Showing posts with label doctor's office. Show all posts
Showing posts with label doctor's office. Show all posts

Thursday, June 27, 2024

Story 545: Compartmentalization During an Eye Exam

             (In an ophthalmologist’s office, Tech brings Patient to one of the exam rooms)

Tech: (Holding the Patient’s chart, gestures to the big recliner for the Patient to sit) Any changes with your health since your last visit… (Checks the chart) almost 10 years ago?

Patient: (Settles back in the recliner) Yeah, I’m really bad with stuff like that.

Tech: We don’t judge – out loud.  So, any changes?

Patient: (Thinks) Well, I was at this outdoor event last week where it must’ve been over 100° in the shade, and somebody must’ve let their pet horse loose or something because at one point my eyes got so red and itchy and watery like you wouldn’t believe; might’ve been hay or something got in the air during the joust – I mean, during the intense, intense horse race that I had a lot of money riding on.

Tech: (Staring at Patient) …So, no changes.

Patient: (Looks down in shame) No.

Tech: (Writes a note on the chart and sets it on a nearby counter) The Doctor’ll be in shortly, then.  (Leaves immediately, with the exam room door left ajar)

Patient: (Leans over to the chart) I shouldn’t… but I do have a legal right to my own medical records…. (Shakes head) Nah – I’ll play with the space alien contraption instead.  (Swings over the phoropter, mushes face up against it, and starts fiddling with the lenses) Woooooo….

Doctor: (Voice heard down the hall on exiting a nearby exam room) …awful this weekend; I swear, if I have to put up with their garbage another second, I’m gonna lose it for real this time.

Tech: (Voice heard down the hall) When’s the next time you have to see them?

Doctor: About a year, but they keep calling in the meantime and I can’t ignore that.

Tech: Why not?

Doctor: Because the phone’ll keep ringing and I can’t stand it.  I can only hang up on that so many times.

Tech: So block them.

Doctor: You can’t block family!  By the way, bring in the next appointment to Room 4, please – it’s barely 8:00 in the morning and we’re already two hours behind.

Tech: Yes, Doctor.

(A ringtone is heard)

Doctor: Argh, speaking of, here they are again!  I can’t take it anymore, I just can’t take it!... Hi, yes, GO AWAY!  (Breezes into the exam room while shoving a cell phone into a scrubs pocket; Patient is sitting demurely in the recliner, hands folded in lap) Hello there!  Any changes since your last visit in…. (Walks over to the counter and starts reading through the chart)

Patient: Nope; no changes!

Doctor: Great!  (Sits on a stool at the counter and starts entering volumes of notes onto the chart; after a few minutes of standard questions) Let’s check the ol’ vision, shall we?  (Scoots over to the recliner, swings over the phoropter, and wipes it with a disinfectant cloth) Press your face up against this, please.  (Patient does so as Doctor fiddles with the lenses) Hmmm, someone’s been messing around with the lenses again….

Patient: (With upper face mushed up against the metal mask and mouth exposed at the bottom) Heh-heh, can’t trust anybody nowadays, can you.

Doctor: Hm.  (Finishes fiddling, then lowers a mini-eye chart that is attached to the device) All right, which is worse, one – (Flips lenses) or two?

Patient: Ummmm… one?  No, two!

Doctor: Trick question: they’re exactly the same.

Patient: Oh.  Oops.

            (A ringtone is heard from Doctor’s scrubs)

Doctor: (Sighs quietly in disgust) Excuse me one second, would you?

Patient: Uhhhh, sure.

Doctor: Thanks.  (Takes out the phone and forcefully swipes while hissing) Take that, demon!  (Returns the phone to the scrubs pocket) Sorry about that – now, the real test begins, I promise.  (Does a few more checks, then swings back the phoropter and places drops in Patient’s eyes) OK, your eyes are now numb so hold still while I poke them to check the pressure.

Patient: Huh?

Doctor: Relax, it’s testing for glaucoma – you won’t feel a thing, just ignore every natural instinct to protect your eyes from danger and you’ll be fine.  (Swings over a tonometer, wipes it down, and gestures for Patient to lean forward while a device with a blue light shines in Patient’s eyes and Doctor also leans forward from the other side) Now – DON’T MOVE.

Patient: (Head is immobilized by forehead and chin rests on the device) <Gulp>

Tech: (Raps once on the door) Sorry to interrupt, Doctor, but multiple phone calls have come in on the office line for you and we can’t get a thing done out there.

Doctor: (Still leaning forward and staring into Patient’s eyes) And you told them that patients’ very important vision is at stake here, yes?

Tech: Yes – they didn’t care.

Doctor: …I’ll take it in here.  (Tech leaves; to Patient) Bear with me, please.  (Leans toward the counter to pick up a desk phone’s receiver and immediately returns to the tonometer, continuing the glaucoma test) WHAT?!  (To Patient) Keep your eyes open, please.  (Moves the blue light device to the other eye as a loud, unintelligible voice is heard over the phone; to the phone) Any time you call is inconvenient!

