visibly suffering, but obviously going downhill bit by bit.

Toward the end she'd gotten increasingly lethargic, and at work one day I suddenly realized she'd died at home just then (don't ask me how I knew, I just did).

So I went home before the kids got there, and sure enough she was gone. She was in her usual sleeping place by the couch, looking pretty peaceful. I got a stethoscope out of my hospital bag to check (I'm a neurologist, so it was the first time in years I'd actually used one).

Obviously, getting rid of a decent-sized (60 lbs) dog isn't something easy to do. She was too big to quickly dig a hole for, I wasn't going to toss my longtime friend in a dumpster, and other things just didn't seem like a good idea:

So I carried her out to the car and called our vet to warn them I was bringing in a dead dog.

When I pulled into the lot the office manager was waiting out there for me, to get me in through the back door. She didn't feel, somewhat understandably, that a guy carrying a large dead animal in through a crowded waiting room would be good for business.

So she led me in through the back and had me set BlackDog down in a room while she went to get some paperwork.

At this point Dr. Hypervet wandered by and glanced in the room. Apparently no one had told her that a dead dog was coming in.

She ran in and began yelling "TECH! I NEED A TECH IN HERE! THIS DOG ISN'T BREATHING!"

Some tech ran in. Dr. Hypervet started listening with her stethoscope. I calmly tried to tell her the dog was dead, but every time I opened my mouth she'd "SHUSH!" me, like she was a possessed librarian.

Finally, I yelled "STOP!"

She looked up at me like I'd just climbed out of the air vent.

"Look. She's dead. I brought her in for cremation, that's all."

Dr. Hypervet looked from me to the office manager, who'd just come back.

"SHE IS? Oh, I mean, of course, uh, yes, she is. Why didn't anyone tell me in advance?"

I said "I tried to."

The office manager said: "I did, but you said you were busy."

Dr. Hypervet carefully put her stethoscope back on and firmly said, "Well, I absolutely agree with you," and walked out of the room.

I think even BlackDog was laughing.

Seen in a chart

 

Medical inventions

Several years ago I posted about Local Hospital's bizarre "washing your hands entertainment system," where the soap dispenser has a screen that shows you seemingly random items while you lather up. This is on a par with the TV screen that provides apolitical bubblegum news while you're pumping gas.

Anyway, over time you guys have sent some of your own pics of this "keeping-your-mind-busy-while-getting-an-ATV-rider's-cortex-off-your-hands" distraction, so I thought it was time to share them.

First we have this, which may come in handy if you ever hear yourself saying "I'll take 'marsupials' for $400."

 

Then there's this one, which I'm guessing sent people back to their phone wondering "who?" and looking it up before they rejoined the code-in-progress:

 

Bizarrely, this next one is incorrect. That number is per day, NOT per hour:

 

One can only hope no one was injured when the ICU doc came back from washing his hands, called the respiratory tech over, and said "the hand-washing machine says we're doing this wrong, turn her rate up to 384 breaths per minute." 

 

 

 Here's this one, which gets back to the childhood "whoever smelt it, dealt it" game.

 

 

 

 

Finally, there's this pick-me-up, in case you need a reason to feel grateful after cleaning up an unhelmeted motorcyclist who attempted riding between 2 semis.

 

 

Today's quiz

 This picture is:

 

A. The new ad campaign for Dove "it's 1/4 moisturizing cream" soap.

B. "Phantom of the Opera II- The Return."

C. A really weird update on the milk mustache ad campaign.

D. A public service announcement about casual use of quick lime.

E. An advertisement for an unreleased Alzheimer's treatment still in development.

 

(Yes, it's E. Though I'm not sure that makes any more sense than the others)

Sunday, 3:47 p.m. voicemail

"Hi, this is Mr. Foggy. I need to cancel my appointment with Dr. Grumpy for this week. It's, uh, one of the days this week. Actually, maybe it's next week, or the week after that... I'm sure it's sometime this month. Anyway, can someone please call me back and tell me when my appointment is so I can cancel it?"

It's been such a long time

One of my longstanding patients, Mrs. Laugh, came in this week.
 

Dr. Grumpy: "How are you doing?"

Mrs. Laugh: "Fine. You know, I've been meaning to tell you how great you look for your age!"

Dr. Grumpy: "Thanks. I had no idea that looking great in middle-aged now meant pudgy and balding."

Mrs. Laugh: "Oh, I think you're beyond middle-age!"

Dr. Grumpy: "All right... Where are you going with this?"

Mrs. Laugh: "Well, I was looking up your profile on shittydocratings.com and found this:" (holds up iPhone)

 

Skool Nerse Tyme

This is Mrs. Grumpy.

So many of you have returned to Douglas C. Kenney Elementary School these days. It certainly keeps me busier, as your friends who are taking Zoom classes don't get sent to the nurse for itches, life-threatening pencil pokes, and sundry ailments that just happen to coincide with a math test.

I'd like to thank all the parents who filled out your information cards with such helpful items as "he's allergic to something, don't let him have any," a reminder not to give your child "stuff that might not be organic," and (my favorite) "do NOT allow her to get COVID!!!" Please keep in mind that I'm not the one who voluntarily sent your kid back to what is basically a 95,000 square foot fomite.

I'd also like to make a public service announcement: As you know, me and a handful of teachers have been assigned to screen you little darlings for fevers each morning, pointing that laser scanner at your forehead before you go inside.

