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Profile Information

Gender: Male
Hometown: Puyallup, Washington
Member since: 2001
Number of posts: 57,704

About Me

I truly believe that we will all live in peace and brotherhood someday. And so that I don't lose my faith in humanity, I will live my life as if that day had already happened.

Journal Archives

Saturday, March 30th. The Weekend Edition of William Shakespeare's Thought For The Day.

"Blessing upon your vows..."

All's Well That Ends Well, Act II, Scene 3, Line 91.

Oh, the joy; the sheer decadence

of taking a nap in the middle of the afternoon!...

I feel like I'm kidding someone...

The world goes by outside my window, and I get to just laze around, getting some rest...

Ugh! Sick! Had to leave clinic early today...

When I'm sicker than my patients, it's time to go home...

I tell you, patient non-compliance with treatment is one of the worst things about this profession.

Just got a discharge summary from the Emergency Department. One of my patients presented for treatment of his uncontrolled condition (clinical treatment for which he is non-compliant). I could almost hear the ED doc sighing heavily as he wrote the report. The patient was evaluated and offered treatment, which he declined, and left against medical advice.

Which begs the question: why did he present to the ED in the first place?

I have another patient who just flat-out refuses to comply with his treatment plan; yesterday, he brought back all of his medications and stated he was "tired" of managing his chronic complaints.

Providers have the right to discharge their patients for non-compliance. But my clinic is pretty much the last stop for some of my patients. I can't deny them care, even if they deny themselves. If this guy shows up at the clinic again, I'll give him 100%. But it's frustrating to see patients give up like that...

Ugh. Hold me...

Another song dedicated to In_The_Wind:

With affectionate regard for RandomThoughts: I am due beer and travel money.

Saturday, March 23rd. The Weekend Edition of William Shakespeare's Thought For The Day.

"How green you are and fresh in this old world!"

King John, Act III, Scene 3, Line 145.

Senator Portman showed up late for the party, but maybe we should give him props for showing up at all...

"Tomorrow, Wendy" by Concrete Blonde.

Words and music by Andy Prieboy.

Woo-hoo! The work-week is over! It's Wine-O'-Clock!

Yesterday, I diagnosed a guy with End-Stage Renal Failure. Life sucks, sometimes...

It was one of those situations where I was evaluating him for an unrelated complaint, and then the labs came back with the results. He took it well, and we can get him some expert care, but it still sucks.

This job has many rewards, but it can take a lot out of you...
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