Saturday, December 31, 2011

Kids

Dr. Grumpy: "So, Marie, what would you like to do tonight for New Year's Eve?"

Marie: "Um... Have dessert?"

Saturday guest post

Today I'm featuring a post sent in by Officer Cynical.

HOW TO GO TO JAIL

1. Drive a car with really loud exhaust pipes, so I'll notice you. AND

2. Have license plates on your car that, when I run the number, come back to a completely different color, year, make and model car. AND

3. Have a suspended driver's license. AND

4. Have no insurance on your car. AND

5. Have 2 pounds of marijuana, a supply of baggies, and a scale in plain view on your back seat.

Friday, December 30, 2011

"Tell me I'm illogical! Then spank me harder!"

Because sometimes Lt. Uhura just isn't enough to get you going...

Thank you, Tab!

Games I'm not playing

Dr. Grumpy: "Okay, I'll put in the MRI order. It will take 1-2 weeks to get authorization from your insurance, then Annie will call you to schedule the test."

Mr. Oig: "Can you do it today? My insurance changes on the first."

Dr. Grumpy: "No, I'm sorry, it takes 1-2 weeks for routine studies."

Mr. Oig: "My co-pay goes from $75 for an MRI to $100."

Dr. Grumpy: "I understand, but it takes 1-2 weeks to even get it covered."

Mr. Oig: "Why don't you just order it STAT and say it's a medical emergency? You and I both know that will get it covered."

Dr. Grumpy: "But it's not an emergency. You've had these symptoms for over 2 years."

Mr. Oig: "So what? It's not a big deal."

Dr. Grumpy: "It's insurance fraud."

Mr. Oig: "Well, if you're not going to order it as STAT, then you better be willing to spot me the $25 difference."

Dr. Grumpy: "I'm not going to do that."

Mr. Oig: "Fine. Then I'm just going to find an ER that will." (leaves)

Thursday, December 29, 2011

You need to have a talk with your girlfriend

Dr. Grumpy: "Are you allergic to any medications?"

Mr. Neisseria: "Um, Flaykbegon."

Dr. Grumpy: "What happens when you take Flaybegon?"

Mr. Neisseria: "Um, it, uh, well, after a few days my um, dick got all itchy and drippy."

Dr. Grumpy: "Sir, that's not an allergic reaction."

Mr. Neisseria: "Really? 'Cause my girlfriend said it was the medication that did it."

Wednesday, December 28, 2011

Wednesday

Dr. Grumpy: "Have you had any trouble talking?"

Mr. &%$@#!!!: "Not that I've noticed. My wife says I swear a lot, but that's nothing new."

Timing is everything

Dr. Grumpy: "What brings you in to see me today?"

Mr. Chronos: "Well, I had this really bad back pain going into my right leg after moving some furniture, and it lasted about a day, then got better."

Dr. Grumpy: "When was this?"

Mr. Chronos: "Last spring, maybe around March."

Dr. Grumpy: "So, wait... You had back pain for one day 9 months ago? And you're coming to see me now?"

Mr. Chronos: "I didn't want to forget about it."

Tuesday, December 27, 2011

Living legends of medicine



This post is in honor of the two best doctors in America, and possibly the world.

While their names aren't known to the general public, they're instantly recognizable to all of us in the medical profession. And, in spite of their amazing talents, neither has ever been recognized by any of the various "Best Doc" magazines published in different cities.

So I feel that, after years of them laboring in secret, it's time to honor them.

AND THE 2 BEST DOCTORS ON THE PLANET ARE:

Some Guy, M.D. and This Lady, M.D.

And here is why they so richly deserve this honor:


1. Accessibility.

I don't know either of them personally. In fact, they have no phone listing. Yet, they're far more accessible than any other doctor I know. While I only see people in my office, or the hospital, during certain hours, Drs. Guy and Lady are accessible anywhere, anytime. Patients tell me they run into them at grocery stores, beauty salons, amusement parks, laundromats, hardware stores, cocktail parties- anywhere.

I might get a little irritated (okay, a lot irritated) if patients were to corner me for a consultation while I was out with my family, but not Some Guy or This Lady! In fact, from what I've been told, they don't mind at all, and often initiate the discussions themselves!


2. Cost.

This is how I make a living. I like this job, but it's still my job. I have a family to support. So Mary has to make sure we take your insurance, collect your co-pay, etc.

But not Drs. Guy and Lady! They don't check those minor details before providing treatment! As best I can tell, they don't charge anything for their time and advice.


3. Sheer brilliance.

I, and most doctors, do physical exams and order tests. They may vary from a few labs to an MRI, but generally that's how we get an idea of what's going on, and what the best course of action will be. Not Some Guy or This Lady, though!

They appear to have an uncanny knowledge of EXACTLY what's going on with you, even though they never touch you, ask detailed questions, or order any studies whatsoever! I can only assume they must always be right, as my brief search of American medical board records showed that neither of them has ever been subject to a single complaint or lawsuit!


4. Treatments

I prescribe medications. Some are cheap, some hideously expensive. But I do it to help you.

But Drs. Guy and Lady apparently have knowledge of treatments beyond the medical realm, which they generously share free of charge, involving a number of simple over-the-counter remedies that can apparently cure anything.


5. Knowledge.

I'm a specialist. I know a lot about common things in my fields, less about rarer disorders, and only a little bit about other fields. I think most other specialists would say the same.

But this amazing pair knows about EVERYTHING. They are general practitioners extraordinaire, with a knowledge fund that puts even the greatest doctors, like Osler, Charcot, or (my personal idol) Oscar London, to shame.

I can only assume this tremendous knowledge has come from experience. Some diseases are so rare that many of us go through an entire career without seeing them, but these two have seen ALL OF IT! They have incredible connections that have led to this (usually involving their uncle's friend's second cousin's wife, who once met a lady who's sister might have had the rare disorder).


6. Trust.

There's this mysterious thing called the Doctor-Patient relationship. It involves trust, and can take a while to build. There's some chemistry in it, and conversation, and voodoo. But it's critical to helping people.

But while it can take 1 or more appointments for most doctors and patients to reach this stage, for these two it's amazingly instantaneous. Most patients who get advice from them trust them automatically and completely, and are quite confident in their diagnostic and treatment abilities. This is in spite of (or perhaps because) they don't appear to have the same, years-long, formal medical training that I and my colleagues do.


7. International reputation.

I only practice in Grumpyville, and only have one medical license. But these 2 apparently are somehow EVERWHERE. I've had patients run into them in all 50 states, and even on overseas trips. Quite frankly, hearing about them makes me embarrassed to only be able to cover 1 hospital.


So, as 2011 comes to a close, I salute these 2 giants of medicine, and their numerous contributions to patient care.

Monday, December 26, 2011

Danger: Exploding snack food!

Wow. And I thought shaking up a can of Diet Coke was dangerous.

Beware of the Dragon!

I'd like to thank Brent for sending this in. It's from a cardiologist's dictation done with Dragon, that was mailed without being proofread.

While I can understand what the doctor is trying to say, this just sounds bad, and makes him look sloppy. And the little "This dictation was done with voice recognition software and may contain errors and omissions" disclaimer (that everyone puts at the bottom these days) is just a fancy way of saying you're too damn lazy to proofread.


"Concerning symptoms are note above and the patient, who by history sounds like she has had brief episodes of PSVT. All his life. I would like to obtain an echocardiogram and if this is unremarkable. A stress echo to start her duration of the above. If these are unremarkable. We will obtain an event monitor.

He is instructed that he is not to drive a lesser correctable etiology of these spells can be found or if he does not have them for 6 months. As also instructed not to be in a situation where she has a spell. He didn't injure himself, such as being a ladder."

Sunday, December 25, 2011

December 25

Today we celebrate the birthday of one of the most remarkable people in recorded history.




Sir Isaac Newton

At the age 25, he published the Principia, which laid out the laws of force, motion, and gravity. He went on to invent calculus, showed that light is made up of a spectrum of colors, and made significant advances in optics. Although others would likely have discovered these at some point, it’s truly remarkable that one incredible intellect did so much.

Therefore, Sir Isaac, in honor of your 369th birthday, I dedicate this. Without you, it couldn't have been written. And I imagine it would be even better if all the exoplanets were known when it was.


Saturday, December 24, 2011

December 24, 1944




It was Christmas Eve. The most horrible war the world had ever known was slowly drawing to a close. Nazi Germany would collapse in 6 months, the Japanese Empire in 9.

But Hitler's last large offensive, the Battle of the Bulge, was raging, and the Allies desperately needed reinforcements to stop it. Troopships were frantically bringing soldiers across the English Channel.

