Tuesday, September 16, 2008
Monday, September 15, 2008
Thursday, September 4, 2008
RANDOM RANTS
I cannot believe obesity qualifies for disability. Sure, let's encourage the lifestyle that got them there. I myself, am obese, but I would be too embarrassed to go apply. Besides that is not the lifestyle I want for myself or my family. I'm willing to work for my income, I just wish my taxes didn't have to go to those too lazy to do the same.
I had a late patient that brought her 3 year old son with her, claiming she had no choice. He then would not let her go and proceeded to hit, kick, and pinch his mom and she ultimately choose to reschedule.
1. We are not a day care.
2. Don't allow your child to hit, kick, or pinch you, unless you want them to turn into a juvenile
delinquent.
3. Don't try to reason with a 3 year old. Why? A 3 year old cannot reason!
4. Find a babysitter.
5. Arrive early or on time.
I had a late patient that brought her 3 year old son with her, claiming she had no choice. He then would not let her go and proceeded to hit, kick, and pinch his mom and she ultimately choose to reschedule.
1. We are not a day care.
2. Don't allow your child to hit, kick, or pinch you, unless you want them to turn into a juvenile
delinquent.
3. Don't try to reason with a 3 year old. Why? A 3 year old cannot reason!
4. Find a babysitter.
5. Arrive early or on time.
Quotes from actual patients
From our MRI section:
"Now I'm claustrophobic and I don't want to take anything because I have to drive. So you'll have to talk me through this and it will probably take a while."
"I'm exceptionally sensitive."
I've got to hand it to our MRI folks, they can keep a straight face through all this. I just don't have that kind of patience. Many people are scheduled in a day for an MRI and either you can or you can't do it. If you're not going to take any kind of sedative then suck it up, every procedure has a certain amount of time allotted. If you insist on taking your time or want to be "talked through" and your procedure has taken more than your allotted amount of time, you have stolen time from another patient.
From our CT section:
"I don't take off my pants"
The tech said fine and took the patient for his exam. Now I assure you we don't have our patients running around naked and this patient was offered a pair of scrub pants so he would be fully covered. If I were the tech I would have told this patient fine and that he was free to go and that we were unable to do the exam due to the zipper and buttons causing artifact on the images. We are not Burger King and you don't get it your way.
And of course from our Mammo section:
"Do I need to take off my pants?"
A mammogram is for your breast, unless you have a breast attached to your knee you can keep your pants on.
The other day I had a patient call to let me know she was running about 10 minutes late 5 minutes after her scheduled time. She arrived to the clinic 30 minutes after her appointed time. In the mean time patients that where scheduled after her were arriving early or on time and I took them in before her trying to get ahead of my schedule to work in the late patient. I was able to take back the late patient 52 minutes after she got to the clinic. When I called her she had the audacity to say, "finally." She did not apologize for being late or thank me for working her back in, nothing. This false sense of entitlement some people have just floors me sometimes. The only thing we're entitled to is eternity in heaven or in hell.
"Now I'm claustrophobic and I don't want to take anything because I have to drive. So you'll have to talk me through this and it will probably take a while."
"I'm exceptionally sensitive."
I've got to hand it to our MRI folks, they can keep a straight face through all this. I just don't have that kind of patience. Many people are scheduled in a day for an MRI and either you can or you can't do it. If you're not going to take any kind of sedative then suck it up, every procedure has a certain amount of time allotted. If you insist on taking your time or want to be "talked through" and your procedure has taken more than your allotted amount of time, you have stolen time from another patient.
From our CT section:
"I don't take off my pants"
The tech said fine and took the patient for his exam. Now I assure you we don't have our patients running around naked and this patient was offered a pair of scrub pants so he would be fully covered. If I were the tech I would have told this patient fine and that he was free to go and that we were unable to do the exam due to the zipper and buttons causing artifact on the images. We are not Burger King and you don't get it your way.
And of course from our Mammo section:
"Do I need to take off my pants?"
A mammogram is for your breast, unless you have a breast attached to your knee you can keep your pants on.
The other day I had a patient call to let me know she was running about 10 minutes late 5 minutes after her scheduled time. She arrived to the clinic 30 minutes after her appointed time. In the mean time patients that where scheduled after her were arriving early or on time and I took them in before her trying to get ahead of my schedule to work in the late patient. I was able to take back the late patient 52 minutes after she got to the clinic. When I called her she had the audacity to say, "finally." She did not apologize for being late or thank me for working her back in, nothing. This false sense of entitlement some people have just floors me sometimes. The only thing we're entitled to is eternity in heaven or in hell.
