A pregnant and lactating patient with c-dif. tells the doctor she does not want to take any abx because she "knows" that abx over use causes resistant strains.
One week later she comes in dehydrated. Note she is breast feeding and pregnant. Still having diarrhea.
Same patient. "I need my foot xrayed." What makes you think it needs xraying." "I cracked it." "why did you do that?" "because I decided to wash my hair."
"I am sure it hurts like heck but it is unlikely your foot is broke. But either way stay off of it and ice it. Even if it is broke unless the bones are displaced that is about all that will be done. Do you have an ace wrap." "No I am out shopping. But I can get one while I am out."
"So you're telling me I won't get what I need if I come in?" You will get what you need but it may not be what you think you need."
She come in wearing some rather ridged high top hiking shoes. "my doctor is quite certain that it is broken and oedered an xray. You did not even ask how I broke it." "you said you were were washing your hair."
"Yes and this little plastic thing that looks like a dolphin, it is not my child's toy but could be it is a plasitc massager fell on it. (she is talking about a peice of hard plastic about 3- oz at the most she brought it with her)
No clue here. foot bones are very small therefore unlikely to break easily. Definately not from a 3 oz peice of plastic falling on it. She self diagnosed it was cracked. If just a crack what are you going to do. Stay off it. Ice it (broke or not) and maybe at the most imobilize if it is broke.
No clue. She did not get that, If broke she would not be able to wear the shoes she had on. Her foot would be swollen, and what the heck was she doing out shopping after this happened?
Doc. was no more convinced than I was. However, this doc. gives this patient what ever she asks for because it is the only way she can deal with her.
This pt is a drama queen . If her toddler accidently bumps her a little any where on her body she screams like a banshee, almost every visit. And all the time at home. That poor kid is either going to grow up with a huge guilt complex, or going to learn to be a drama king, or going to have no respect for her. I am thinking the latter because he will kiss her and tell her "you'll be all right, " as she pouts, "no I won't."
She was not happy when they were leaving and he said "the doctor fixed it."
She regularly calls her mother who lives a block away to come help her get out of the car because one child or the other is sleeping and she can't get them both out. HUH? Or she will call her to baby sit because she needs to (pick one) vacuum, wash her hair, do laundry, take out the garbage.
Pt's aunt is a nurse (How I know what goes on at home.) Because Aunt is a nurse Pt thinks she (the PT) knows everything. Aunty says she got her knowledge by osmosis.lol
Sorry for the long vent.
She won't let her own Mother say Bless you (let alone God Bless you) when someone sneezes because "it offends her hubby." and she does not want her child learning to say this.
Now I learned that her mother is not allowed to call a Christmas tree a Christmas tree. It is a Yule tree! Never mind that it is her mother's house she is in when she says these things.. Her mother tells her she is entitled to say what ever she likes in her own home and to call her own tree what ever she likes. But this tree is a Christmas tree. Even her kid (before Grandma said it) told her it is a Christmas tree.
Mind you this woman is not an atheist. She and her husband had formal religious blessing performed for both their children after they were born. But Grandma can not say bless you after a sneeze. Granny called daughter on this but it did not get through. Daughter says her mother disrespects her. This is the same woman who stood in her mothers house and shouted "I want you to obey me!" i jam afraid I witnessed this.
Mother was more tollerent than I. I would have shown her the door.
