meganfloyd

meganfloyd replied to your post: 42% of hospital patients cannot understand…

When I am in the hospital, I am handed my medicine by a nurse and told to take it immediately. I don’t SEE any prescription directions. I do what the nurse says. Are these prescriptions filled at a hospital pharmacy for discharged patients?

thereluctantbeliever replied to your post: 42% of hospital patients cannot understand…

it all boils down on how a medical practitioner communicates with his patient. if the patient didn’t understand the direction then there is something wrong with how we communicate with them.

This study was referring to patients who were being discharged from the hospital, and had received prescriptions to fill at the hospital pharmacy on the way out. The researchers asked them to “explain back” the printed instructions on the labels. 42% couldn’t explain what the phrase “take this on an empty stomach” meant.

This situation had nothing to do with how the doctor was communicating with the patient verbally – this study was looking at the impacts of “health literacy” and “illiteracy” on patient compliance to medical treatment plans. Other studies show that most medical/pharmacy handouts are written at a high-school-literacy level, yet many patients’ literacy is 8th grade or lower. COMMUNICATION FAIL.

New "Medical Gang Sign" needed?

meganfloyd replied to your quote: ATTENTION PARENT: As your child’s physician today,…

As a parent of children who DO freak out, about ANYTHING at the doctor’s office, I wish you really COULD use that piece of paper… I mean, could that be an option for those of us who aren’t including our young children in treatment discussion?!?

On my part, I usually just spell out the word “S-H-O-T” or make a subtle “injecting” motion into my arm. Or, if there’s 2 adults present with the child, I’ll pull one parent into the hallway to have The Scary Talk away from the child’s presence.

But perhaps we need to invent an appropriate Medical Gang Sign for the parent to use this situation, when a parent wants the doctor to not have The Scary Talk in front of the child?

meganfloyd replied to your quote: Oh dear… can I have a martini first?

I had a subcutaneous pump for Zofran (HG my first trimester). With the first catheter site I hesitated and was telling the nurse I’d just stay in the hospital on an IV when she said “It’s in! You did it!” - focusing on it later made it a lot harder!

Awesome! Yeah, a good healthcare provider can be like a magician during a stressful procedure, using verbal-and-nonverbal sleight-of-hand to confuse the patient (in a positive pain/fear-reducing way). I don’t always get it right, but I love it when it all works out.

For my non-medical readers: HG my first trimester = Hyperemesis Gravidarum (much pukey-pukey during pregnancy). Dang, I’ve never heard of someone having to use a sub-q Zofran pump to control their HG! *shudder*

dobetternow replied to your chat: TSK: Dr. Cranquis, Urgent Care Consultant to the Stars

i’m slightly guilty of doing this…. o.O for going to the ER twice in two days because my fever wasn’t going down… because my antibiotic wasn’t working and i’m afraid of acetaminophen…. whoops

No no no! There’s nothing wrong with that! If you have an urgent/emergent issue, and you aren’t getting better (within a reasonable amount of time)after being started on treatment, you SHOULD be seen again! What I’m complaining about is more like, well, like THIS –>

meganfloyd replied to your chat: TSK: Dr. Cranquis, Urgent Care Consultant to the Stars

One Sunday I sat at UC with my feverish 2-year-old for hours and listened to a lady gripe about them taking sick patients before her daughter’s physical that she needed to try out for softball the next day and had known about for over a month…

Sheesh. Thankfully my UC doesn’t do well-physicals/sports-physicals/etc. And the maxim around here is “Your failure to plan ahead of time does not constitute an emergency.”

fatboydiaries replied to your chatTSK: Dr. Cranquis, Urgent Care Consultant to the Stars

Dr. C, I don’t see what is so confusion about this situation. She wanted to take up space/waste time in an Urgent Care Clinic before going to the the specialist that her PCP told her to see. It is the perfect logic if you are complete stooge.

I am very disappointed in myself for never having used the word “stooge” to describe this type of patient before. IT IS NOW AN OFFICIAL ENTRY IN THE CRANQUIS LEXICON.

Stooge. n. /stooj/ A patient who disregards prior medical advice given by primary care physicians who already know her well, or new medical advice given by specialists who are experts in that diagnosis, until the exact same information is repeated to her by an urgent care doctor who just met her 5 minutes ago and is just making an educated guess. 

Excellent.