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Forums > Social Chat > Things NOT to say to the doctor

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MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Had a patient come in for a sore throat today. We treated her for strep and as she walked out the door she said "Oh, by the way, I've been getting this pain on the left side of my chest." eek

Well, that makes a short visit into a long visit. Her EKG and labs were totally normal and it turns out that she's tender right over the spot where she was complaining of the pain. Musculoskeletal pain (which is why exercise made it worse). rolleyes

Ok, everyone listen up: If you are having chest pain, make that the FIRST thing you tell the doctor. Don't just throw it over your shoulder as you walk out the door. We hate that "Oh, by the way, doc, I've been having chest pain." It makes us irritated. The answer to chest pain is NEVER "take two Tylenol and call me tomorrow."

mad

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


mrFlibbleSILVER Member
Ghostbuster
455 posts
Location: York, UK


Posted:
i always ignore all aches and pains biggrin
so far they've always gone away eventually smile

FrodoBRONZE Member
old hand
1,092 posts
Location: In a van, United Kingdom


Posted:
i agree.. i just ignore things!!

mostly though its doms, so i should really change the way i work out! smile

passing through, this world still lives.


PeleBRONZE Member
the henna lady
6,193 posts
Location: WNY, USA


Posted:
See now, when I opened this thread I expected to read something like...

"Thanks for the meds for that burning itch and those scary bumps. By the way, are you available for dinner tonite?"

I should think that would be worse! wink

Pele
Higher, higher burning fire...making music like a choir
"Oooh look! A pub!" -exclaimed after recovering from a stupid fall
"And for the decadence of art, nothing beats a roaring fire." -TMK


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Well, the patient I JUST got done seeing 30 seconds ago greeted me with "Boy, you're cute!"

Great. rolleyes

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


DentrassiGOLD Member
ZORT!
3,045 posts
Location: Brisbane, Australia


Posted:
that could be a good thing.... was the patient a cute guy?

"Here kitty kitty...." - Schroedinger.


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
The patient was a middle-aged lady with about 15 chronic diagnoses, including fibromyalgia, post-traumatic stress disorder, massive obesity (309 pounds), renal insufficiency, etc. etc. etc.



Now, if a hot guy at the Áüt Bar (our local gay bar) tells me I'm cute, that's wonderful.



But I don't care how cute you think the doctor (or med student) is; you don't tell him that to his face. That's what I describe clinically as "inappropriate behavior." Inappropriate behavior is indicative of a psychiatric problem, likely some personality disorder. And a compliment from a crazy lady means...what? Certainly doesn't flatter me.



It's also a big red flag to me that I am about to conduct a very difficult and frustrating interview.

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


RoziSILVER Member
100 characters max...
2,996 posts
Location: Sydney, NSW, Australia


Posted:
Mmmmm, in two minds about the appropriateness. But as I was not present, I am going to rely on your judgement. I will say this, a compliment is a compliment, as long as the person has one or two eyes in their head. Even if they have a couple of roos loose in the top paddock.

It was a day for screaming at inanimate objects.

What this calls for is a special mix of psychology and extreme violence...


Rouge DragonBRONZE Member
Insert Champagne Here
13,215 posts
Location: without class distinction, Australia


Posted:
dad once did the right thing and went to see the doctor about something (dont rememebr what, but it was one of those thing they advertise as needing to see the doctor about). the doctor did the whole "take two panadol (or whatever) line. said something about "all in gods plan" and that was it. needless to say, dad wont be going back again in a hurry. so much for promoting mens health!

i would have changed ***** to phallus, and claire to petey Petey

Rougie: but that's what I'm doing here
Arnwyn: what letting me adjust myself in your room?..don't you dare quote that on HoP...


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Yeah. Nihilism and medicine aren't a good mix. rolleyes

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


PeleBRONZE Member
the henna lady
6,193 posts
Location: WNY, USA


Posted:
Quote:

And a compliment from a crazy lady means...what? Certainly doesn't flatter me.










Now wait a minute here! I compliment you all the time and everyone here knows I am a raving looney but you take my compliments to heart. Is it the point that I am not lady (more like a chik) that makes the difference?



wink tongue ubbloco ubblove



Pele

Pele
Higher, higher burning fire...making music like a choir
"Oooh look! A pub!" -exclaimed after recovering from a stupid fall
"And for the decadence of art, nothing beats a roaring fire." -TMK


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Quote:

Now wait a minute here! I compliment you all the time and everyone here knows I am a raving looney but you take my compliments to heart. Is it the point that I am not lady (more like a chik) that makes the difference?





Pele, you are not clinically diagnosable with a personality disorder (at least not that I know of). So, sorry to burst your bubble, but you're not a raving looney. You're just a beautiful lady, inside and out! ubblove hug ubblove hug kiss

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


PeleBRONZE Member
the henna lady
6,193 posts
Location: WNY, USA


Posted:
Quote:

I don't know how you came to that conclusion after 3 words from your patient. But if she's "crazy" to you for having psychiatric problems, then so must I be.