And on Christmas Eve, 1944, the passenger liner Leopoldville was chugging 2,235 soldiers over to reinforce the army's 66th Infantry. She was escorted by 4 destroyers.

It was a stormy night, and winds reached sea force 6. Many of the troops became seasick, and spent the night in the bathrooms or bed.

German U-Boats were still fighting, and on that night U-486, under the command of Oberleutnant Gerhard Meyer, was prowling the area. He found an opening in the destroyer screen and put a torpedo into the Leopoldville, with devastating results.

Troop compartments G-4 and F-4 contained 355 soldiers. When the torpedo exploded, F deck collapsed into G, and destroyed all stairways out. Less then 20 men from these 2 compartments were ever seen again.

Curiously, in spite of the damage sustained, no order to abandon ship came for some time, leading many to assume it was safe to go back to bed. And when the order did come on the P.A. system, it was in Flemish, and wasn't translated for the soldiers.

The crew of the sinking ship knew the extent of the damage. They quietly gathered their belongings (including a parrot), loaded them into lifeboats, and departed. They didn't warn the troops they were carrying, and left no one behind who knew how to work the lifeboats.

The Leopoldville had a good chance of surviving if she could be beached, and calls went out for tugs to pull her the last 5 miles to land. But it was Christmas Eve. Many on shore were on leave, and didn't take the first warnings seriously. Officers at parties had left orders that they were not to be interrupted.

A few miles from port a disaster was happening. And when the first cries for help came (30 minutes after the explosion), it was from one of the destroyers attending the sinking liner- Captain Limbor of the Leopoldville (who went down with the ship) refused to send a distress signal.

One of the catalysts to saving lives was Lt. Colonel McConnell on shore. On his own authority he cursed, kicked, and pulled men out of bed and parties, and brought life to the dockyard to send help. 50 minutes after the explosion the first rescue ships left Cherbourg, but critical time had already passed.

In Cherbourg Lt. Commander Davis mustered whatever he could - 3 PT boats - and sent them racing to help. He sent staff into town to pull men out of bars and restaurants and get them back to their ships. He notified hospitals, hotels, and camps that emergency facilities and quarters would be needed.

Commander Pringle of the destroyer H.M.S. Brilliant took the gutsy step of bringing his little ship alongside the dying giant. As their hulls kept crashing together in the waves, Brilliant began leaking herself. But Pringle ordered his engineers to stay at the pumps and keep working. British sailors yelled up at the Leopoldville for their American allies to jump across in the rocky seas, and did their best to assist them in getting abroad. Comically, the other 3 destroyers hadn't been informed of the Leopoldville's damage, and after giving up the hunt for the U-Boat they went ahead into port.

After collecting 700 soldiers, Brilliant had to cut free to repair her own hull damage. Pringle had heard of the approaching PT boats and tugs, and planned to get into port, unload the survivors, and return to help. But the Leopoldville didn't have that much time.

Many died bravely that night. With the stairs gone, Colonel Ira Rumberg had himself lowered repeatedly into the ship's hold, bringing up a man under each arm every time. He went down with the ship, trying to save more. He was just one of many others who died when they willingly went below decks to lead others to safety.

The Leopoldville finally sank at 8:30 p.m., 2 1/2 hours after the torpedo struck. She left an estimated 1000 men floating in the stormy, 48°F (9°C), sea, many of whom died of exposure over the next few hours. The crews of an assortment of military and private craft worked through the night trying to save as many as possible.

The tragedy of the Leopoldville is that, outside of those who died in the initial explosion, all could have been saved if the ship's crew had been properly organized, distress signals sent out as soon as the damage became apparent, and the majority of the shore authorities weren't in a state of negligence. 802 men died that night- the only American ship with more casualties during WWII was the U.S.S. Arizona.

The U-486 with Oberleutnant Meyer and his crew themselves were all lost 4 months later when they were sunk by the submarine H.M.S. Tapir.

Sadly, the allied governments decided to cover up the sinking. Families were told their loved ones were dead or missing, without disclosure of circumstances. The files weren't declassified until 1996, more than 50 years after the disaster. So memories and memorials of the disaster are few.

Today the Leopoldville is a war grave, lying on her side at the bottom of the English Channel.


Friday, December 23, 2011

Friday afternoon

Mary: "Dr. Grumpy's office, this is Mary."

Mrs. Joseph: "Hi, I need to get in today."

Mary: "I'm sorry, but Dr. Grumpy is with his last patient of the day right now. We're closed for the holiday until Tuesday, but can see you next week."

Mrs. Joseph: "NO! I need to get in TODAY!"

Mary: "We're closing in 20 minutes, ma'am. Can I schedule you for next week?"

Mrs. Joseph: "You're like, that, that... INNKEEPER! You're turning me away! Like Mary and Joseph! And on Christmas eve, no less!"

Mary: "Ma'am, it's not Christmas eve, and I..."

Mrs. Joseph: "BITCH!" (click)

Today's featured gifts

This is the last installment of the 2011 gift guide. Thanks to all who sent stuff in, and remember to please keep sending them year-round. Before you know it the 2012 gift guide season will be here!


Featured gift #1

Ladies, are you tired of routine breastwear (is that a word)? Are you hopelessly addicted to playing Angry Birds?

Well now you can liven up your chest, and show your love of video games, with the Angry Boobs bra!





Yes, this once-in-a-lifetime bra is available from Etsy in sizes from 34A to 38DD. It does not inflate with wine, though consumption of beer by males may make it appear to do so.


Featured gift #2

In this era of trying to use clean, renewable, energy sources, it's nice to see a product that takes this to the point of idiocy:

Yes, folks, it's the solar-powered windmill!





This amazing product has unlimited potential: By harnessing the power of the sun, you can make a windmill turn! Then, by using the electricity generated by the windmill turning, you can power a lightbulb! And you can use the lightbulb to power the solar cell! Voilá! You've discovered a feedback loop with an endless energy supply!

(This company also sells a solar powered reading light! REALLY!)


Happy holidays to all!

Thursday, December 22, 2011

Today's featured gift

What do we need more of?

I think all of us often wake up saying "Gee, I wish there was some way I could make my crotch more hot and sweaty than it already is."

Fortunately there's an easy answer: Vibrating Sauna Pants!





Now, even in a place as cold and snowy as Grumpyville you can keep your private areas sweaty and moving, and make believe this is a substitute for exercise.

These sexy pants come with a thermostat, so you can heat your junk to the desired temperature, and an adjustable vibration setting (so you can differentiate them from your cell phone ringing).

In the immortal words of Roosevelt E. Roosevelt "It's hot enough here to cook things in my shorts! A little crotchpot cooking." And now that can be you.

Wednesday, December 21, 2011

Dr. Grumpy's Salon

Annie: "Dr. Grumpy's office. This is Annie."

Miss Clairol: "Hey, I saw Dr. Grumpy last week, and I have a question."

Annie: "Okay, what's up?"

Miss Clairol: "If I washed my hair last night, would today be day zero or day one until I have to wash it again?"

Today's featured gift

Do you wish you could take your dog everywhere? Have you ever heard the expression "putting on the dog" and wanted to do it? Well, now you can!





Yes, with Woofspun products you can order quality knitted items made from genuine dog fur, or even collect your own from a favorite pet (or 2, or 3) and they'll turn it into yarn for you!

Given that 2 of the Grumpy dogs are less than 20 pounds, I doubt they give off enough in a lifetime to make a decent pair of gloves. Although if Mello doesn't stop pulling food off the counter and eating it (including a tub of artichoke & olive hummus, FFS!) she's going to be a rug pretty soon.

Tuesday, December 20, 2011

3-for-1 idiocy

Tonight alert reader Lee, from Phoenix, sent me not one, not two, but THREE articles on the exploits of some very special people.


First, if you're going to steal a vehicle, you should get something that blends into traffic.

Second, if you're going to court on drunk driving charges, try to show up sober.

And last, even if you're a cop doing a drunk driving demo, you should remember not to drive drunk.

Thank you, Lee!

Dear CNN,

Thank you for today's great "breaking news" headline.

(click to enlarge)





I'm glad to know NASA finally discovered the first Earth-sized planets in the universe. All this time I thought I was living on an "Earth-sized" planet, but apparently I was wrong.

For that matter, I always thought Venus was roughly "Earth-sized." I guess you found the "Earth-sized" planets are actually somewhere else.

So, when you decide what size planet the Earth is, please let me know. In case I ever get on Jeopardy or something.

Tuesday Morning

Dr. Grumpy: "So, I'm going to get these tests, and then we'll meet back here to discuss them. Any questions?"

Mr. Isoptera: "Yeah, do you like being a neurologist?"

