QUACK QUACK

[wedrinkbitter]

Test yr medical knowledge wif deez tr00 case studies from my jobb!!!

Yr Medi-Sleuth Decoder Ring tells you Depo-Medrol is a steroid injection that puts you at risk of adrenal failure, vascular collapse, and death every time you use it, along with the usual chronic effects of steroid use! Good luck!1. A patient comes in complaining of 10 years of

Comments

do. you. copy?

[ignorantleafy]

YOU! Must. Talk. With. You.

Sent you a letter a couple weeks ago. Before the fire. What fire? Ah HA. Check your spam box, maybe?

Need nothing from you at the moment, but wanted to be sure you got my love. Maybe coming down for Mario's birthday. If so, can I come by visit? Crash? Who knows?

Hard to reach at the moment. Seven minute phone call to the States from this hotel is $15. E-mail best.

Over!

Re: do. you. copy?

[wedrinkbitter]

TRIED TO CALL YOU BACK, NO ANSWERS. READ THE LETTER, INTERNET CONNECTION ONLY WORKS ON SUNDAYS, APPARENTLY.

Thank for the letter, the truth is I didn't even know what to say about it. Crash! Yes! For a year!

Must get dressed

hooray!

[ignorantleafy]

NO ANSWERS BECAUSE NO PHONE BECAUSE PHONE LINE BURNED OFF SIDE OF HOUSE. AAAHHH! AAAHHHHHHHHH!!

You didn't have to say anything. Glad you got it, though. I just wanted to make sure you know you're loved. Maybe I got too honest. I have no conception of nakedness.

Must find out when renovations are finishing.

Hm.

Re: hooray!

[wedrinkbitter]

I was motherfucking speechless, iz whut I wuz.

And, uh, in case yuh dinnae know, felt alot of the same things about you, too.

Ay yay yay, I even tried yr old cell phone if yuh can believe. Somebody else, I think, has that line now.

[mehinda]

Where are you considering doing your residency? The doctor you're working for sounds very much like one of the two doctors who practiced where I grew up.

[wedrinkbitter]

Probably stay in the area, I dunno. I guess I'm gonna try to do the scramble next week, see what comes up.

[sp0rk0]

Your boss sounds a little like the GP that ttam and I see. We've affectionately nicknamed him Dr. Walkitoff.

Typical visit sounds like this:

ttam: I, uh, seem to be having this weird skin problem.
Dr. Walkitoff: (looks at eye) Hm, yep. That does look kinda weird.
ttam: Any idea what it is?
Dr. Walkitoff: Hmm, nope. Here, have some samples of [cream]. Rub this on it for two weeks and call me if it hasn't gone away.

or

Me: I've been experiencing some heartbeat irregularities lately. My heart sometimes races and skips beats or flutters and stuff. This goes on for sometimes upwards of 20 minutes, and I can't make it stop.
Dr. Walkitoff: Uh-huh.
Me: There's a long history of cardivasculuar disease in my family, on both sides. My mother suffered from Wolff-Parkinson-White syndrome. My paternal grandfather had heart problems and died of a stroke in his late 40s.
Dr. Walkitoff: Hmmm.
Me: Should I be concerned?
Dr. Walkitoff: Nah, it's probably nothing.

[wedrinkbitter]

Actually, that first one isn't terribly bad, because a lot of times you can diagnose and treat stuff in one step; if it gets better, it was A), and if not, you try something else. Sometimes the diagnosis and treatment are the same.

Did you ever have an EKG? A simple EKG can usually show if it's WPW, otherwise, uh, it may be nothing, but, uh, it's usually better to be sure.

[robin_rule]

W-P-W- is the most dangerous of the tachcardias and that person should have a EKG, glad you brought that up. (gosh, i'm playing doctor with you). mentioning the flutter tho, makes me think it COULD be atrial flutter. both of these tachys are curable with a simple abalation. just hope our "patient" is either on decent insurance or so poor is on medi-cal. medi-cal has done three abalations for me and a private insurance did my WPW. now, if the AMA will just perfect the abalation for atrial fib i will be perfect, with a twelve year pacemaker changa-roo...

"dr. walkitoff", god i love it...

[wedrinkbitter]

Eh, most palpitations are fibrillation at worst, but all you usually gotta do is either EKG or Holter somebody to catch it, no biggie. Usually if they won't pay for even that I tell 'em to drink less coffee and see if it goes away. It usually does. But yeah, y'know, I don't like just guessing when it comes to that shit.

[tsenft]

See, what I did was skip the whole quiz and decide to call you if I ever come down with these symptoms. Is that so wrong?

[wedrinkbitter]

I recommend it, or even if you're totally healthy but, you know, drunk. And hot.

[lesion]

shit, the pfizer rep must give that guy an awful lot of basketball tickets.

[wedrinkbitter]

Nobody makes money off this bullshit, for reals, he genuinely doesn't know what he's doing. Depo-Medrol may have been patented around 1923 or so.

[lesion]

then he is a double idiot for not at least risking malpractice w/something that has perks