Latest Posts

Voices Carry

Wisecracking doc that I work with recently had a little surprise.  He was walking down the hallway and saw a nurse escorting a mother and her overweight young daughter into a room. Daughter was holding her right eye.  When the patient’s registration was completed, he signed up for the patient, took a swig of coffee, and said “OK, looks like it’s time to go see what’s wrong with Honey Boo Boo‘s eye.”  A couple of the nurses chuckled and he ...

Read More »

Hurry Home

  First of all, I’m having blog withdrawals. Seriously. I wish I could make a living writing a blog. It would be my dream job to write blog posts and troll the internet. Maybe some day. So a quick story before I go to bed for another long day tomorrow. At one of the hospitals where I moonlight, many nursing homes refer patients to the emergency department for routine medical care. Stuff like “patient has a rash for a week” or ...

Read More »

Eeew-perman

One of many ambulance transfers included a 80-ish year old nursing home patient who was sent by the night staff at the nursing home because they were too busy he had mental status changes. When the patient arrived, he seemed OK to me. Awake, alert, smiling. Held a relatively normal conversation. Watching the news on television. He even grabbed the remote and muted the sound when I came into the room. Unfortunately when a patient gets sent from the nursing ...

Read More »

Patient Encounters

I Remember You

By Birdstrike M.D.   I walk out of the patient room.  My eyes stare at the computer screen.  I’m behind, way behind.  I roll my head on my neck.  My neck feels tense, and I have a headache.  It’s been a long week.  I need a vacation.  Hurry up, click-click-click this computer, I think to myself.  Dammit, is this EMR really freezing up again? I look up.  A man walks out of a patient room across the hall.  Our eyes ...

Read More »

Didn't See That One Coming …

When a young male patient has a urinary tract infection and difficulty urinating, usually a check for prostatitis is in order. Add prostate checks to the list of things where you can “expect it.” When checking a patient for prostatitis, I will usually say something to the patient along the lines of “When I press here [while pressing on the prostate] does it cause you to have more pain?” Most of the time, patients are already screaming. “Yeah, it hurts ...

Read More »

Blown Away

By Birdstrike MD I was a work today and I was given this message, “ —–‘s husband called and wants you to call back right away!  He sounded very upset.  His wife died.” Uh-oh, I thought to myself, this is never good.  It was a patient I remembered well, that I had seen repeatedly for a chronic problem, and who always came with her husband.  We seemed to get along well.  I didn’t recall any conflict, unpleasant interactions or any ...

Read More »

Treatment Denied

“I’d like to have someone take out these staples,” said the well-dressed woman who came to the registration window. “OK,” said the registration clerk, “we’ll get you registered and we’ll get you right back to a room.” “Perhaps you didn’t understand,” the woman stated as her voice went up a few decibels, “I want someone to take these staples out now and I’m not going to register to have it done.” The registration desk is on the other side of ...

Read More »

Latest Healthcare Updates