Dr. Grumpy: "Yes. I mean, no job is perfect, but I like what I do."

Mr. Isoptera: "Well, I'm selling franchises of my exterminator business, Termite Begone, and... Here, let me give you a pamphlet and my card..."

Today's featured gift

We've all had one of those embarrassing moments when we desperately need a spare pair of underwear. How often does thinking about this problem keep you awake at night?

Well, worry no more! Now there's the emergency Box-o-Undies!





Yes, this convenient package holds 5 pairs of clean, single-use underpants. Allowing you to go back to your favorite Mexican restaurant with confidence.


I should note that tonight is the first night of Hanukkah, and so I again present the traditional Hanukkah carol.


Monday, December 19, 2011

Yep, you need an appointment

Mary: "Dr. Grumpy's office, this is Mary."

Mr. Galantamine: "Hi, I need to make an appointment with Dr. Grumpy."

Mary: "Okay, have you seen him before?"

Mr. Galantamine: "I don't know, have I?"

Today's featured gift

Men like breasts and women like wine. So what could be a better compromise than this?





According to it's web site the Wine Rack will increase an A cup to a DD, and holds 750ml of your favorite Cabernet (or whatever you prefer), with a discreet sipping tube. And you can inflate it with air after depleting the wine, to keep things looking "as advertised."

Sunday, December 18, 2011

NOT a featured gift

This item was, I swear, featured in a catalog we got last week.





Let's face it: if your TV looks like that, I think I'd replace it before I'd get a swivel stand.

For that matter, it might be time to replace the VCR, too.

Saturday, December 17, 2011

Hot Cross Bleaghhh!

Last night was that annual rite of parental torture, the Wingnut Elementary School band holiday concert.

My kids like playing in the school band, so, as supportive parents, we pay the instrument rental fees, put up with their unearthly screeching practice sessions in the living room, and attend the 2 annual concerts.

Elementary school band concerts are never a blast. They're held in the school cafeteria, meaning you have to sit at long lunch tables designed to be partially comfortable only for people half your size.

The kids really do try (at least most of them) but are still often out of sync and flat. And then there's the music selection. After the first 2 numbers all the songs start to sound A LOT alike. And they all sound like "Hot Cross Buns," which you've already heard played in your home so many times that you want to barf.

These things last about an hour, but seem like much longer. You sit there, politely clapping after each number, and hope your kids don't notice that you've dozed off or started playing Angry Birds.

As veterans, Mrs. Grumpy and I came well prepared. We sat in a far row where our kids couldn't see if we were playing scrabble doing medical research on our iPhones, and brought some Diet Cokes. You can always tell which parents are first timers, because they sit in the first row and bring cameras.

But this year, we had an unexpected reprieve.

At 18 minutes into the performance, during "Good King Wenceslas" a kid playing oboe abruptly projectile vomited into the first row, showering a group of eager parents with a partially digested Happy Meal. The other band members stopped, then valiantly tried to restart for a few seconds, but were so horribly out of sync as they tried to both read music and watch the new entertainment that it was a lost cause. Barf Guy's mom heroically leaped onto the stage and tried to use her husband's sweater (fortunately with him out of it) to clean it up. Then the kid heaved some more.

After about 30 seconds the band teacher politely said "Thank you all for coming, and Happy Holidays. Is the janitor still here?"

I feel sorry for this kid. Because from now on until he moves away to college he'll be known not as Mike or Steve or Mason, but simply as "the kid who puked during the holiday concert."

Friday, December 16, 2011

Today's featured gift

What's really enjoyable when you're sound asleep? Is "having a big hairy paw suddenly grab my face" at the top of your list? I didn't think so.

But a Japanese company is hoping that's high on somebody's list. They've developed a teddy bear sleep apnea robot.

It puts a cuddly-looking oxygen sensor on your finger, and if it hears you snoring, or detects your oxygen level dropping, it reaches up with a mechanical paw and wacks your face to make you turn your head.

Here's an informative video:





Personally, I have to say that if I was asleep and this thing grabbed my face, I'd likely shit the bed. So unless the robot is going to clean that up, too, I don't want one.

Thursday, December 15, 2011

Great drug rep moments

"Do you need any more booklets? I just got a bunch of shit, uh, shipments of patient education materials."

Why do I bother?

Dr. Add: "Hello?"

Dr. Grumpy: "Hi, this is Ibee Grumpy, returning your call. You left a message about Mrs. Wilder?"

Dr. Add: "Oh, yeah, she's been having a lot of side effects, and I think we ought to stop her Trigenum."

Dr. Grumpy: "Um, I stopped it earlier this week. I faxed a letter over to you."

Dr. Add: "Oh, I never read those things."

Wednesday, December 14, 2011

"He's flatlining! I mean flatbreading!"

While not available as a gift, I have to admit this design concept "defibrillator toaster" by Shay Carmon would be totally awesome to have.






CLEAR!!!

Thank you, Tab!

Dear Mr. Livingston,

I understand that you were on the way to work when you came to your appointment today. Many of my patients are.

And I understand that you are a clown. Literally.

But, I don't appreciate having to listen to your horribly corny jokes. Or you honking a bicycle horn after each one. Or showing me your cheesy squirting flower.

And it's hard for me to assess your balance when you wear giant floppy shoes.

But thank you for the smiley face "I met a clown today" sticker that you put on my shirt.

Today's featured gift

We all have that co-worker/classmate/boss/whatever who's under the impression that their own solid waste doesn't stink. Now there's the perfect gift for that person.





Yes, a few drops of this stuff in the toilet bowl allegedly nullifies any odiforous vapors, and allows them to continue in their belief that their ass smells like roses and cotton candy.

It should be noted that the product only works if you actually shit in the toilet bowl, NOT on top of the tank as the picture suggests.

Tuesday, December 13, 2011

Patient quote of the day

"I've had blood pressure here and there, but most times I don't."

Training

Dr. Grumpy: "Okay... the MRI report says the study was normal, and this is a good doctor who read it."

Mrs. Kroger: "Yes, but it was horribly misread. I've been comparing my films to some I found on the internet, and here's a list of all the diseases I have that the radiologist missed."

Dr. Grumpy: "Are you a doctor?"

Mrs. Kroger: "No, I'm a cashier at Local Grocery."

Monday, December 12, 2011

Breaking medical research

A recently published study found that asthma patients can control their asthma better by...

(Drumroll, please)

...TAKING THEIR MEDICATIONS!

Really. This study got published.

I'm going to go out on a limb here and say these findings might be extrapolated to cover my epilepsy, migraine, Parkinson's patients, and pretty much most chronic conditions.

But, as always, further research is needed.

Thank you, History Doc!

Today's featured gift

What's the perfect gift for your newly divorced lady friend? Besides a gift certificate to a lawyer and a shitload of chocolate, she'll need some kitchen furnishings for her new place.

So why not get her the Ex-Husband Kitchen Knife Set?





This lovely piece is the perfect combination of culinary equipment, homicidal fantasy, and voodoo doll. And it's available in 7 colors!

Disclaimer: I'm NOT getting paid to show this (or any other gifts). The link is so you can see the other lovely colors (including blood red!) yourself.

Sunday, December 11, 2011

Chemistry set

Okay, while I do not condone the practice of making meth, I must say that if you're inclined to do so, do it at home, or a meth house, or some private structure.

NOT by wandering around WalMart, mixing ingredients you found on the shelves.

To me the highlight of the story is that employees called police after noticing she was acting weird. Given what I've seen on my rare trips to WalMart, I'm somewhat reassured to know that they actually do have a cut-off point.

Thank you, Kimm!

Spies like us

So last night Mrs. Grumpy and I sat outside on our freezing cold patio to have the "what are we getting the pet rats children for Christmakuh?" talk.

While sitting there we suddenly heard this LOUD crunching and rattling noise, which kept getting louder and louder. As we watched, one of Frank's remote-controlled cars (which makes more noise than a garbage truck) came rolling slowly around the hot-tub. With a running digital voice recorder duct-taped to the roof.

I have to give Frank points for innovation, but a "FAIL" for execution. If you're going to spy with a remote-controlled toy, use one that doesn't sound like a garbage disposal.

Saturday, December 10, 2011

Fancy cars

For whatever reason, someone (who I assume hasn't been taking their medications) sent me a long rambling diatribe about how much they hate doctors. Specifically, the phrase "rich doctors and their fancy cars" was used several times in the rant.