Your post was you own opinion, but it was not fair to reiterate a very negative attitude towards those with mental illness which we've worked very hard to dispel.



I'd best keep my opinions to myself in future. Maybe it's for the best - no-one can trust what a "raving looney" says, can they?






Spanner, please calm down. This is a patient he examined, and listed down her medical conditions. He did not say it was some person on the street who said to him he was cute, and determined this person was crazy after three words. There was much more to that than 3 words. Please keep things in context before getting upset, which in this case was medically based. Besides, truth be told, I don't think it is appropriate to tell someone who is about to examine you that they are cute. It makes for an uncomfortable situation, which is what he was hinting at.



And as for "raving looney", those are my words so please don't come down on him for that, and I am allowed to say them because I have been called it by several people.



No one is calling names or pointing fingers.



Lightning...now, that isn't nice, calling me a lady like that. I have worked very hard to fight against that myth about me! wink tongue



hug to all, especially Spanner....



Pele

Pele
Higher, higher burning fire...making music like a choir
"Oooh look! A pub!" -exclaimed after recovering from a stupid fall
"And for the decadence of art, nothing beats a roaring fire." -TMK


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Quote:

Your post was you own opinion, but it was not fair to reiterate a very negative attitude towards those with mental illness which we've worked very hard to dispel.





Spanner? I have a psychiatric diagnosis, too.

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


RoziSILVER Member
100 characters max...
2,996 posts
Location: Sydney, NSW, Australia


Posted:
Spanner-annagram queen. You are not accepting PMs so I thought I would say it here in the hope that you come back and read it.

You have been a good and compassionate person in the conversations I have had with you. You feel things deeply, and I am not going to try and argue you out of that. People like you, with sensors close to the surface, make the rest of the world aware of the subtler problems in the world.

I use the phrase "a couple of roos loose in the top paddock" as a gentle humourous way of talking about mental illness. I have used it about myself a couple of times. Through my own personal experience I would say that the vein of mental illness humour runs deep, and sometimes it was the only coping mechanism I had. That is not an excuse, rather an attempt to give you context, and say "you are right to point this type of thing out, as it is not always gentle and grounded."

You are allowed to be offended, and to say so. You have a different experience to me and it is just as valid. Please do not think the worst of us. Come back, exchange your views with us, that we might all learn.

It was a day for screaming at inanimate objects.

What this calls for is a special mix of psychology and extreme violence...


SilvurBRONZE Member
sumthin sumin smmnm....
372 posts
Location: home sweet home, USA


Posted:
i opened this thread expecting to read funny things that peolpe have said or heard say to doctors-- instead I walk into a room somehow turned from fun and games to slightly disturbed and somehow wrong. I personally thought it was cute to hear that a crazy little fat lady thought a gay med student was cute... i have found that fat people like to say what they think- no holds barred, and this is a prime example of that. Spanner, I think everyone out there has some sort of mental disorder or label of some kind-- I have several myself. You are absolutely entiltled to an opinion, but I ask you not to get too fussy over something someone threw into a conversation. Hell, if everybody did that, we'd all spend so much time being offended that no one would have any time for any fun.... and that sucks, so please just smile and enjoy the special fresh-baked brownies that I made especially for you... hug


peace

Tao StarPooh-Bah
1,662 posts
Location: Bristol


Posted:
beofore i make this point, i might just point out that i don't have a problem with anything else you said - context (of lighthearted conversation considered)

Quote:

Spanner? I have a psychiatric diagnosis, too.






i am 1/2 gay - doesn't give me the right to call people fag or be insulting about gay people, like, i'm not black, but i'm still offended by racism.

I had a dream that my friend had a
strong-bad pop up book,
it was the book of my dreams.


Jelloambiguous
646 posts
Location: Mpls, MN, USA


Posted:
Lightning, educate me a bit about blood pressure. Can it be affected by caffine or a heavy meal??

A while back I went to donate blood. Before I'd been in a coffee shop way to long and had consumed quite alot of coffee. Needless to say my heart was going strong. When the person took my blood pressure she was shocked because it was way to high to donate. She couldn't understand how somebody my age and physical condition/shape could be that high.

And last week I pigged out on a 14 ounce steak, along with veggies, wild rice, and a side salid. Well after I felt like, well, that I had eaten way too much. My chest didn't feel right either. I used one of those blood pressure deals at a pharmacy and I was sometime like 140 99. which according to the little thing is in the very High area.

I have yet to test myself when I don't feel like crap. All in all I'm still have a healthy lifestyle. I don't do full time sports any more, but I took a weight lifting course last semester and this semester I'm getting back into working out more. I don't quite know what to do, as I'm a poor college student who is already working with more than he can handle.

