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Doctors, nurses, and staying healthy

Doesn’t Always Feel Good Getting Stoned

, , , , | Healthy | September 5, 2018

(I’ve been having awful pains for months now. I keep bringing it up to my family doctor, who passes it off as period cramps, as I’m a twenty-something female. I finally talk him into looking into it more, and he says it might be a kidney stone. I get referred to a urologist, all while being told, “I still think it’s period cramps.” I go in for my first visit after taking an x-ray.)

New Doctor: “Okay, so, where is your pain at?”

Me: “It’s mostly on my right side, a little bit higher up.”

(He looks at where I’m pointing, then at some paperwork. He shuffles through it a bit.)

New Doctor: “Okay, yeah. You have a kidney stone. It’s a good-sized one, too. We’re going to get some more images of it to confirm size and position before we talk about how to deal with it. Any questions about that?”

Me: “I… don’t think so. You’re sure it’s a kidney stone?”

New Doctor: “Unless you have a frozen pea in your urinary tract, it’s a stone.”

(I ended up having surgery, and passed it all with no problem. My family doctor never blamed pain on period cramps again.)

The Last Time The Medicine Was A Steal

, , , , | Healthy | September 2, 2018

(I work in a retail pharmacy. One day a patient brings in a prescription for a blood pressure monitor. My coworker is taking prescriptions.)

Coworker: “I’m sorry, ma’am, but we can’t fill this. We sell them over the counter but we can’t bill them to insurance.” *tries to hand it back*

Patient: *upset* “Yes, you can fill them. I had one filled here a few years ago.”

Coworker: “We have never been able to fill blood pressure monitors; our company isn’t authorized to dispense medical equipment.”

Patient: *angry* “Then it must have been before you started here, but I had one filled at this store!”

Coworker: *getting frustrated* “I have worked at this store since it opened eleven years ago, and have been in the pharmacy for seven years, and we have never dispensed blood pressure monitors.”

Patient: “Yes, you have! The first time I brought a prescription in, the pharmacist showed me where they were, handed me one, and I walked out with it!”

Coworker: *shocked* “If you walked out with it, then you just walked out with it.”

Patient: “I am not a thief! I have never stolen anything in my life!” *stomps off*

(She called corporate on my coworker for “calling her a thief,” but we had already sent an email to our district manager detailing the incident, so nothing came of it.)

A Controlled Substance For A Controlling Patient

, , , | Healthy | September 1, 2018

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

Me: “Thank you for calling [Animal Hospital]. This is [My Name]. How can I help you?”

Client: “Hi, I just moved from [State] and need a refill of phenobarbital for my dog.”

(Phenobarbital is used as a seizure medication in dogs, and it is a controlled substance because of its potential for abuse.)

Me: “Okay, we actually can’t get you any medication without examining your dog, but I would be happy to set up an appointment for you. Then we can certainly get your dog some medication. We have a few appointments left today, or we could set something up at a more convenient time.”

Client: “I don’t want an exam; he just needs more of his seizure medication.”

Me: “Ma’am, we can’t prescribe him anything without an exam first.”

Client: “But he’s been on it for years; you can ask my old vet.”

Me: “Unfortunately, one veterinary clinic is not able to act as a pharmacy for a different veterinarian. We cannot give you any medication without examining your dog.”

(At this point my coworkers are starting to listen to my end of the phone call, amused as I repeat myself.)

Client: “But he just needs his medication.”

Me: “I’m sorry, ma’am, but a vet must have a relationship with a patient in order to prescribe any medication. It’s not just a clinic policy; if one of our doctors prescribed you medication without examining your dog she could lose her license.”

Client: “Ugh, how much would an exam cost?”

Me: “$46.”

Client: “I think I’ll call some other places first.”

Me: “Have a great day. Give us a call if you decide to come in for an exam.”

(I hang up the phone.)

Me: *to my watching coworkers* “She can call around all she wants, but she’s not going to find a vet who will prescribe a controlled substance to a dog he’s never examined.”

It’s A Matter Of Record That They Don’t Update Their Records

, , , , | Healthy | August 31, 2018

(I am a medical assistant and a large part of my day is getting patients into rooms and asking all of the questions before a doctor sees them. This scenario happens far too often:)

Me: “Okay, let’s go over your med list.”

Patient: “It’s all up to date.”

Me: “I know we do this at every visit, but we do it to make sure there aren’t duplicates or old meds that didn’t fall off.”

Patient: *with a heavy, dramatic sigh, dripping with disdainful attitude while slouching in their chair in protest* “I know it’s up to date, but okay.”

(I list one or two medications and they sigh dramatically and impatiently reply that, YES, it is one they’re taking. Some will use medical abbreviations such as PRN as if it’ll make me suddenly believe them. Then, this happens:)

Me: “[Medication]?”

Patient: *sitting up in full alert* “I’m not taking that anymore! Why is that on there?”

Me: “I couldn’t tell you, but I’ll discontinue it on your chart. When did you stop taking it?”

(The patient now usually gives some date preceding at least two appointments in our clinic, and usually because the patient decided to stop taking it or an outside provider advised the change, not something we would know unless they tell us. Usually, at this point the patient’s attention becomes devoted to correcting this grave error as if we are just randomly inserting old medications for grins and giggles. I’ve only ever had one acknowledge that his attitude should probably change regarding his contributions to the accuracy of his medical records.)

Need Some Protective Services From That Nurse

, , , , , | Healthy | August 30, 2018

(I’ve just had my first child. I went into labor at night and he was born just after midnight. My boyfriend manages to get the next morning off, but as he’s the assistant manager of a dock, he has to go in the next afternoon. I’m not worried, as there’s not much concern for me or my son. The next day, my OBGYN comes in.)

Doctor: “Hey, [My Name], how are you feeling?”

Me: “Still sore. Is everything all right?”

Doctor: “Oh, yeah. I just want to let you know that a nurse wanted me to call Child Protection Services for you.”

(I freak out a bit, but he laughs.)

Doctor: “Don’t worry; I won’t. Apparently, because of your boyfriend having to go to work, she didn’t think you guys were capable of taking care of your son. It’s pretty stupid.”

(I relaxed after that. My son came home a day later and, with some help from friends, we had no problems with taking care of him.)