Therefore, in the interest of full disclosure, I hereby list all of the cars that Dr. Grumpy has ever owned:

1982-1983: 1978 Datsun 810 station wagon (if you remember Datsun, you're old, too)
1983: 1979 Pontiac Trans Am (wrecked after 3 months)
1983-1984: 1982 Pontiac Trans Am
1984-1989: 1982 Oldsmobile Cutlass station wagon
1989-1993: 1988 Mercury Cougar
1993-1999: 1990 Infiniti M30
1999 to present: 2000 Nissan Maxima

It should be noted that the current car is the only one I didn't get used. All cars were driven until they were wrecked or completely fell apart, and the cost of repairs exceeded their value.

All cars except the last 3 were shared with siblings and parents. The current one is shared with 3 insane backseat drivers (not including Craig's hair).

Friday, December 9, 2011

Today's featured gift

It's the middle of the night, and you're using the bathroom. But after sitting down you discover there's either a power outage or the bulb burned out. How often does this happen to you? That many? Have you considered calling an electrician?

Anyway, if this is something a friend of yours deals with regularly, than I have the perfect gift for them: glow-in-the-dark toilet paper!





This miracle is also useful for camping or as an emergency flashlight.

It doesn't say if it will rub off and give you a luminescent anus.

Baaaaaaaaaaaaahd Research




All right, for those of you who are too busy to keep up on breaking medical research that affects our lives, here's a big one:

The Center for Disease Control publishes a weekly report summarizing disease trends. In this week's, among generic items about flu and arthritis, was a case of Campylobacter jejuni (it's a bacterium) infection in 2 sheep-ranch hands in Wyoming.

Normally this bug is spread by contaminated food. But the 2 guys involved hadn't clearly eaten anything known to be an infectious source.

So, after diligent detective work the CDC found this pair had contracted it by castrating lambs.

WITH THEIR TEETH.

Yes, folks. These guys were actually biting off lamb balls. While this was a way of detesticulating sheep back before the germ theory was popular, it's generally fallen out of use.

Except, apparently, for 2 guys in Wyoming.

So, to summarize:

1. Animals carry diseases.

2. When neutering livestock, do not use your teeth as a surgical instrument.

3. Be careful who you kiss on a Wyoming sheep ranch, as you don't know where their mouth has been.

Here's the original article.

Thank you, everyone who sent this in.

Thursday, December 8, 2011

A day in the life

I've always liked the Muppets. One of my favorite songs is "Rainbow Connection," as performed by Kermit at the beginning of their first movie.

For those of you who don't know it:





Anyway, it may be corny, but the song got me through some shitty times. After I failed the first anatomy test in medical school (big time, too- I was the class low out of 120 people) I went to a used record store and bought the Muppet Movie soundtrack just to listen to that song. In a sappy sort of way it reminded me of why I was there in the first place, and I pulled my shit together, didn't drop out of school, and forged ahead.

Life goes on. Medicine is still fun. I mean, I like what I do. I have to earn a living, so I might as well be doing something I like.

And then, one day a few years back, I was having an ordinary day at the office. And toward the end of it was served with my first malpractice suit.

Nothing will kick the shit out of you faster than that moment. Yes medical students and residents, you WILL get sued. Get used to it. Someone on Sermo recently wrote "I have believed for a long time that unless you are practicing grossly negligent medicine your probability of getting sued is small." This is a remarkably ignorant statement.

Getting sued is like cancer- something that happens to other people. I think all doctors, on a superficial level, know it will likely happen. But you're still blindsided when it happens to you.

Obviously, I'm not going to go into legal details of the case, or who won, or even if it was dismissed. Because none of those are relevant to this post.

And I'm sure there are plenty of patients out there who can write how horrible Dr. Butcher maimed you. I'm sure some of you have legitimate claims. But I'm not writing about you.

Malpractice isn't black or white. It's really mostly shades of gray. I'm not biased against lawyers, in fact- my Dad is one, and sued several doctors for malpractice. But I'm not going to get involved in arguments about lawyers vs. doctors, either.

My point is just my own experience.

People portray doctors as being arrogant or uncaring. And I'm sure some are. But anytime a case goes bad, it's personally devastating for most of us. Even if you did nothing wrong. Sometimes shit happens despite your best efforts.

It hurts. A lot. You do your best day in and day out, and feel awful when things go wrong. And now someone is accusing you of having committed malpractice in your efforts. They tell you not to take it personally, but how can you not? Hell, they even name your spouse in the suit (really, they do).

You may be absolutely right. The literature may back you up completely. But that often doesn't matter.

You see, there is always another doctor out there willing to testify in court (for a nice fee, of course) that what you did wasn't appropriate. He's Dr. Jukebox. You put in money and he'll play whatever tune they want him to (it pays a lot better than seeing patients). The statements from these whores will make you feel like shit, and the legal language used makes you sound on a par with Dr. Mengele.

No amount of medical competence can prevent someone from filing a lawsuit against you. Even if you did nothing wrong, there's always a hungry lawyer willing to take the case. After all, it only costs about $100 to file a suit, the potential payoff is 1/3 of the winnings, and he knows a Dr. Jukebox who will gladly testify that you're incompetent.

Your medical school teachers won't tell you what it's like to be sued, but I will.

It's devastating.

It kicks the shit out of you. You lie awake at night wondering if you're going to lose everything you ever worked for. You cry. You think about suicide, but have to go on for your family. With this sword of Damocles hanging over your head, you still have to go to work every day, and do your best for the patients who still depend on you. Some days it's pretty damn hard NOT to start drinking.

And, deep down, you wonder: Am I really incompetent? You question your own judgment. Suddenly every headache patient needs a brain MRI. Every person you see is a time bomb. You start to view them as the enemy.

People use the phrase "defensive medicine" in a derogatory fashion, meaning unnecessary testing doctors order to prevent themselves from being sued. But after it's happened to you, hell, you don't give a fuck how much money the "unnecessary" tests cost. You'll order anything to cover your ass.

And no matter what you did, Dr. Jukebox will testify that it wasn't the right thing. And no amount of literature in your favor will change his "expert" (i.e. well-paid) opinion. The people on the jury deciding your fate aren't medical people.

Even if you win, it still doesn't take away the living hell you and your family are put through for the 3-5 years (yes, years) it takes the case to play out. The sleepless nights, the gray hairs, the stress eating that shortens your time on Earth, and the spouse and kids who worry about you.

And, regardless of the case's outcome, it will forever destroy your Rainbow Connection, and the beliefs that once drove you to dream of being a doctor.

Wednesday, December 7, 2011

Patient quote of the day

"My mother lost her breasts. To cancer, I mean. She didn't, like, leave them somewhere or anything like that."

Today's featured gift

Okay, this one is just awesome. It sells for $199 and is called a "Natural Stump Side Table."



IT'S A FUCKING LOG, PEOPLE!

The web site creatively notes that it comes "fully assembled" and (for those who feel guilty) is from "naturally fallen cypress trees."

To me, that's like saying your steak came from a cow that died of natural causes.

Tuesday, December 6, 2011

Great Headlines

"Man charged with threatening jurors who convicted him of threatening judges"

Really!

Thank you, Webhill!

Tuesday afternoon

Dr. Grumpy: "Any major illnesses run in your family?"

Mr. Scalp: "Baldness."

Annie's Desk

Annie: "Dr. Grumpy's office, this is Annie."

Ms. Hallux: "Hi! Does Dr. Grumpy have Youtube at his office?"

Annie: "I guess so. I mean, we have internet access."

Ms. Hallux: "Okay, my toes do this weird shaky thing at night, and my boyfriend filmed them and put them on Youtube. Can your doctor look at them and tell me what it is?"

Annie: "Are you one of our patients?"

Ms. Hallux: "No, why?"

Annie: "To get the doctor's opinion you're going to have to make an appointment and come in."

Ms. Hallux: "I don't need to come in. I don't have time for that. Can't he just look at the video and tell me what it is?"

Annie: "To give an opinion he'd have to see and examine you, and get a history and..."

Ms. Hallux: "Why does every doctor's office tell me that? No wonder nobody can get proper care anymore." (click)

Monday, December 5, 2011

Lovely

Dr. Grumpy: "Have a seat. I'm Dr. Grumpy."

Rhea: "I'm Rhea. It's pronounced like 'diarrhea,' without the 'dia.' "

Today's gift idea

We all love ice cream cones, but they're a HUGE hassle. I mean, you have to turn and lick them on all sides, otherwise they drip down and get messy. And this is SUCH A BIG PROBLEM that it hardly seems worth the effort to have a cone.

But not any more!





This remarkable product continues the worldwide trend of eating more calories while expending as few as possible, so someday you too can look like the people in WALL-E. You may now experience the ultimate in human laziness, and never worry about getting ice cream on your sneakers again.

Sunday, December 4, 2011

Weekend reruns

From 2009:

Local Hospital has been transitioning to an electronic chart system.

This morning, while on rounds, I dialed in to the hospital system to dictate a consult. I was stunned to be told that my privileges had been suspended for delinquent medical records.

This was a shock, as I treat medical records with an obsession. Every Thursday I stop by medical records and ask if there's anything for me to sign. For the last 6 weeks the girl there has politely checked her computer, then said "Nope, thank you for checking".

So I promptly marched down there:

Dr. Grumpy: "Excuse me, do I have anything to sign today?"

Ms. Helpful: (looking at her computer) "Um, nope. Thank you for checking."

Dr. Grumpy: "Well, when I dialed in, it says I've been suspended for medical records delinquency."

Ms. Helpful: "That's correct. You have over 60 charts to complete, 28 of which are delinquent"

Dr. Grumpy: "WHAT!!! Then why didn't you tell me that?!!"

Ms. Helpful: "You only asked me if you had anything to sign. You have nothing to sign. We are all electronic records now. You don't actually sign anything."

Dr. Grumpy (in shock): "Okay... So how do I complete my records?"

Ms. Helpful: "You have to log into the e-Chart system."

Dr. Grumpy: "No one told me we'd completely switched to e-Charts, or that I had records to complete. How was I supposed to know this?"

Ms. Helpful: "Because the first time you sign in to e-Charts it tells you that".


No wonder my hairs are jumping off like lemmings.

Saturday, December 3, 2011

Science, or something like that

Were you a perfectly straight heterosexual until you learned to drive, and then, upon getting your license, immediately developed an uncontrollable attraction for your own sex and switched to the other team?

Did you find that handling the steering wheel all-by-yourself made you want to start wildly screwing everything in site and use porn (I think I did, but it likely had more to do with 16 year-old-boy-hormones than my 1978 Datsun 810 station wagon).

In a stunning discovery, the highest religious council of Saudi Arabia has actually discovered these "facts," with a new report warning that if Saudi woman are allowed to drive the population will turn to homosexuality, prostitution, and pornography. It also noted that within 10 years of the ban being lifted, the nation would completely run out of virgins (REALLY!).

Read more here.

Thank you, P!

Friday, December 2, 2011

Whatever

Mrs. Patient: "My husband and I are both retarded."

Dr. Grumpy: "You mean retired?"

Mrs. Patient: "Whatever."

Front desk

Lady comes in, stands at counter.

Mary: "Hi, can I help you?"

Ms. Daughter: "Yeah, my Mom, Ida Behere, has an appointment with Dr. Grumpy today, and so I was coming to join her."

Mary: "Okay, but her appointment was over an hour ago. She's already done, and has left."

Ms. Daughter: "HOW COULD SHE DO THAT TO ME?!!!"

Mary: "I"m sorry. Maybe you should drive in with her next time?"

Ms. Daughter: "I demand you call my mother immediately and get her back here to repeat the appointment!"

Thursday, December 1, 2011

Dr. Grumpy's 2011 Gift Guide

It's December 1, the Christmakuh/Kwanzaa/Solstice/Festivus season is upon us, and it's time to roll out the annual holiday gift guide. As always, we at Grumpy Neurology, P.C. scour the internet and catalogs year-round so you don't have to!

In the past I've focused on gifts for humans, but since dogs are a big part of our families, I thought I'd kick off this year with something for them. And what better gift for a furry friend than his own sex doll?

(click to enlarge, if you're into that sort of thing)







Yes, the HotDoll doggy love toy is available in 2 sizes (looks like small and medium from the site, I don't see anything for a Great Dane), and is "made to be easily distinguished by dog’s eyes."

It also notes that "the pink hole needs to be washed regularly for hygienic reasons," a job which will likely spark more family fights than "whose turn is it to pick up the dog poop?"

I can just see this being marketed with The Rolling Stones belting out a modified version of one of their classics:

"Hey! You! Get off of my leg!
Don't hang around, or sit up and beg!"

The site doesn't say if there are other models that require batteries, but quite frankly I don't want to know.

Wednesday, November 30, 2011

Stand-up comedy

Dr. Grumpy: "How bad is your insomnia?"

Mr. Ambien: "It's a problem, but I try not to lose sleep over it."


I'm thinking sterilization...

Mrs. Rock: "I don't want to start any new medications. I've been taking Clomid, and am trying to become pregnant."

Dr. Grumpy: "Okay."

Mrs. Rock: "I've been on it for 2 months now, and it still hasn't worked."

Dr. Grumpy: "Has your husband been checked out?"

Mrs. Rock: "Oh, he's overseas for the year."

Dr. Grumpy: "Then, um, why are you taking Clomid?"

Mrs. Rock: "So I can get pregnant. That's what Clomid does. This way I can get pregnant without a guy."

Tuesday, November 29, 2011

'Tis the season

Yes, nothing says "Peace and Goodwill" this time of year more than an octogenerian grandmother driving a 1983 Buick with a prescription windshield nearly mowing my kids down in the Costco parking lot to get a space 8 feet closer to the door (and then flipping Marie the bird).

Or people trying to commit homicide with a Christmas tree ornament.

Thank you, Janine!

Annie's Desk, November 28, 2011

Annie: "Dr. Grumpy's office, this is Annie."

Mrs. Worried: "Hello, um, my husband sees Dr. Grumpy."

Annie: "Yes?"

Mrs. Worried: "Anyway, on Thanksgiving, after dinner, he had slurred speech, and was dragging his left leg. It hasn't gotten better yet."

Annie: "That was 4 days ago. Did you go to the hospital?"

Mrs. Worried: "No, it was, you know, a holiday weekend, and I didn't want to bother the doctor. He works hard enough."

Annie: "Okay, let me check with Dr. Grumpy, but it sounds like you're going to need to go to ER."

Mrs. Worried: "There were also some Black Friday deals I didn't want to miss."

Monday, November 28, 2011

Oh, for hell's sake

Santa Claus is (roughly) 1700 years old. He's changed dramatically over time, from his original name of St. Nikolaos of Myra to the guy we see in department stores and selling Coke on TV.

So it was only a matter of time before the A-word caught up with him, too.

(click to enlarge)




Thank you, Susan!

That would be a "yes"

Over the weekend I was doing some research surveys, and encountered this question:

"If there was no PET scan machine available, would that prevent you from ordering one?"

Sunday, November 27, 2011

Sunday guest post

As many of you have noticed, Officer Cynical shut down his blog. However, I'm honored that he's asked me to publish some rants for him. So today I'm going to feature his ramblings in place of my own. Take it away, Officer!

1. If you're in line at the grocery (or wherever), waiting to pay for your crap at the one open cash register, and then they open a second register and say "I can help the next person", that means they can help the next person in line - the one behind the person who's already paying at the previously sole register. It does NOT mean they can help the person at the back of the line who's been waiting a shorter period of time than everybody else in line. Where the hell have people gotten the idea that a newly opened cash register is for the person at the back of the line?

2. If you're merging onto the interstate (AKA freeway, AKA the "I"), it's your job to MERGE. It's not the job of everybody else to slow down, move over, or anything else. This is usually best accomplished by accelerating up to speed that allows you to fit into a space between two other cars already in the righthand through lane. It is NOT a good strategy to just move over into through traffic when you're doing, say, 35 mph, and those in the righthand lane are doing 60. And, in the name of all that's holy, don't hit the brakes at the end of the entrance ramp because you're scared to merge. The people behind you, who are correctly accelerating up to speed and looking for a place to merge, will tend to hate you and wish you ill.

3. If you've successfully gotten onto the interstate/freeway/"I", please pretend these signs (see attached) actually exist, and heed them.





4. Not being one to send e-mail to porn sites, how did "Ass_Titties" and "HornyGirlHere" get into my list of Hotmail contacts?

Saturday, November 26, 2011

The night

It was the late 80's, at Big State University.

As best I remember, it was a pretty ordinary day. I'd had a few medical school interviews the week before, and was trying to catch up on stuff now. I was taking a jazz class, which required me to listen to several hours of records during the semester. So I spent a big chunk of the afternoon in the music library.

I remember it was late, around 6, when I finally finished. I owed my roommate beer, and so I stopped at a store, then headed back to the apartment.

When I finally got home my roommate was at his desk. He was in architecture, and was always working on something. I walked in and said hi. He said "your Dad called, asked you to call him back", and was back to his work.

I began putting the beer in the fridge, and called home. My Dad answered, and when I said "Hi" he paused and then said "Ibee Grumpy, your life has changed forever."

I'd been accepted to medical school.

It's hard to remember all the feelings that went through me. Relief, happiness, nervousness, and an overwhelming gratitude that I'd remembered to buy beer that night. It wasn't great beer, but hell, it was still beer.