_________________________________
Fuzzy Dice.......................................


colemanSILVER Member
big and good and broken
7,330 posts
Location: lunn dunn, yoo kay, United Kingdom


Posted:
Quote:

The patient was a middle-aged lady with about 15 chronic diagnoses, including fibromyalgia, post-traumatic stress disorder, massive obesity (309 pounds), renal insufficiency, etc. etc. etc.




are you actually allowed to give us the details of your patients?

bit of a devils advocate style argument here cos i love hearing what dr. lightning has been up to and how the training is going but i just felt that this was a little too much information and without mention of her disorders, the upsetness caused here could have been avoided.

i think some bloke called hippocarates was rumoured to have once mumbled something like:

"What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about."

"i see you at 'dis cafe.
i come to 'dis cafe quite a lot myself.
they do porridge."
- tim westwood


PeleBRONZE Member
the henna lady
6,193 posts
Location: WNY, USA


Posted:
Can I say this then, Ltnin?

"Before we get started may I ask, are you allowed to date patients? If not, then I would like to ask for another doctor."

Be damned the broken body when love/lust at first sight hits I say!

tongue ubbloco

Pele
Higher, higher burning fire...making music like a choir
"Oooh look! A pub!" -exclaimed after recovering from a stupid fall
"And for the decadence of art, nothing beats a roaring fire." -TMK


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Quote:

are you actually allowed to give us the details of your patients?




It's interesting that you bring this up. I'm pretty careful about this. From this information, there is no way that anyone could identify the patient. I didn't give her age, and the list of conditions that she has could have described a very large number of people.

I can talk about the cases I've seen as long as there's no way the patient could reasonably be identified. I can even publish cases. We have gone far beyond the Hippocratic oath in our privacy regulations, today, but I haven't violated any.

If I used so much as her initials, that would be a violation.

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


colemanSILVER Member
big and good and broken
7,330 posts
Location: lunn dunn, yoo kay, United Kingdom


Posted:
cool biggrin

tell me another story then please mr doctor ubbangel

i found the modern version of the oath written by a guy with a cool alliterative name, 'louis lasagna' but on a side note, do you know if the line below (from the classic hippo oath) has anything to do with why surgeons are called 'mister' rather than 'doctor'?

"I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work."

"i see you at 'dis cafe.
i come to 'dis cafe quite a lot myself.
they do porridge."
- tim westwood


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
Quote:


i found the modern version of the oath written by a guy with a cool alliterative name, 'louis lasagna' but on a side note, do you know if the line below (from the classic hippo oath) has anything to do with why surgeons are called 'mister' rather than 'doctor'?




So this is an interesting question, and I happen to have a British-trained doctor sitting right in front of me. She says that in the U.K., surgeons have the same medical school training as all doctors, but that the tradition is to call them "Mr." (or "Mrs. or Miss, or Ms.", etc.)

This stems back from old times when physicians and surgeons were actually different. In fact, Columbia University's medical school is formally "The College of Physicians and Surgeons."

In the U.S., anyone with an M.D. (or D.O.) is "Doctor," regardless of specialty. But apparently in the U.K. the tradition of "Mr." still holds for surgeons.

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura


polytheneveteran
1,359 posts
Location: London/ Surrey


Posted:
As far as I know (according to my med school friends), the Dr. title was originally introduced to physicians as an honorary title (usually only given to those who had completed a Phd), because it commanded more respect from the patients. It worked- and became tradition. ubbidea

The optimist claims that we are living in the best of all possible worlds.
The pessimist fears this is true.

Always make time to play in the snow.


dR pSYcHoSILVER Member
member
88 posts
Location: Nottingham (UK)


Posted:
Anyone who sits the exam for the Royal College of Surgeons and passes the part I & II gets to lose their well earned Dr for Mr. Generally these individuals go on to become full on surgeons but they would keep their Mr regardless of the speciality they were in.

Things not to say to your Dr:

1. "...and then I fell back onto the hamster"

2. "I read this on the internet and thought I'd try it"

3. "Haven't I met you before..."

4. I know where you live, mwua ha ha ha ha.....

5. & I then eat his liver with some fava beans and a nice chianti..

taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco taco Damn those MexICan BANdits taco taco taco taco TACOFICATION taco taco taco taco taco taco


MikeGinnyGOLD Member
HOP Mad Doctor
13,925 posts
Location: San Francisco, CA, USA


Posted:
I'm noticing a little change to Psycho's screenname here...

biggrin ubbtickled hug beerchug ubbrollsmile cool

Congratulations, Doctor!

I'm right behind you... ubblol

-Mike

Certified Mad Doctor and HoP High Priest of Nutella



A buckuht n a hooze! -Valura



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