Tuesday, March 07, 2006

The shit you can't make up...

Ok, just a funny story.

Early last week my final patient of the night shows up very late to clinic. I was about to walk out the door at 4:30 to an afternoon of freedom when I get the page that the guy showed up 40 minutes late. What to do. Leave. He's WAY LATE, not my problem. I review his chart, the guy hasn't seen me in 6 months, and missed a few appts. What the hell, I think, simple blood pressure check, adjust some meds, out the clinic in 20 minutes. I left at 6:30. The guy was kind of ill. Details not important. I specifically told him, in fact, wrote on his instruction sheet "DO NOT DRINK ALCOHOL" (it wasn't helping his liver disease or his bleeding gut or his blood pressure), made him a few urgent appointments, and told him to take his blood pressure medication..

So, I see the guy back tonight. Can't for the life of me figure out why he's not taking the damn pills (actually, I know why, but it's not relevant), so I tell my preceptor the story, and he comes in to see the guy so we figure out why he's not taking his meds, discuss his alcohol use etc..

Punchline: we're talking about detox, high blood pressure, and NO SHIT THE GUY SAYS AS SERIOUS AS CAN BE:

"So, Doc, I can't take my blood pressure pills with beer?"

Priceless.
Priceless!

This guy presses the auto-destruct button regularly, but I'm determined to keep him going.