(I work as a receptionist and an assistant for an optometrist. Multiple patients are very ignorant about optometry; they say they need to update the “medicine” in their glasses or tell me I shouldn’t set their glasses down a certain way because the “medicine will drain out,” among other similar statements. Some people just don’t understand that it is the way lenses are shaped and that fixes their vision, not an actual medication. But some people top the cake. This patient has insurance.)

Patient: *answering my questions* “Yeah, I do have diabetes, but what does that matter? I’m just getting my eyes checked for glasses!”

Me: “Yes, ma’am, I understand. However, if your sugar levels aren’t stable it can cause a drastic change in your prescription. For that reason, since you have stated you are almost never stable, the doctor may find it in your best interest to check you and have you come back in a couple of weeks, at no extra charge, to make sure the prescription does not fluctuate before finalizing it. This is to ensure you do not purchase lenses that may not work in a few weeks. However, the doctor will discuss this further with you in the exam room to see if this applies to you or not.”

Patient: “You saw my [relative] a few months ago and this wasn’t an issue! You’re just trying to scam me! Her blood sugar is never stable, either!”

Me: “Ma’am, like I stated, it is truly up to the doctor, and you may not have to come back. Also, the followup would not charge you any extra.”

Patient: “Fine. I don’t want to be seen. I’ll go somewhere that knows what they are doing! You just didn’t bother with all of this with [relative] because she was a cash payment!”

Me: “No, ma’am, that is certainly not the case. Each patient is different. In this case, I will guess that the doctor was okay with finalizing her prescription based on the exam, and that just might be your case, as well. I am just informing you of the possible outcomes. Also–“

Patient: *cutting me off* “NO! I DO NOT WANT TO BE SEEN! I NEED MY EXAM. TODAY! NOT IN A FEW WEEKS! I’M DONE WITH THIS AND I’M LEAVING!”

(The patient storms out of the office. The doctor has just finished the exam before her.)

Doctor: “Did you mention that she could possibly get it today, but I’d have to see her first?”

Me: “Yes, sir, but she seems to think we were trying to scam her because her [relative] got hers the same day, and since she’s using insurance, unlike her [relative], we’re trying to get more out of her and take advantage. I remember her [relative]’s name. I’ll pull her chart…”

(A few minutes pass as we’re looking over the relative’s chart.)

Me: “Huh… [Relative] said nothing about being diabetic or unstable with her blood sugar.”

Doctor: “Of freaking course. Did you get a chance to tell her we get paid more from insurance versus cash pay? So really, [Relative] got the better deal?”

Me: “Well, I tried, but she stormed out calling me a scammer and a dumba** before I could.”

(Yeah, our cash price can range from $20-80 LESS than what insurance pays us. It’s fun working in healthcare! I mean, we’re only there to write prescriptions and not check anything else, right? Trust me, your optometrist or ophthalmologist checks A LOT more than just your prescription. Gets your eyes checked, people, even if you don’t need correction. Sometimes health issues pop up with no signs!)

Related:
What A Diabeetus, Part 9
What A Diabeetus, Part 8
What A Diabeetus, Part 7

(I work as a receptionist and an assistant for an optometrist. I am discussing the exam costs with a patient who has no insurance.)

Patient: “What?! Why does an exam cost that much just to get a prescription?”

Me: “Well, ma’am, my doctor also checks the health of your eyes, not just giving a prescription.”

Patient: “That’s just stupid. Eyes are always healthy unless you need to see better!”

(A couple of years ago, I started having really low blood sugar levels. It turned out that I needed surgery but I could not get it right away. To try to help me during the wait, my endocrinologist referred me to a dietician so see if there were some diet changes I could do to reduce the risk of going so low I passed out. I am very allergic to nuts. I go to the dietician and she looks at my list of food that I have eaten for the last three days and asks if I have any allergies, which I tell her about.)

Doctor: “You need to eat a snack in the afternoon that keeps the blood sugar levels up better. A handful of nuts is good.”

Me: “I am allergic to nuts.”

Doctor: “So, as I was saying. You need to eat at least 60g for it to be good for you.”

Me: “Still can’t eat nuts. Allergy…”

Doctor: “But nuts are good for you.”

Me: “They might be good for other people, but I am allergic to nuts. Is there really nothing to replace them with?”

Doctor: “Nuts are good for everybody. They help stabilize the blood sugar.”

Me: “One more time, I am allergic to nuts. I will die if I eat them. I can’t have nuts.”

Doctor: “I don’t know why you came here if you don’t allow me to help you.”

Me: “I want help. I just can’t eat nuts. Are there any other foods that I can have as a snack?”

Doctor: “I recommend at least 60 grams of nuts as a snack.”

Me: “Thanks for your time. I’ll see myself out.”

CONTENT WARNING: This story contains content of a medical nature. It is not intended as medical advice.

In 2013, at the age of 25, I begin to have tonic-clonic seizures. Prior to this, I have never experienced any kind of seizure. As the doctors are trying to understand what’s going on with me, they recommend an MRI to see if there are any physical indications in my brain as to what’s going on. Before the referral is made, the doctor asks if I have any metal in my body and I tell them no, and they note it in my chart. They tell me not to wear any jewelry when I go to have the MRI. 

I go to the MRI clinic and throughout the paperwork process, I am asked several times if I have any metal in my body. I write “no” on all the paperwork and confirm this verbally with the intake person. I then speak with the nurse who takes me back to where the MRI is, and she asks me a couple of times if I have metal in me, as well. I tell her no and that I didn’t wear any jewelry. She writes that down and leaves me to change into clothing with nothing metal in it and to hang out in the room until the tech can come in and prep the machine.

After about five minutes, the tech comes in and begins prepping everything. “Before you lay down, I need to ask if you have any metal in or on your body.”

I am profoundly tired, in a lot of pain from the seizures, and scared I have a brain tumor, and so my coping mechanism kicks in. “Oh, no, just the implant the alien put in me when I was taken up on the mothership,” I say, as brightly as possible.

She looks at me quizzically and I repeat myself, smiling to let her know I’m kidding. She’s silent for a beat and then just sighs and tells me to get on the table. No chill at all.

I understand why they have to ask about metal due to the intense magnetism, but jeez, look at the charts, people! I don’t think I need to answer this question twelve times in the span of 48 hours.

Also, I don’t have a tumor, and my implant didn’t show up in the scan!

(I work at a very busy veterinary hospital, and due to the volume of clients and the fact that we are near a highway, we have a “dogs on leashes, cats in carriers” rule to keep everyone safe. People often carry in small dogs, though, and today a woman sets her puppy down and lets it run around the lobby.)

Coworker: “Hi! I’m sorry, but could you please pick your puppy up? She’s very cute, but sometimes we get dogs in that don’t like other dogs.”

Woman: *scoffs* “I don’t let her run around. She had to pee, and it was either on me or on your floor.”

(Outside in the big grassy areas dividing the parking lot was, apparently, not an option. We get animals that piddle on the floor for a variety of reasons throughout the day, but I don’t think it’s ever been quite THIS intentional.)