The magical mystery land of community health

I don't make this stuff up!…but I do change identifying information.

Another Edition of the Totally Inappropriate Comment February 18, 2010

Filed under: Uncategorized — lesbonurse @ 3:35 am

Here’s another installment of the Totally Inappropriate Comment (TIC).

30-something year old patient with heart failure, renal failure and HgbA1c > 15, with point-of-care blood glucose of 439 (fasting): “Yes, I’ve been taking my insulin.  Yes, every day.”  Actual comment: “Have you been missing some doses?  Because you’re on a LOT of insulin, and it usually works better than this.” TIC: “You’re gonna die.  Soon.  Like, really soon.”

Patient requesting a pregnancy test: “Well, I finished my pills and I didn’t get my period, so I didn’t start the next pack.”  Have you been having unprotected sex in the 3 weeks since you stopped your pills?  Patient: “Well, yeah.”  Actual comment: “Had you missed any pills in the pack last month?”  TIC: “Well, if you weren’t pregnant before, you are now!”

Me, to ex-alcoholic patient who had been complaining of severe hip pain (and had been brushed off as drug-seeking over the past month): “So…the xray of your spine shows 2 compression fractures, and the xray of your hip shows something that we call ‘collapse of the femoral head.’  That’s a big deal.  That’s why you can’t really bear weight on your hip.”  Patient: “Does this mean I can get something stronger than naproxen for my pain?”  Me: “Yes.  I’ll give you something stronger for your pain today.  And we’re sending you to see Orthopedics asap.”  TIC: “Boy, were we wrong!  You’re not faking it at all!  I can’t believe you’ve been walking around on that non-existent hip joint! I’m sorry.”  *Lest you think I am a jerk, I did actually apologize for our clinic not catching the severity of the hip problem sooner, even though it wasn’t me that brushed the patient off.


One Response to “Another Edition of the Totally Inappropriate Comment”

  1. C Says:

    Please, please, pleeeeeeease do not let her be pregnant. And if she’s not yet, depo or implanon or an IUD amen.

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