Monday, August 25, 2008
LAZINESS AND CLUELESS TEACHERS IN HIGH SCHOOL
Laziness
Some of my co-workers this morning were complaining about something sticky on the floor in our break room due to someone spilling something. An hour or two later I go through the break room on my way to the toilet and the stuff is still on the floor. Now when my co-workers were complaining none of them had a patient, when I went through I had a patient waiting on me in the exam room. But on my way back after washing my hands I got some paper towels wet and dropped them on the floor and used my foot to clean up the mess, it took me all of about 2 or 3 minutes. Did they even think about cleaning it up? No," it's not there job. " I swear these people at times are worse that 3 year olds.
Clueless teachers in high school
Today was my daughters first day as a junior in high school and for the most part had a really good day, with one exception. Her English III teacher seems to treat them like very young kids. I thought my daughter was exaggerating until I read the course syllabus. This teacher wants the young adults to have reading logs that their parents have to sign. Surely, I'm not the only parent who is encouraging at least a little bit of independence to get their 16-17 year old ready for the real world. My daughter's reading level had been beyond the high school level since the fourth grade. I sent her counselor an email requesting someone that would challenge her abilities. We'll see what happens.
Some of my co-workers this morning were complaining about something sticky on the floor in our break room due to someone spilling something. An hour or two later I go through the break room on my way to the toilet and the stuff is still on the floor. Now when my co-workers were complaining none of them had a patient, when I went through I had a patient waiting on me in the exam room. But on my way back after washing my hands I got some paper towels wet and dropped them on the floor and used my foot to clean up the mess, it took me all of about 2 or 3 minutes. Did they even think about cleaning it up? No," it's not there job. " I swear these people at times are worse that 3 year olds.
Clueless teachers in high school
Today was my daughters first day as a junior in high school and for the most part had a really good day, with one exception. Her English III teacher seems to treat them like very young kids. I thought my daughter was exaggerating until I read the course syllabus. This teacher wants the young adults to have reading logs that their parents have to sign. Surely, I'm not the only parent who is encouraging at least a little bit of independence to get their 16-17 year old ready for the real world. My daughter's reading level had been beyond the high school level since the fourth grade. I sent her counselor an email requesting someone that would challenge her abilities. We'll see what happens.
Wednesday, August 20, 2008
Tuesday, August 19, 2008
Why do some people even bother?
OK. This lady comes in right at her appointed time at the end of the day. And surprise, surprise, there was a line. I know that I've said in the past that if you show up right at your appointment time, you're LATE. The clerks were backed up and she didn't sign her paperwork until 25 minutes after she arrived. She was pissy the whole time. At some point she left the office before I could come and get her, so when I went to get her she wasn't there. I should have gone and turned off my machine then and made her reschedule, but I didn't. I waited a few minutes and she returned to the office and then made me wait while she washed her hands. WHATEVER!!! If that made her feel better about waiting, fine. Then I get her in the exam room and she's not very interested in answering the survey questions. Really, I'm not being nosy the questions determine the patients breast cancer risk. I do find out that she has had breast cancer in the past but doesn't know how old she was at diagnosis. To me this is a pretty significant life event and personally if it had been me, I would remember my age at diagnosis. She had obviously had a lumpectomy. Again if I were a breast cancer survivor and only had a lumpectomy I'd try to get my whole body in the machine. However, she was trying to pull back as I was trying to position her breast in the machine, making it difficult to image her whole breast. Her lack of cooperation only hurts her, I was only able to get a limited exam. Upon further questioning, I found out it had been two years since her last mammogram. So my question is: If you're not going to cooperate with the technologist why come?
My take on Christina Applegate. I think it was a great move to have a bilateral (both) mastectomy. Personally that would be my choice. However, breast MRI's as a screening tool, I don't agree with that. It has been found out that the breast MRI's as a screening tool shows too many false positives. The MRI works better if it has a specific area to target.
My take on Christina Applegate. I think it was a great move to have a bilateral (both) mastectomy. Personally that would be my choice. However, breast MRI's as a screening tool, I don't agree with that. It has been found out that the breast MRI's as a screening tool shows too many false positives. The MRI works better if it has a specific area to target.
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