Tuesday, September 9, 2008

Mid-week blah...

I wish I had something of importance to tell but this week so far has been just plain vanilla.

Yesterday, at work, I had a doctor who was upset with me... that ruined my whole day.
He was upset because my patient (88year old male, with history of cardiac problems, who had just had bladder surgery) was complaining of chest pressure and tingling down his left arm. After placing him on oxygen, I asked the secretary to order an EKG and then I called him.

He was upset because I had ordered the EKG before calling him - stating that had he had the chance to examine the patient, himself, he would have seen that the patient stopped complaining of the pain/pressure when he was moved up in the stretcher. He didn't think this was anything serious, but because I ordered the EKG (under his name) it may have bought him a nights stay in the hospital.

Well, I argued that I had many reasons to order the EKG....
#1 - Any complaints of chest pressure warrant an EKG.
#2 - The guy has history of cardiac problems.
#3 - His family members were at the bedside; one was an EMT watching my reaction very closely.
#4 - This doctor was only covering for the guys main doctor, who I know well, and KNEW that he would have asked for the EKG without question.
#5 - Better to be safe than sorry, right?

Anyway, I could go on, but it was not to be argued.

Lesson learned - I won't be ordering anything, no matter what, for this doctor. He'll get many, many phone calls before I'll 'handle the problem' for him again.

Today, was uneventful. I spent some time at the NO FUSS MEALS place getting a few meals together.
I was the only one in the place - except for a very tattooed guy, a little bit younger than me.
Being alone in the place, we started talking, as we were preparing meals.

Well, Bryan's ears were tweaked as he was listening to the story. He thinks that the guy was just there to pick up girls.
PLEASE!!! I mean, what guy would spend $100 to fix a few meals, on the hopes of a pretty girl doing the same? Why would he pick the 12 noon time frame, not the evening slot?

But, hey, I was someone for him to talk to - maybe next time I'll send Bryan.

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