It certainly alarmed us when we found large numbers of you were running fevers when you got off the bus. Not just fevers, actually, but temperatures in the 120 degree range. Which are, quite frankly, incompatible with human life.

Fortunately, Maxine, the lady who's been driving school buses since they were pulled by horses, called me onto the bus to see the discarded hand warmers from the camping supply store, which you frauds adorable children had been pressing to your foreheads and passing around.

As always, nice try. Now go to class.

 

Medical news

Journal headline writers apparently are now paid by the word:

Tech

 Logging into the pharmacy prescription portal to do refills this morning, I was greeted by this:

 

 

 

So, being the kind of doctor (I hope) who wants to make sure his patients are getting their medications, I click on the warning. It immediately brought up this helpful box:

 

 

That's all folks. No name, birthday, medication, anything.

Language

I recently didst endorse myself for an online continueth education lecture series, and amongst the linguistic choices there wast thine following:

 

 

 

Verily, I wouldst be most delighted to conduct such endeavor in the tongue of Geoffrey Chaucer, as I still have a copy of The Canterbury Tales from my salad days stored in the dusty lofts of my dwelling.

 

Though, if it would suit Ra and Anubis, I could also attempt to do it in Ancient Egyptian, provided I could find an appropriate app.

Forsooth.

Memories...

 

 

Back in the old days, before every phone had a GPS system and Siri to boss you around, we used an aging GPS gadget we named Bib (for "bitch in the box") that we'd bought secondhand.

Bib at the time was about 7 years old. She had an electrical short in her end of the connection that plugged into the car. For a few months we got her to work by (I swear) licking the leads before plugging them into her. Doing these steps in order was critical, as getting them reversed once caused me to take the charge from the car battery through my tongue. Which hurt.

Anyway, as it worsened, any bump we'd hit would turn her off and then she'd have to reboot, and find satellites, and we'd have to re-enter directions... you get the idea.

Of course, this happened once in a city we were entirely unfamiliar with, and were already having trouble finding our way around.

Bib, however, wasn't going to reboot this time. We pulled into a Target lot, and futzed around. But Bib was gone. Putting water, saliva, Diet Coke, whatever, on the contacts worked for about 10 seconds before she shut down again.

Since we were outside the store I figured I'd go in and see what they had for new GPS systems, when I had an idea.

I bought a small tube of K-Y jelly, and went back. Mrs. Grumpy was laughing hysterically at me, but I put a glop of it on Bib's electrical connection AND IT WORKED. Bib got us back to the hotel, and worked fine for the rest of the trip.

So, for the rest of the time we had her we kept a little tube of K-Y in the GPS gadget's bag, carefully applying some before attaching the cord.

At some point we left Bib, in her bag, with the K-Y, either at a Goodwill or E-waste collection. Someone out there opened the bag and is probably still wondering about it.

Prestige

My regular readers know that I'm not a member of any organizations, nor do I have a particularly high opinion of them.

It was Groucho Marx who said "I don’t care to belong to any club that will have me as a member" and I'll agree with that.

So recently, my reader SMOD (who belongs to the American Academy of Neurology) showed me this survey they sent him:

 

 

To comment on a few:

"Ability to network with other neurology professionals."

This is DEFINITELY not an enticement. If I really wanted to do this I could go to drug-company sponsored dinners or hospital meetings. There's a reason I don't: neurologists are, in general, social freaks. You could write a textbook about all the personality pathology that occurs in this field. We fight over reflex hammers, FFS. You think I want to hang out with other members of this tribe? There's a reason I'm in solo practice.

"Free or reduced rates on AAN products, services, or conferences."

The last time I went to a conference was when my job paid for it, which was 1998. If I'm going to blow a mortgage payment (or two) on plane tickets and hotel rooms, I'd rather have it be something I can do for fun with my family, and not to drag my ass to a darkened conference room to hear about possible breakthroughs using chupacabra urine-derived proteins for the treatment of MS. In 1998 I went to a bunch of those sessions, many standing room only, and I don't think any of the research I heard actually bore fruit in the long run. I'll take a beach chair and umbrella drink, thanks.

As far as AAN products go... at my last meeting (admittedly, this was a long time ago, so maybe you don't do this now) there was a booth selling AAN-themed T-shirts, baseball caps, coffee mugs, and reflex hammers. I'll pass, even with a discount.

"Distinction, prestige, and/or added credibility of being an AAN member."

This is, far and away, my favorite item that you've asked people to rate. I'd be checking the box under "was not aware of." I mean, to me this is like saying you belong to the Gilligan's Island Fan Club for the effect it has on the general public. People either aren't aware there was such a thing or they pity you for being so proud that you belong to it. There are a lot of ways to earn respect, like being a good doctor, citizen, or parent. Giving back to your community. Helping the less fortunate. But hanging a sign in your office that says you're an AAN member is only going to matter to drug reps, who will use the info to cull favor for you to prescribe their latest and greatest.

One could also point out that being an AAN member isn't something that's visibly obvious, like some sort of aura, that makes people take notice so you get a better table or they clear a path as you come through. Perhaps that's why you might purchase an AAN T-shirt or baseball cap, but not sure that's going to help. Out in public people could take it to mean anything, like Anal Aficionados of Nebraska.

"Distinction, prestige, and/or added credibility" in medicine, as in life, are earned by actions, not by paying a $495 annual fee. If you think otherwise, then you probably wouldn't want me as a member, either.

- Thank you, SMOD!

I guess I won't send him a letter.

 Seen on a new patient information form: