Friday, December 31, 2010

Survey fun

Okay, gang, I'm doing an online survey this morning and encountered this question:

"Of your epilepsy patients who are taking multiple anti-seizure medications, how many of them are on only 1 medication?"

Thursday, December 30, 2010

Reasons to strangle a patient

One of my epilepsy patients called this morning, asking if we could move up her appointment from next week to today. We're full today, and couldn't do it.

So a few minutes later she called back. She told Mary she'd had 3 seizures last night, and urgently needed to see me. So I added her on to the schedule, and crammed her in when I had a minute.


Dr. Grumpy: "So what happened? Mary said you had a bunch of seizures last night?"

Mrs. Abouttobethrottled: "No, I just told her that. I wanted to get in today."

Dr. Grumpy: "You lied to Mary so you could get in a few days early?!!!"

Mrs. Abouttobethrottled: "Well, your office is closed tomorrow, and next week my office visit co-pay goes from $20 to $30."

"I, uh, had my skin darkened, like Michael Jackson, but the opposite way."

Folks, if you're trying to use someone else's ID, please remember that they should at least be a similar race and sex to you.

Not like this guy.

Thank you, Mike!

That about covers it

While seeing a new consult at the hospital last night, I found this line in the admitting doctor's note:

"I think the patient had a TIA, or stroke, or headache, or some other type of neurology thing."

Wednesday, December 29, 2010

Honesty

Mr. Ford: "I've been doing some fun stuff. I got a role in Local Theater's new play."

Dr. Grumpy: "That sounds cool. Do you have any acting experience?"

Mr. Ford: "Yeah, I sold cars for 20 years."

Marital status

Like other doctors' offices, my patient information form features the typical questions, including "Marital Status?"

Usually someone writes something simple, like "married", "single", "divorced", "widowed". Or even just letters like M, S, D, or W.

But some people feel the need to make this a bit more personal.

I've actually seen the following:

"Single, and desperate."

"Divorced x 3, widowed x 2, separated x 2."

"Married, but it's an open marriage."

"Married, and hate the bitch."

"Single, but I sleep with my boyfriend."

"Single. Is Mary available?"

"Single. My phone number is below, please call if interested."

Tuesday, December 28, 2010

Tuesday night criminal tip

Attention crooks:

If you're going to steal a TV from a delivery van, it is NOT recommended that you do so from one parked near a police station. Or subsequently wheel it past the police station in a shopping cart. Or wear something as conspicuous as full-body military camouflage while doing so.

Like this guy.

Thank you, Linda!

Minor differences

Dr. Grumpy: "How much coffee do you drink?"

Mr. Java: "None. I quit last month because my cardiologist told me to cut out codeine."

Dr. Grumpy: "You mean caffeine."

Mr. Java: "Aren't they the same thing?"

Instruction manual

Generally, by the time you reach my age, you should have some idea of how to eat the majority of things available at your local restaurants. As a kid you learn pretty quickly that you should peel bananas & oranges before eating* and not eat the bones that are part of your chicken, or ribs, or T-bone steak. Cantaloupe and watermelon rinds aren't recommended consumption, either.

I, personally, don't expect a waiter to give me eating tips (unless I ask first). The only time one did was when Mrs. Grumpy dragged me to a fondue restaurant, and the waiter gave us a spiel on the proper ways to order and combine which foods with which fondue. We got up and left when he reached the 10 minute mark and showed no signs of stopping. I was afraid he was going to start a Powerpoint show.

But there's always someone who has to be different.

Thank you Dr. Fizzy!

*Think about it- SOMEWHERE in human history there was a poor sucker who tried to eat an unpeeled banana, and so all of us today have benefited from what they learned. I think their contribution to humanity is up there with the electric light, but you don't see a town named "Unknown Person Who Ate An Unpeeled Banana, New Jersey" do you?

Monday, December 27, 2010

There's drunk, and then there's REALLY drunk

Great idea. When you're caught driving drunk, just say you aren't.

Like this guy.

Thank you, Alison!

Sunday afternoon, 5:51 p.m.

"Hi, I'm a patient of Dr. Grumpy's. On Christmas eve I was at my daughter's house, and they all pointed out that I was dragging my right leg. It didn't hurt, and I didn't want to ruin the party, so I figured I'd see if it got better overnight. In the morning it wasn't any better, and my right arm and face were numb. But it was Christmas, and even though my granddaughter said I was talking funny, I didn't want to bother you, because it's, you know, a holiday. Besides, it made her laugh. She's so cute! Plus, my son had traveled all the way from Albuquerque to join us, and I didn't want to spoil things. Anyway, it's Sunday afternoon, and I'm on the way home after dropping my son off at the airport. So I'm calling to see if I can get an appointment to see you next week. Can someone please call me back in the morning?"

Sunday, December 26, 2010

Eye opener

In spite of all the freakin' snow we've had, Frank apparently hasn't gotten tired of building snowmen.

So last night he couldn't sleep, and I heard him doing this and that as I dozed. At some point in the wee hours he discovered that he could make a pseudo-clay from toilet paper, water, and glue.

So when I woke this morning, this was sitting on my night table, and was the first thing I saw upon opening my eyes.


Saturday, December 25, 2010

Holiday reruns



For Christmas day I'm repeating this column from last year. It detailed my December 24th run to the grocery store.


Oh, 2 tomatoes, and some paper plates? No problem. Let me get my car keys.

Crap, Local Grocery is mobbed. Hey, bitch! Don't flip me off! I wasn't even looking at that parking space. Chill.

Merry Christmas, Mr. Salvation Army dude. My only cash is $3, but I'll gladly put it in your kettle.

What a fucking mob scene. Hey! Don't push me! I didn't even want the last shopping cart! I'm just here for some damn tomatoes, lady. Merry Christmas.

Hi, it's me. I have the tomatoes. What brand of paper plates do you want? No, it looks like they're out of those. Okay, I'll get Chinet. Says they're made from recycled paper. Hope it's not toilet paper.

No, Mr. Salvation Army. I gave you my last $3 on the way in. Remember? Merry Christmas.

Hello? No, just leaving. Lettuce? Yeah, hang on. I can go back. Looks like some guy in a Santa hat is yelling at the Salvation Army guy for blocking the door, but security is leading Santa away now. Shit, somebody took my parking space as soon as I pulled out. Let me find another one.

Sorry, Mr. McDonald's manager. I didn't realize this space was for McD's customers only. It's not marked that way. I'll move my car, don't worry. Merry Christmas.

Mr. Salvation Army, it's me again. I had to come back. You have my $3 already.

Lettuce... hey, stockperson, whatever sex you are, where's the lettuce? You only have 3 heads left? Wow. I had no idea there'd be such a rush on iceberg for Christmas. Well, this one looks like it's been dropped the least.

It's a self-checkout. Look, I don't recognize you as one of my Alzheimer's patients, but you obviously are not grasping how to work this thing. So go over to the cashier and check-out the old fashioned way. I think she's one of my dementia patients, so I'm sure you'll have a lot to talk about while you hold up that line.

What the fuck! It's not taking my credit card! All I want is one fucking head of bruised iceberg lettuce!

WhatdoyoumeanthefuckingcreditcardsystemhascrashedbecauseeveryotherlastminuteloserinAmericaistryingtousetheircreditcardrightnow?

How long will that take?

NO! I DON'T HAVE ANY FUCKING CASH! I GAVE MY LAST 3 DOLLARS TO THE FUCKING SALVATION ARMY GUY! IF I HAD ANY CASH DO YOU THINK I'D BE WASTING MY TIME TRYING TO PUT A SINGLE $1.29 HEAD OF LETTUCE ON A FUCKING CREDIT CARD?!!

Well, fine. I'll go over to the ATM across the parking lot. Look at that line and NO, YOU BELL-RINGING ASSHOLE! YOU ALREADY HAVE MY $3! IF I HADN'T PUT IT IN YOUR FUCKING KETTLE I'D HAVE BEEN HOME BY NOW!

This is the line for the ATM? There are 5 freaking ATM's here? Oh, great, the other 4 are all out of cash due to the Christmas rush. Fine, I'll wait.

Hello? No, I'm in line at an ATM. I need to get cash to buy lettuce and... Because I gave it to the Salvation Army guy, that's why! Look, it's taking longer than I thought!

NO, MR. SALVATION ARMY! I just got this $20 out of the ATM after waiting for 15 minutes, because I gave you my last $3 and now the credit card machine is broken, and if you approach me again I'm going to shove that fucking bell up your ass.

YOU SOLD MY FUCKING BRUISED HEAD OF LETTUCE TO SOMEBODY ELSE? ARE THERE ANY LEFT? NO? CALL THE FUCKING MANAGER!!!

Fine I'll take this bag of salad instead, but it better be for the original $1.29. Merry Christmas.

Don't even think about it, Mr. Bell Ringing Salvation Army Guy.

When I got home Mrs. Grumpy told me she'd just found an extra head of lettuce in the refrigerator. She'd forgotten she'd bought one yesterday and put it in the produce drawer.

Merry Christmas to all, and to all a good night.

Friday, December 24, 2010

Christmas Eve history lesson

Quartzsite, Arizona is a small town along U.S. Interstate 10, and many just stop there for food and gas on the way to other places.

In the local cemetery is a small pyramid with a copper camel on top, marking the grave of a mostly forgotten man named Hadji Ali.






Very little information about his background is known. He was born in 1828 in what was then called Greater Syria (today that includes Syria, Israel, Lebanon and Cyprus). His parents were likely Bedouins. He was Muslim.

What is known is that he played a central role in what's now a mostly forgotten (but well worth remembering) oddity of American and Canadian history.


The idea was first proposed in 1836, but wasn't taken seriously until 1848. Following the Mexican-American war, the United States found itself in control of a large desert, covering what's now New Mexico & Arizona, and parts of Texas, California, and several other states. The U.S. Army needed to establish bases and supply lines in the area, both for the border with Mexico and the continuing wars with Indian tribes.

The railroad system was in it's infancy, and there were no tracks through the area. It's part of the largest desert in North America. The only way across was to use horses. But horses, like humans, are heavily dependent on water. This made the area difficult to cross, and vulnerable to attacking Apaches.

And so in 1855 Jefferson Davis, then U.S. Secretary of War (later to become President of the Confederacy during the Civil War), put into action an idea proposed by several officers: buy camels to serve in the desert. Congress appropriated $30,000 for the endeavor, and officials were sent to Turkey to do just that.

Between 1856-1857 the U.S. Army bought 62-73 camels, transporting them from Smyrna, Turkey to Indianola, Texas. To handle them they brought over 8 camel drivers, with Hadji Ali in charge.

The camels worked remarkably well... To a point.

They were perfect for the environment. The huge southwest desert didn't faze them. They led supply trains all over, from Texas to California. With their low need for water, and bodies specially adapted to arid environments, they easily crossed areas where horses and other pack animals couldn't.*

But there were problems. The Americans had envisioned combined forces of camels and horses, each making up for the deficiencies of the other. But horses and donkeys are frightened of camels, making joint convoys difficult and requiring separate corrals. The army was also unprepared for their intrinsically difficult personalities- camels bite, spit, kick, and are short-tempered. Horses are comparatively easy to handle.

With the start of the American Civil War, the U.S. Army Camel Corps was disbanded. Troops and horses were needed on the east side of the country, while camels weren't. Most of them escaped into the desert, and thrived there for a while. In an attempt to preserve them, the Arizona territory actually outlawed camel hunting, a law that's often scoffed at by those who don't know the reason behind it.

But the camel story didn't end there. One of the soldiers, Frank Laumeister, saw business opportunities in Canada. He bought a herd, and in 1862 took them north to British Columbia. The Cariboo gold rush was in progress, and pack animals were needed.



Canadian prospectors and a friend.


The results in Canada were mixed. The camels were strong, and could carry twice as much as mules. But their broad feet, while perfect for the sand and dirt of the desert, were cut up by the rocky terrain of the Pacific Northwest. It became necessary to make special protective shoes for them (given their difficult nature, it's unfortunate that history hasn't recorded how they responded to having shoes put on them).

The Canadians, like the Americans, discovered they weren't easy to handle. The same problems of difficult disposition and spooking horses came up. In addition, they found camels would eat anything they found. Hats. Shoes. Clothes that were out drying. Even soap. And so, after a few years, the Canadians gave up on the experiment, too.

But they weren't forgotten. A mountain range in British Columbia is called the Camelsfoot. The town of Lillooet has "The Bridge of the 23 Camels". A geographical basin is called "The Camoo".

Some camels were sold to farms. Others escaped into the wild. One was mistaken for a grizzly bear (WTF?) and shot, ending up briefly on a local bar's menu.

The last reliable sighting of a wild camel in Canada was in British Columbia, in the 1930's. The last sighting in North America was in Douglas, Texas in 1941- 85 years after the first ones had landed.

Two fiction movies have been based on the North American camel experiences: "Southwest Passage" (1954) and "Hawmps!" (1976). There's even a folk song called "Hi Jolly!" about them.

And what became of Hadji Ali?

His American hosts had trouble with his name, and pronounced it as a greeting: Hi Jolly! After the camel business shut down he decided to stay here, becoming a citizen in 1880. He tried his hand at several business, and married a woman named Gertrudis Serna in Tucson. They had 2 children. At some point he changed his name to Philip Tedro, but "Hi Jolly" is the name that stuck with him, and is on his Quartzsite tomb.



Hadji Ali and Gertrudis Serna


He prospected around the southwest U.S., occasionally working for the U.S. Army. Once, when offended that he hadn't been invited to a friend's party in Los Angeles, he broke it up by repeatedly riding through it in a wagon pulled by 2 of his remaining camels.

He spent the last few years of his life in Quartzsite, Arizona, dying in 1902. His adventures had impacted 2 countries and covered 3 continents. It had been 51 years since he'd left his native Middle East on one of the oddest military missions on record.


*Technically, it should be noted that camels are originally from North America. Really. Their ancestors evolved in North America 23-40 million years ago, but left. One group went west into Asia (then down to Africa), several million years ago, over the Bering Strait Land Bridge, evolving into today's camels. The rest migrated to South America 3 million years ago when the Isthmus of Panama formed, and became llamas and alpacas.
 
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