ohiovolffemtp Posted March 2, 2019 Share Posted March 2, 2019 Is that like the positive cell phone sign? Link to comment Share on other sites More sharing options...
sk732 Posted March 3, 2019 Share Posted March 3, 2019 Similar - difference is they're ingesting coffee while they're complaining of 10/10 pain...likely worsening it to 11-12/10... SK Link to comment Share on other sites More sharing options...
thinkertdm Posted March 3, 2019 Share Posted March 3, 2019 4 hours ago, sk732 said: Similar - difference is they're ingesting coffee while they're complaining of 10/10 pain...likely worsening it to 11-12/10... SK "My pain...it's like getting shot...in the head..." Me: "have you ever been shot in the head?" "Well, no. It's what I imagine getting shot would feel like". Me: "so, instead of MAKING shit up, take the worst pain you have ever felt. Then compare this to that. It's easy. Hell, just make up a number that's realistic, I just need it so I can bill you higher, and ain't no one is gonna believe ten out of ten, shot in the head pain while you sip your Starbucks". After a pause: "I'm going to write president trump" Me: "fine. Make sure you spell my name right- it's I-m-a D-u-m-a-s-s. Don't let the door hit it on the way out." "What about my viagra?" Me, a little exasperated by now: "Dude, you got shot in the head pain AND a letter to write. You ain't got time for that. Buy her chocolates. You're still not getting methadone for your dental pain, I don't care who prescribed it in the past" Him: "but it huuuuurts" "Yes. I know. Like a bullet. In your head. You were here for antibiotics just last week!" Him: "it's the other tooth. The antibiotics only worked on the first one, the other one still hur..." "For crying out loud, I know!" Link to comment Share on other sites More sharing options...
Kaepora Posted March 3, 2019 Share Posted March 3, 2019 On 2/28/2019 at 11:32 PM, Reality Check 2 said: The Perfect Storm Borderline pot smoking Dr Google loving hypochondriac with a sister chiropractic naturopath allergic to all NSAIDs adrenal fatigue Chronic Lyme Dz Hypertensive Diabetic smoker with an FMLA form....... At 4:30 pm..... It has been a long day and I am a tad punchy "Chronic Lyme Disease" is one of the absolute worst. It's in the same vein as fibromyalgia, interstitial cystitis, etc. Ugh. Supratentorial... It makes me so glad I work inpatient and I can just ignore this for the most part. "Continue home medications..." I also really, really, really, really dislike DKA patients. And, from a surgical perspective, biliary dyskinesia. Link to comment Share on other sites More sharing options...
lctexas4 Posted March 3, 2019 Share Posted March 3, 2019 The ones who, when I tell them I got into Physician Assistant school, say “oh so you eventually want to be a nurse, right?” (I’m a patient care tech starting PA school in August.) Link to comment Share on other sites More sharing options...
sk732 Posted March 3, 2019 Share Posted March 3, 2019 11 hours ago, thinkertdm said: "My pain...it's like getting shot...in the head..." Me: "have you ever been shot in the head?" "Well, no. It's what I imagine getting shot would feel like". Me: "so, instead of MAKING shit up, take the worst pain you have ever felt. Then compare this to that. It's easy. Hell, just make up a number that's realistic, I just need it so I can bill you higher, and ain't no one is gonna believe ten out of ten, shot in the head pain while you sip your Starbucks". After a pause: "I'm going to write president trump" Me: "fine. Make sure you spell my name right- it's I-m-a D-u-m-a-s-s. Don't let the door hit it on the way out." "What about my viagra?" Me, a little exasperated by now: "Dude, you got shot in the head pain AND a letter to write. You ain't got time for that. Buy her chocolates. You're still not getting methadone for your dental pain, I don't care who prescribed it in the past" Him: "but it huuuuurts" "Yes. I know. Like a bullet. In your head. You were here for antibiotics just last week!" Him: "it's the other tooth. The antibiotics only worked on the first one, the other one still hur..." "For crying out loud, I know!" It's always interesting to hear what their 10/10 pain is compared to in people these days - it they've never been shot, thrown a kidney or gallstone, delivered a baby, broken a bone or two, had a longstanding migraine Hx, an SAH or bilateral awake chest tubes with a flail chest, I'm skeptical as to whether or not they've had real physical discomfort in their lives. True story - young trooper at a combat arms training establishment comes in with a non-thrombosed hemorrhoid - I give them an Rx for Anusol, diet advice and send them on their way. They follow me back out yelling at me demanding time off (not a good idea - private yelling at a sergeant in front of their subordinates)...I took them back to the exam room, closed the door and had them fighting back tears by the time I was done after pointing out that in the real world, they don't get time off for minor issues, that they'd obviously never experienced even minor physical discomfort in their life, and that if they were acting like this for something minor now, they'd likely be demanding a CASEVAC off an OP in Afghanistan for something equally as minor. When they said they wouldn't, I asked what was different between then and now? They couldn't answer so I did - "NOTHING". Dx's - All Stateitis (wanting something for nothing) and Dyscopia . I was told to take those and the "Acute Wussyitis" out of the chart... SK Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 6, 2019 Moderator Share Posted March 6, 2019 On 3/3/2019 at 9:56 AM, Kaepora said: "Chronic Lyme Disease" is one of the absolute worst. It's in the same vein as fibromyalgia, interstitial cystitis, etc. Ugh. Supratentorial... It makes me so glad I work inpatient and I can just ignore this for the most part. "Continue home medications..." ugh my favorite reply to this is that it is NOT an established Dx and that they really need to follow back up with the specialist that dx it - bye bye Link to comment Share on other sites More sharing options...
mgriffiths Posted March 7, 2019 Share Posted March 7, 2019 23 hours ago, ventana said: my favorite reply to this is that it is NOT an established Dx and that they really need to follow back up with the specialist that dx it - bye bye well, just stole that... Link to comment Share on other sites More sharing options...
pavlovacloud Posted March 7, 2019 Share Posted March 7, 2019 Entitled patients. Once I had a patient who was 15 min late. So I saw another patient who arrived on time while the late patient was being triaged. When I saw the late patient, she was angry and asked why she saw the other patient first. I explained my reasoning and patient was still irate and wrote a complaint against me. Another time, I sent a young patient to a dermatologist. That day of her appointment, the derm had a belligerent patient, and they had to call the police and close down the clinic. My patient, who was sitting in the waiting room, witnessed what happened. When the staff told her they had to cancel her appointment, my patient began throwing a tantrum. She screamed at the clinic staff including the dermatologist who later called me to explain what happened. Patient came back to see me that same day and complained to me that the derm staff did not inform her of any "protocol" and did not understand why they couldn't see her, that I had done nothing for her, and that everyone was letting her die. -__- Link to comment Share on other sites More sharing options...
CAdamsPAC Posted March 7, 2019 Share Posted March 7, 2019 48 minutes ago, pavlovacloud said: Entitled patients. Once I had a patient who was 15 min late. So I saw another patient who arrived on time while the late patient was being triaged. When I saw the late patient, she was angry and asked why she saw the other patient first. I explained my reasoning and patient was still irate and wrote a complaint against me. Another time, I sent a young patient to a dermatologist. That day of her appointment, the derm had a belligerent patient and had to call the police and close down the clinic. My patient, who was sitting in the waiting room, witnessed what happened. When the staff told her they had to cancel her appointment, my patient began throwing a tantrum with the clinic staff including the dermatologist who later called me to explain what happened. Patient came back to see me that same day and complained to me that the derm staff did not inform her of any "protocol" and did not understand why they couldn't see her, that I have done nothing for her, and that everyone was letting her die. -__- I keep reading all of the reasons I left Primary Care and the ED which seems to boil down to a large number of A-Holes on a regular basis showing up in the offices!! Link to comment Share on other sites More sharing options...
pavlovacloud Posted March 8, 2019 Share Posted March 8, 2019 Haha, fortunately for me these patients only stop by occasionally. Most of my patients are really sweet and humble. Link to comment Share on other sites More sharing options...
sk732 Posted March 8, 2019 Share Posted March 8, 2019 1 hour ago, pavlovacloud said: Entitled patients. Once I had a patient who was 15 min late. So I saw another patient who arrived on time while the late patient was being triaged. When I saw the late patient, she was angry and asked why she saw the other patient first. I explained my reasoning and patient was still irate and wrote a complaint against me. I had a few people that would always show up really early hoping I would see them sooner - only did if someone cancelled...had some that actually waited a couple hours to be seen on time. Small victories. Link to comment Share on other sites More sharing options...
thinkertdm Posted March 8, 2019 Share Posted March 8, 2019 I go to the doctor early, but the last few times when I showed up- 30-45 minutes before my time- the staff seemed pissed, like they were expected to get me in, when it's actually a break for me. I get to sit and watch TV and read magazines. Honestly, I really go early to relax and price is right. Link to comment Share on other sites More sharing options...
hlj25950 Posted March 8, 2019 Share Posted March 8, 2019 Anything that doesn’t jive with evidence based medicine or chronic pain. Fibromyalgia, chronic Lyme disease, essential oils, 1000 “allergies”, etc? Can I just use reiki and crystals for that? “I know my blood pressure is 160/100 all the time, but I don’t like taking medicine, isn’t there something natural I could take?” I don’t drink. I don’t smoke. I eat a vegetarian fresh diet with no salt. I’m thin. But, like what if I take some more vitamin C? I took the lisinopril for a few weeks and my blood pressure was better, but I just don’t want to take it.”“Are you having side effects when you take it?”“No.”“I recommend you take your lisinopril as prescribed.”“I just don’t like taking medicine.”What the actual f*** do you want from me? I don’t have a magic wand here. Link to comment Share on other sites More sharing options...
sk732 Posted March 8, 2019 Share Posted March 8, 2019 "I don't like taking pills..." "How many vitamin tablets do you take a day?" "XYZ" "They're pills." SK Link to comment Share on other sites More sharing options...
surgblumm Posted March 8, 2019 Share Posted March 8, 2019 Loved the comments about the "Entitled Patient." I just retired from a Plastic Surgery Practice that focused mainly on Cosmetic reconstructions. I know all about entitled patients as they were the cause of many of my interventions with both physicians and nurses at my hospital. Good riddance to them. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.