I'd tried to get in the year before. Applied to 18 schools, got 2 interviews, accepted to none.

This year I'd applied to, I think 25 or so schools. I got interviews at 10-15, and spent a lot of time flying all over the country. I'd even applied to law school as a back-up (got in, too).

I don't remember much about the rest of the school year. My grades took a dive, since I only cared about passing now. I went to more parties. Baseball games were free at my school, so I went to them, too. One involved me sitting through a record downpour with maybe 10 other fans until they called the game in the 5th.

It's been a helluva ride.

Friday, November 25, 2011

New page

All right, fans, I've been busy preparing the 2011 edition of the Dr. Grumpy Gift Guide, but it won't be ready for a few days.

However, for those of you already looking for information on semen-shaped jewelry, pink & green men's slacks with giraffes on them, alarm clocks that run away from you, and the other fine products I've featured in the past, there's now

(drum roll)

The Dr. Grumpy Gift Guide page!


It covers my recommendations from 2009 & 2010, and you can visit it by clicking on the above link, or by looking for it down on the right sidebar.

Happy shopping!

Land of idiot shoppers

I have no idea what to say. Just read it.

Thank you, everyone who sent this in!

Black friday deals

So I was surfing Amazon for one of the naval fiction books I like. Check out the awesome "bargain" deals on this one!

(click to enlarge)





I could be up all night wondering which I should order...

Thursday, November 24, 2011

Thanksgiving, 2011

We will never know exactly when it happened, but in my opinion it was the most important event in human history.

Somewhere, probably in Africa (maybe Asia), there was a meeting.

A branch of the primate family that had started walking upright, and a cousin of the gray wolf, first set eyes on each other. And both realized this relationship had potential.

The records show we've been together for at least 15,000 years, but I suspect dogs (and their ancestors) have been leading us around for much longer. It's impossible not to see how useful they must have been as an alarm system and hunting partner going back to our cave days. And being with us gave them steady access to a food supply. So this has been a win-win relationship from the start. Dogs gave humans a better chance to survive, and vice-versa. So we grew up together.

When humans first came across the Bering Strait, they brought dogs with them. There's even the possibility that they couldn't have made the trip without dogs to pull their sleds.

Most relationships would get old after this long, but not us. If anything, our need for them has increased over time, but in different ways. We may not need hunting partners as much, but their incredible skills for guide/assistance animals, security, search & rescue, and many other jobs, make them invaluable.

Sometimes they can even drive us around (Thank you, Doreen!)

But the most basic part of the deal is still companionship. Humans seem to have an instinctive need for different species companionship. And they like us, too. Because of the nature of the Grumpy household (3 dogs) there is inevitably at least one in our bed at night, and another in a kid's bed. There's something very primordial about dozing off next to a dog. You can envision our mutual ancestors in a cave, with a fire in the background, huddling together with a wild dog for warmth. And as you fall asleep, the dog has one eye on the entrance to warn you of danger.

And on that note, for those of you who didn't notice her name added last month, I'd like to introduce Mello:




How much is that doggy in the window?


Mello is maybe 2 years old, and was found wandering downtown Grumpyville by employees at Mrs. Grumpy's job. She had no collar or chip, and after combing through multiple lost pet sites, and looking for "lost dog" signs, we were unable to locate her owner. So she has now joined Snowball and Cooper in the Grumpy insane asylum.





Making herself at home.

She is an awesome dog, and we are lucky to have her. Great dogs can be found anywhere. All of the Grumpy dogs have been rescue animals, and if you're looking for a new companion, I recommend adopting from your local shelter.

You (and your new friend) will be thankful you did.

Happy Thanksgiving everyone!

Wednesday, November 23, 2011

Today's quiz: Drug ads

The lady in this picture:

(click to enlarge)





A. Is doing the neurology mating ritual.

B. Will be electrocuted if she touches a light switch.

C. Hates shag carpeting.

D. Is performing an interpretive dance to "If I Only had a Brain"

E. Is supposed to have Restless Leg Syndrome.

Tuesday, November 22, 2011

Patient quote of the day

"It was a serious fall. I cracked all the tibias in my arms, legs, and back."

Wrong answer

Dr. Grumpy: "What can I do for you?"

Mrs. Wreck: "I was in a car accident, and my lawyer wanted me to be seen because..."

Dr. Grumpy: "Ma'am, I don't take legal cases anymore. Didn't Mary tell you that when you called?"

Mrs. Wreck: "She did, so I had a friend call back and make the appointment for me. I figured once I was in here you wouldn't say no."

Monday, November 21, 2011

If I have to hear it, you do too

For some reason today I've been infected with an earworm, featuring this classic Monty Python number. So, since I seem to be stuck with it, I'm sharing it with you guys.


Mary, make an appointment for her

It is never a good sign when:

The Monday before Thanksgiving a drug rep who sells Alzheimer's medication drops off a jack-o-lantern bag full of cookies, with a note that says "Happy Halloween!"

Ever.

Sunday morning, 2:18 a.m.

My cell phone wakes me with a message. It's a patient with a relatively urgent question.

I knew the call would take a while, so stopped in the bathroom, then walked to my home office, flipped on my computer, and opened the patient's chart. This took maybe 5 minutes from the original message.

Then I dialed him up.

Dr. Grumpy: "This is Dr. Grumpy, returning a call."

Mr. Etiquette: "Um, huh, oh."

Dr. Grumpy: "You called me?"

Mr. Etiquette: "Man, you just woke me up."

Dr. Grumpy: "Sorry. What can I do for you?"

Mr. Etiquette: "Took you long enough to call back, and I dozed off again. I can't believe you woke me up."

Dr. Grumpy: "Well, in your call you said..."

Mr. Etiquette: "That doesn't matter. I can't believe you woke me up. This is incredibly rude."

(hangs up)

Sunday, November 20, 2011

How can I leave this behind?

Okay. There are many ways to give yourself a bigger butt if you so desire (I personally like eating PB M&M's).

But injecting your ass with "Fix-a-Flat" isn't one of them.

Thank you, Rick & EMTGFP!

Saturday, November 19, 2011

Medical marijuana




In my career I've caught 5 patients smoking marijuana in the hospital, roughly 2 years apart from each other.

For reasons I don't understand, all 5 times they were in the same telemetry room.

There is nothing special about this room. It's a generic room on the 7th floor, facing the nurses station, but no more or less so than any other room. Different nurses have come and gone. But patients keep smoking weed in there.

Room 7310 is truly one of the great mysteries of the universe.



Friday, November 18, 2011

More fun with Mary

Mary: "Dr. Grumpy's office. This is Mary."

Miss Meyer: "Hi! I'm having terrible back pain and need to get into Dr. Grumpy right away! It's an emergency. I can't even sit for more than a few minutes!"

Mary: "Well, you're in luck. Our 3:00 patient just canceled, so he can see you this afternoon."

Miss Meyer: "Oh, I can't do that. I have tickets for the premier of 'Breaking Dawn.' "

Nuts and bolts

Mary: "Dr. Grumpy's office, this is Mary."

Mr. Lost: "Hi, I can't find your office."

Mary: "Okay, where are you?"

Mr. Lost: "I'm at the hardware store, like you said."

Mary: "I said we were across from the hospital."

Mr. Lost: "Oh. Well, I'm at the hardware store, in paints."

Mary: "Well, your appointment is NOW. Can you come over here?"

Mr. Lost: "It would be a lot easier to find if you guys were in the hardware store. I think more people come here than the hospital."

Thursday, November 17, 2011

Today's criminal tip

When going to court, keep in mind:

1. Don't steal a car to get there.

2. Don't park the stolen vehicle in the police department's lot.

Like this lady.

Journal of Grumpy Physics

Theory: Various mathematical models have been used to postulate the motions of planets, galaxies, neutrinos, baseballs, and other objects of varying mass. However, the movements of certain objects are less predictable. An ongoing study into the variable location over time of one of these items has revealed, to date, no clear pattern for its movement.

Methods
: In 2000 an unidentified hospital staff member placed a 24 oz plastic flask of Nestle Coffeemate (Hazelnut flavor) into a nursing station refrigerator on the 8th floor of Local Hospital. A regional neurologist has casually noted the movements of the flask of proto-dairy product at intermittent intervals over time while scavenging for Diet Coke. The flask has been consistently identified over time by it's original expiration date (February, 2002) stamped on the rim.

Findings: The Coffeemate bottle has now been in the refrigerator for over 10 years. Careful observation (okay, lifting and shaking it a little from time-to-time) showed that its weight gradually decreased in the first several months of it's presence, then stabilized. While weight can vary depending on local gravity, the Earth's gravitational force has not changed substantially during this time, nor has the hospital been relocated to a planet with lesser gravity. The contents have not been directly inspected by the author during this time.

The bottle has remained on the same shelf (center shelf, refrigerator door) since its original placement. Its specific location on the shelf has varied (sometimes next to the Ranch dressing, at other times between the ketchup and mustard, and once briefly near a bottle of banana-based ketchup that a Filipino traveling nurse brought). Overall its location has been reasonably predictable within the limitations of the Heisenberg Uncertainty Principle and Schrodinger's cat.

Results:
It's still there.

Discussion: There have been a number of postulates to explain this sort of object persistence. While local changes in Brownian kinetics or gravity are possible, the most likely cause of the flask's roughly unchanged location is attributable to the nature of Homo Sapiens. This local species appears to be disinterested in removing objects that are not the direct property of a given individual. Therefore, it's likely that only the specific animal which originally placed the Coffeemate on the shelf will be inclined to retrieve it, regardless of its current condition.

Its persistence, in spite of clearly being empty for several years, is likely due to one or more of the following possibilities:

1. The original owner no longer works at the hospital, or at least not on that floor.
2. The original owner has forgotten it's theirs, and therefore isn't touching it.
3. People are lazy.

It should be noted that item #3 is actually a unifying theorem for #1 & #2.

In conclusion, the author would like to note that I didn't put it there either, and so I ain't touching the freakin' bottle. The last time I tried to do something nice like that I almost got my hand chewed off by a rabid oncology nurse.

Wednesday, November 16, 2011

Religious crime in America

People are so strange.

Thank you, Janine!

Rats to rats

Mr. Muroidea: "I used to be a stockbroker, but I couldn't stand the rat race, and quit."

Dr. Grumpy: "What do you do now?"

Mr. Muroidea: "I have a farm. I raise rats for labs."

Tuesday, November 15, 2011

It's almost plausible

He had me going until the Taylor Swift part.

Thank you, Lee!

Distractions

The following was left on Mary's voicemail yesterday:

"Hi, it's about 2:05 and I have a 2:00 appointment with Dr. Grumpy, and I'm trying to get there. I'm on the freeway and my son is driving me, so we just passed 24th street and WHAT THE HELL ARE YOU DOING! DIDN'T YOU SEE THAT TRUCK? WHY DON'T YOU PAY ATTENTION NEXT TIME! ARE YOU BLIND? I KNEW I SHOULDN'T HAVE LET YOUR FATHER TEACH YOU TO DRIVE!"

She didn't show up for her appointment, either.

Monday, November 14, 2011

Holy Nuts, Batman!

Pareidolia at its finest. Words fail me.

Thank you, Liz!

Compare and contrast

This is the front-passenger side floor of Dr. Grumpy's car:






This is the front-passenger side floor of Dr. Grumpy's car after this weekend on call:






Any questions?

Sunday, November 13, 2011

Med School Memories

It was the early 90's in medical school...

There was one sweltering Summer where the classroom's air conditioner was hyperactive, and we measured it at 60°F in there. It was an unpleasantly humid, high 90's °F outside.

So we'd walk to school in shorts & T-shirts, and put on sweatpants and sweatshirts before going into lecture. It was silly. We had to keep warm clothes in our lockers outside the classroom, and during lectures would slug down hot coffee, tea, and cocoa to keep warm.

We called building maintenance repeatedly to complain, without success. I remember at one point a frustrated guy actually dialed them during a lecture, and screamed "DO YOU HAVE ANY IDEA HOW COLD IT IS IN HERE?" into the phone.

The next day we got to class to find they'd hung up a large wall thermometer, so we could see how cold it was (59°F).

Thanks, guys.

Saturday, November 12, 2011

Artisanal Overkill

A fine example of corporate overuse is from April, 2011.

The New York Times interviewed James Goldman, the CEO of Godiva Chocolate. He felt the need to use the word 3 times (!!!) in 2 paragraphs.


click to enlarge

Friday, November 11, 2011

Never saw that kind before

I'd like to thank McDuck Vet for sending this. She says it was in a veterinary supply offer she received.


Thursday, November 10, 2011

Age

Dr. Grumpy: "It looks like you had cataract surgery."

Mrs. Nonagenarian: "Oh yes, I was just a girl when they did that."

Dr. Grumpy: "How old were you?"

Mrs. Nonagenarian: "71."

Gratitude

You live out in the boondocks.

3 days ago you developed right-sided weakness and slurred speech, which you attributed to "a pinched nerve in my low back."

Yesterday you came to Grumpyville for a funeral.

This morning at the ceremony your friends noticed you were dragging your right leg & unable to sign the memory book, and suggested you come to Local Hospital (conveniently located down the street from Local Cemetery).

So you limped over here "just to get checked out" before going back to Boondockville.

And now you're angry at me because you got admitted, and demanding I pay for any food in your fridge that goes bad in your absence.

Some days I don't know why I do this.

Wednesday, November 9, 2011

This is my practice

The following is, verbatim, an email that Mary sent me this morning. It speaks for itself.


"Your 11:00 just called. The maintenance people at her apartment building painted her door shut, and she can't get out. She'll call back to reschedule."

Fax follies

This morning I found a records request on the fax machine, with this written at the top.


Tuesday, November 8, 2011

My life of phone calls

Dr. Heller: "This is Dr. Heller, on behalf of Major Illness Insurance test authorizations. Who am I speaking to?"

Dr. Grumpy: "Hi, this is Dr. Ibee Grumpy. I'm calling to get an MRI authorized."

Dr. Heller: "Okay, let me look at our file... It looks like we denied the MRI because it isn't clinically indicated."

Dr. Grumpy: "Well, this is a young man with memory problems, and I want to make sure his brain looks okay."

Dr. Heller: "Have you checked labs for metabolic causes? Have you ruled-out depression?"

Dr. Grumpy: "His labs look fine. Depression certainly could be the cause, but I want to make sure he doesn't have a tumor."

Dr. Heller: "Our policy is that he needs to be evaluated by a psychiatrist for this before we do the MRI."

Dr. Grumpy: "I tried that, but your company doesn't cover any psychiatrists."

Dr. Heller: "That's correct."

Dr. Grumpy: "So how do I go about getting this done?"

Dr. Heller: "You're his doctor."

Monday, November 7, 2011

He's dead, Jim

My car battery died on Saturday, so I took it over to Local Car Place.


Dr. Grumpy: "Hi, I bought this battery around Christmas, and it's dead now."

Counter guy: "Hang on, let me check it..." (connects a gadget to battery) "Hey, your battery is dead."

Dr. Grumpy: "Yeah."

Counter guy: "Were you able to start your car with this?"

Dr. Grumpy: "No."

Counter guy: "That's because it's dead."

Dr. Grumpy: "That's why I brought it in."

Counter guy: "Yeah, it's good that you did, because it's dead. Looks like it's under warranty. Did you want another one?"

Dr. Grumpy: "Yes."

Counter guy: "Okay. You'll need one, because this one is dead. It won't start a car."

Dr. Grumpy: "I'll just take a new one."

Counter guy: "Let me get you one. I wouldn't continue using this one, because it's dead."

Sunday, November 6, 2011

Weekend reruns

The week after Halloween is the ideal time to prove the theory of evolution.

Certain species of bugs have developed a really bad taste so predators won't eat them (at least, that's what I've read. I haven't personally done insect taste tests).

Did they actually evolve in that direction? What is the evidence?

Let's look in Dr. Grumpy's break room:


Post Halloween day #1: Everyone brings their leftover candy to the office. We put it in a big bowl in the break room. We are too damn sick of candy to touch it.

Post Halloween days #2-3: Predators (okay, me, Pissy, and the staff) arrive. The choicest (i.e., chocolate) items disappear first. Reese's PB cups, M&Ms, Milky Way, Snickers, Kit-Kats, Twixt, Butterfingers, Three Musketeers.

Post Halloween days #4-5: Other stuff starts to go. Skittles, Laffy Taffy, Smarties, Runts, Starbursts.

Post Halloween days #6 and on: This is when we find the survivors. Just like the unpalatable bugs, some candy types will sit there for quite a while. Candy Corn, Tootsie Rolls, Circus Peanuts, and those horrible taffy things in black and orange wrappers (the latter, I suspect, were only made once in the 1960's and have since just been re-gifted. I think people who got them as kids now give them out as adults, and the cycle continues).


Granted, I have no evidence to suggest that Darwin's staff dumped leftover candy at the office. If they did, however I'd suspect that's more likely to have led him to the theory of evolution than a trip to the Galapagos.

