I had the pleasure of treating a patient today who had suffered a burn to the buttocks area….she wouldnt tell me how it occurred.
The weird thing was that to cool down the burn she placed a pack of frozen sausages in her underwear and came into the ER.
When I proceeded to exam and was carefully removing the ‘frozen sausages’. She noticed I was going to throw it away. She stopped me and said…
‘Doc, don’t throw that away, I have to use it later. I run a catering business’
She then proceeded to place the sausages, which also had some butt-skin on it into her handbag……
I made sure to find out the name and location of her business…..so I could ALWAYS avoid going there…….
I think that the medical school curriculum should have business integrated in it. Medicine and business are definitely team players, especially if you want to create your own private practice and not lose too much money on that investment. Your medical practice should ALWAYS be profitable. Another important aspect is IT and the connection to Electronic Health Records. You can also decrease loss of income if all your patients’ records are held electronically and the ease with which an accountant will be able to check you finances.
Speaking of finances, I think it is important as a doctor to be able to read a financial statement. Make sure that you have no leakage of funds from anywhere within your private practice and for that matter, your personal income.
I always keep up to date on business from different sources: ENTREPRENEUR magazine and website; Mashable website; INC.com; Fast Company magazine…to name a few.
I listen to business podcasts in my car while driving too and from work.
Read alot on business, accounting, financial statements…..and of course attend seminars when possible.
Most recently, some of my favorite books has been….Start Your Own Medical Practice; The Medical Entrepreneur; Financial Intelligence for Entrepreneurs….INC yourself (really loved this one). The latter is an eye opener about ways to sort of separate your personal finances from your business.
I also love the books from business gurus: Seth Godin and Guy Kawasaki.
Also, I have been trying to get my hands on any books by Steve Jobs…….I have already read the one by Walter Isaacson. Currently reading Inside Apple by Adam Lashinsky…..
Keep you mind open. Dont just focus on medicine…We are smart enough to be doctors. What else can we do if we put our minds to it….Think outside the box.
1) Doc: Sir, you cannot drink or smoke marijuana/cocaine while on these medication
Mr. Pothead: Why not, I smoke everyday….it is a BUSH…nothing will happen.
Doc: One week without your drugs wont hurt you, in fact, it may do you some good and help you along the road to recovery from your addiction.
Mr. Pothead: I plan to prove you wrong doc, and when I do, I will make sure that all my friends know that you can still smoke your drugs while on medications.
2) Doc: Ma’am, in order for the X’ray to be done, the radiographer will require you to lie flat….so we can get a precise reading.
Ms. Snooty: I don’t ever lie flat EVER!!!!……I want my head up. Now go get me some pillows.
This went on for about 15 mins until the patient’s daughter threatened to leave her at the hospital…..She suddenly complied….
3) 45 yo cigarette smoker who has COPD……came to the ER due to shortness of breath that suspiciously occurred during his weekly poker game…..while smoking…..Please note, we in the ER know this patient on a first name basis….and he also knows our names….
Interestingly enough, today was another of those terrible shifts where everything and anything was coming at me in rapid succession.
I had a pregnant patient who was pretending to be clueless about being pregnancy. Her abdomen was OBVIOUSLY distended…..and the baby was easily palpated on examination……I mean come on…..
Again, my next patient was a young teenager pothead, whose mother was wearing even less clothes that the patient. She had taken some pills to get rid of baby #2. Strangely enough it actually is alright to be a child and not grow up too fast….enjoy your childhood…dont take on any sort of crazy responsibilities too early.
BUT….the grand finale goes to the 40 yo uncontrolled diabetic patient who takes her meds…’when she feels like it’. She asked me if she could step outside to have a ‘smoke’. Ummm no. Please be destructive on your own time….dont waste mine
SO, a little unknown fact about me is that I love GADGETS!!!!!
Now, I have gadgets of all types, but the one that I keep close and I mean EVERYWHERE is my Bold 9700. I initially had a Blackberry curve 8300 which used to be my partner in crime…..:)
Here is a pic of my Bold…..
Isn’t she beautiful. She is a workhorse. Keeps me in contact with family and friends. Because I spend so much time at the hospital as I do now, there is nothing more important to me that having a gadget that can keep me ‘always connected, always on’….:)
I even have a group bbm for girl’s night out……ooohhh and of course facebook…hehehehehe. Hey, even though I am a doctor, i still gotta have a life.
This is STRICTLY my work phone. I have a personal phone also, but more on that later…..*wink*
And of course as a lady my gadget needs to be well accessorized……..
However, as soon as I get my newest gadget, Blackberry Bold 9900 all setup, I will also do a review on it. Beautiful large keyboard AND a touch screen…..whoohoo…I cant wait….:):)
What exactly would you do if there was noone to take care of you when you were sick? Or drunk? Or about to deliver a baby?
Instead of acting in a hostile manner towards the members of the medical team, be calm, listen to what they have to say and ask questions if you did not understand something that was told to you.
Attempting to hit the nurse who is administering your medications will not get you anywhere. Having your sibling cuss out a doctor will not make them leave the critical patient to come by your bedside any faster.
If you decide to come to the hospital for pain meds, and, you attempt to ‘fake chest pain’…….NO…NO….NO……You are going to be treated as though you maybe having cardiac difficulties…….Are you kidding????
Just another crazy day in the ER…….
Recently when I worked an ER shift there was a constant procession of patients in the ER
Among them, were several female patients…..who were pregnant and had abdominal pain of varying severity. Each time I called for an OBGYN consult, I was more or less insulted on the phone by an overworked and stressed out doctor…..who was most likely being hammered while oncall.
I went to check out each of the patients that I had admitted to see how they had made it through. Apparently one of the patients was in such a critical state that an emergency C-section had to be performed in order to rescue both mother and child.
The second patient had an ectopic pregnancy and the third one had a spontaneous abortion.
I even ran into the rude OBGYN oncall doctor, who surprisingly mumbled an apology and explained the type of rough call that she was on.
The moral of the story……as much as I get along…somewhat…with my medicine colleagues, when it comes to the care of my patients, you can forget the camaraderie. The patient comes first. I did not go looking for the patient and drag her in the hospital to torment you…….:):)
This is what we all went to medical school for……
I also happen to follow other blogs religiously….One of my favorites that I have followed for the past two years….’A Cartoon Guide To Becoming a Doctor’. by Dr. Fizzy…:):).
She also has her book which is a really great read….over a pint of ice cream…..you can purchase it at Amazon.com….link:
So get it today…
Patient: Yes doc this is my third pregnancy in 5 months. I have had two previous abortions.
Sleepydoc: Why aren’t you on birth control????
Patient: Because it can make me fat……
Sleepydoc: Ma’am as it is you are already morbidly obese (~300-350lbs). I suggest that you figure out what you want to do with your life and you need to be educated on birth control.
So I was reading the newspaper today and saw this advertisement…….
I was actually thinking that people would do anything for a quick buck. Any doctor who responds to this ad is CRAZY!!!!