For more background on truly horrible Halloween candies, read this.

Saturday, November 5, 2011

Sports memories

Since the overpaid crybabies of the NBA have decided to indefinitely postpone their season, I thought I'd bring you a summary of my athletic career. Which I didn't get paid for at all.


In the mid-80's my college roommate suckered me into playing for the Catholic Newman Center's intramural basketball team at BSU. This was because he couldn't find a 5th Catholic guy willing to play. So I was a ringer.

None of us had any reasonable basketball experience, and had never even met before the first game. In spite of this, we put together an impressive record during the 5 game season:


Game 1: Lost, 83-10 (a record that I'm told still stands at BSU).

Game 2: Lost, 75-15 (obviously, we were improving on both offense and defense).

Game 3: Forfeited, because we only had 4 guys show up.

Game 4: Forfeited, because we only had 3 guys show up.

Game 5: Disqualified because we'd forfeited 2 previous games.


And that was our season.

Friday, November 4, 2011

Gone phishing

Mary: "Dr. Grumpy's office, this is Mary."

Ms. Phish: "Hi, this is Cindy over at Dr. Weneverheardofhim's office, and we want to refer a patient to you."

Mary: "Okay, what's their insurance?"

Ms. Phish: "Hang on, to refer them we need Dr. Grumpy's address and Social Security number."

Mary: "Uh, you don't need his SS number to refer a patient. I can give his medical ID, which is what all plans require."

Ms. Phish: "No, this insurance requires the doctor's SS number."

Mary: "What insurance is that?"

Ms. Phish: "National Illness."

Mary: "We work with National Illness, and they don't..."

Ms. Phish: "LOOK! Just give me the doctor's SS number, or we will never send you another patient again!"

Mary: "Goodbye."

Thursday, November 3, 2011

Attention Johns!

When negotiating payments with a hooker, it is not advisable to call the police to mediate.

Acronyms

I'm doing an online research survey on epilepsy patients, and it refers to Partial-Onset Seizures as "POS."

So one question says: "How many POS patients do you see each month?"

Dear Smith & Nephew Medical Supply,

On behalf of myself, and everyone else who's trying to diet, thanks for your new line of appetite-suppressing sacral bandage ads.





I don't really know what kind of salad I'd put sacrum dressing on, but right now it could be years before I'm interested in eating again.

Yours truly,

Ibee Grumpy, M.D.

Thank you, Jamie!

Wednesday, November 2, 2011

Tuesday afternoon

I'm heading to pick up the kids, and my cell phone rings. I recognize the number as another doctor's office, and answer it.

Dr. Grumpy: "Hello, this is Dr. Grumpy."

Phone Lady: "Hi, Mr. Lumbago, I'm calling from Dr. Beard's office. He'd like you to see a neurologist."

Dr. Grumpy: "Um, this is Dr. Grumpy, the neurologist."

Phone Lady: "Why, yes. Dr. Grumpy is who he wanted you to see. Are you familiar with him?"

Dr. Grumpy: "This is Dr. Grumpy. You called my cell phone by mistake."

Phone Lady: "No, we can't give you his cell phone number, but you'll need to call his office. It's 867-5309."

Dr. Grumpy: "This IS Dr. Grumpy. You called me! Not the patient."

(pause)

Phone Lady: "Is this Dr. Grumpy?"

Dr. Grumpy: "Yes."

(pause)

Phone Lady: "Why are you answering Mr. Lumbago's phone?"

Tuesday, November 1, 2011

Question

Dr. Grumpy: "Any other questions?"

Mr. Clueless: "Yeah, but maybe it's not related."

Dr. Grumpy: "What's up?"

Mr. Clueless: "My wife is having a baby soon. When does the doctor poke holes in her nipples to let the milk out?"

Bad omen

It is never good when the chart begins: "Patient suffered a head injury with intracranial bleeding when a fight broke out at his Bible study group."

Monday, October 31, 2011

Scary Halloween Visitors

I'd like to thank my SMOD for submitting this. He works for a drug company, and says this is an actual training video they use.

Return to San Diego, part 2

Our hotel had this thing near the light switch. I have no idea what it was. I tested it a few times, and determined that it wasn't a motion detector or light sensor. I asked everyone at the front desk, the maid, and the maintenance guy. None of them knew what it was, either.





After various family things Craig wanted to go to Sea World.

We were in line for the Sea Lion Halloween show. We actually got there first, followed closely by a deranged woman and her tribe. She immediately accosted the poor teenager standing at the entrance to ask what time we'd be allowed in. The girl said "about 15 minutes."

So, exactly 15 minutes later the woman wanted to argue about it.

Deranged woman: "Why haven't you let us in?"

Teenage girl: "Gates open at 2. It's 1:56, ma'am."

Deranged woman: "Well, at 1:41 you said 'about 15 minutes.' It's been that. I demand you let us in."

Teenage girl: "Sorry, but it has to be at 2:00. My boss will tell me."

Deranged Woman: "This is ridiculous. I demand you refund my park admission RIGHT NOW!"

Teenage Girl: "You'll have to discuss that with the office by the front gate, ma'am."


Deranged Woman turned away to mumble under her breath for about 30 seconds. During that time a park employee came over with an older couple. Both were using walkers, and he clearly had Parkinson's disease. Teenage Girl put them at the front of the line.

Deranged Woman: "What are you doing?"

Teenage Girl: "These people are handicapped, ma'am. Therefore we allow them in early to give them extra time to find seats."

Deranged Woman: "That is grossly unfair! I demand you make them go to the back of the line (which by now was the size of the Queen Mary)."

Teenage Girl: "Sorry ma'am. Our policy is to assist those with disabilities."

Deranged Woman: "That is discrimination against the healthy. When I go for my refund, I'm going to report you."


At this point Deranged Woman noticed my Grumpyville Faceplants cap.

Deranged Woman: "Oh! Grumpyville. My sister lives in Grumpyville. She's a surgeon. Do you know her? Are you a doctor?""

Dr. Grumpy: "I clean fish tanks." (this is true)

She turned away and pretended I was invisible. Obviously aquatic habitat maintenance people were beneath her caste.

Mercifully, Teenage Girl let us in at this point. While we were waiting the guy doing the pre-show, Biff, sprayed Deranged Woman with a squirt gun, and she dragged her kids out of the theater. Apparently she'd had enough.


Over at the Pets Rule show Craig noticed me staring at a fire extinguisher, and asked why. In a true sign of how bad a neurology geek I've become, I realized I was staring at the "In case of emergency break glass" hammer and thinking what a great reflex hammer it would make.






Craig was hungry, and I got him some chicken fingers (which should be dipped in gold for what they charge). I lost my appetite when I looked at the table across from us.



You'd think they could keep the crack dealers out of the park.


After Sea World we went down the street to Belmont Park, a small amusement park by the beach.

Craig loved the place, because he could run amok without interference from his siblings. They have a cool, older, roller coaster there, The Giant Dipper (he called it "Giant Diaper) which he dragged me on 14 times. By the end of the day I thought I'd need a giant diaper myself.


They also have a ride that sends you up in the air and flips you around. I personally DID NOT find it reassuring that they have a large ladder attached to the fence surrounding it.






While we were waiting at the "Beach Blaster" line a homeless guy (wearing nothing but sneakers and spandex shorts) came over, and tried to earn some change by singing the 1980's Kim Wilde song "Kids In America." Unfortunately for him, the 80's were 21 years ago, he had no singing voice, and he only knew the chorus. So he repeatedly belted out:

"We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!
We're the kids in America! Wa-ho!"

Until finally security led him away.


They had some prize games on the midway, where, as usual, you could win stuffed animals. I'd hate to win one of the whales. They were doing a chain hump, and I didn't want to interrupt them.




On the way back to the hotel I stopped for some artisanal Mexican food at Taco Bell, and we sat in the lobby to eat it. While Craig watched TV, I downloaded a few EEG's to my computer to read them. Behind me the front desk phone rang, and I heard the polite clerk have this remarkable discussion.

"Front desk, this is Mike, can I help you? No sir, sorry. We don't have safes in the rooms. We have safety deposit boxes at the front desk, and you can use them at no charge. Just bring down your valuables and... No, there's no way I can move one up to your room, sir. They're built into a concrete wall for security. Um, well, uh, I really have no idea what local companies install safes, especially at 9:15 on a Saturday night. But it's a hotel room, sir. You can't just have someone come up there and install a safe in the wall. Because it's against hotel policy. I am the night manager, sir. I'll be happy to lock up your valuables down here, but there's no way you can install a safe in your room. Okay, sir. Have a good night."

I was impressed. Mary couldn't have done it any better.
 
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