Patient: Um, I can wait a few minutes while you –

Doctor: (To Patient) Absolutely not: the patient is always the top priority.  (Swings away the tonometer) And we’re done with this part; follow me, please.  (With the phone cord stretching down the hallway, leads Patient to a room that has a retinal imager on a table; the two sit on opposite sides; to the phone while wiping down the chin rest on Patient’s side) Listen, I don’t care what you think you heard, we are not going through this again – (To Patient) Lean forward, please – (To the phone) You tell them that their behavior is completely unacceptable and I don’t care if they never speak to me again; in fact, I’d rather they didn’t!  (To Patient) Stare at the giant dot on the screen and whatever you do, DO NOT BLINK.  (To the phone) Yes, I’m listening, unfortunately!  (To Patient) Hold still, please – you’ll see a blinding light in a few seconds.  (To the phone) No, I wasn’t talking to you just then; not everything’s all about you, you know!

Patient: (Blinks as light flashes into one eye) Oh sorry; I blinked.

Doctor: It happens; we’ll take another one.  (To the phone) What, I can’t be civil and decent to a patient?!... No, this isn’t a HIPAA violation; I haven’t disclosed any patient identifiers that you’d be able to figure out!  You’ve got some nerve, you know that?!  (To Patient) Try not to blink now, here we go, three-two-one – (Light flashes) Great!  (To the phone) I’m taking retinal images, nosy!  You literally just said – !  (To Patient as the machine slides slightly along the table) Same thing; stare at the big dot; try not to blink – (To the phone) It checks for wear and tear in the eye, if you must know; want me to use it on you?!  (To Patient) Here we go, three-two-one – (Light flashes) Great!  You can lean back now.  (Types on a keyboard to display the images on a large screen; to the phone) Yeah, well maybe if you’d had me examine your eyes years ago, you wouldn’t be complaining how fuzzy the world keeps getting, ever think of that?!  (To Patient) Everything looks great – I’ll send over someone to give you a field test but other than that, see you next year.  (To the phone while standing) You’re so rude – I can’t believe we’re related by blood!  (Leaves)

(Patient remains seated for a few moments in uncertainty, then stands when Tech enters)

Tech: All done?  I was told you just need a field test?

Patient: Yeah, that should wrap it up – I get to keep my vision for another year I guess, heh-heh-heh.

Tech: Oh yeah, heh-heh – this way, please.

(They both walk down the hall to another room with another machine, passing an exam room with the phone cord trailing out and Doctor’s voice alternating in intensity)

Patient: (Gestures to the room) Family drama, eh?

Tech: Huh?  Oh, yeah – happens every birthday; we barely even notice anymore.

Thursday, February 3, 2022

Story 427: Overheard in the Patient Exam Room

 (In a doctor’s office, a medical assistant leads a patient to an exam room)

Medical Assistant: (Remains at the door and nods at the exam table) You can have a seat – the doctor’ll be in as soon as possible.

Patient: (Hops backward onto the table) Yeah, I saw that waiting room – so you think an hour and a half; two, tops?  (Laughs)

Medical Assistant: Ahahahahaha – !  (Starts weeping while closing the door)

(Patient stares at the door for a few moments, then shakes head and glances around the room for a distraction)

Patient: (Spots a magazine rack) Sweet.  (Grabs a few issues and skims the cover headlines, stopping at one that reads: “Manly Men Mess: Boy Band Breakup??!!!!”)  Ooh, scandal.  (Tosses the other magazines back into the rack and begins reading the article greedily)

 TEN MINUTES LATER

Patient: (Squinting at the tiny print, muttering) Wait a sec, I thought he already went to college?... Oh, he’s going for his master’s now; good for him.  (Hears footsteps heading toward the door; throws the magazine into the rack and reclines casually back on the table) And just when it was gettin’ good.

(Voices are heard outside the door)

Doctor: Where’d you say it was?

Medical Assistant: The office next to Exam 2.

Doctor: Show me.

Patient: (Looks around the room again) Is this Exam 2?

(Voices now are heard from the next room)

Doctor: So where is it?

Medical Assistant: Here.

(Sounds of furniture being roughly moved around)

Doctor: Ah shoot, again?!  I thought we had this fixed last time!

Medical Assistant: It was fixed, but now it’s back.

(More sounds of furniture moving)

Doctor: I can’t deal with this right now, we’ve got a full schedule today and 50 walk-ins!

Medical Assistant: I know, but we can’t just leave this either, it’s gonna –

Doctor: I know what it’s gonna do, just let me think for a minute!  How soon can the… you know… fixer-person come in and fix this?

Medical Assistant: I haven’t called yet, but last time we had to wait almost a week.

Doctor: A week?!  This needs to be fixed yesterday!

(Sounds of a cell phone being dialed)

Medical Assistant: I’ll call now and say it’s an emergency –

Doctor: Darn tootin’ it is!  Sorry, I’m a little more stressed than usual.

Medical Assistant: I hadn’t noticed a difference…. Yes, it’s us again…. Yes, it happened again.

(Sounds of floorboards being ripped up)

Doctor: Tell them it’s so much bigger this time!

Medical Assistant: It’s gotten bigger…. Doctor, they say they can be here 2:00 tomorrow.

(A large RIP! and CRASH! as a floorboard is tossed across the room)

Doctor: Nope!  We need a stat consult NOW!

Medical Assistant: Don’t suppose you could come over now?

(Rhythmic banging noises echo on what sound like metal pipes and wooden floors)

Doctor: C’mon!  (BANG!  BANG!  BANG!  BANG!) I’ll get you, you little –

Medical Assistant: Hold on a moment, please – Doctor, there’s a patient in Exam 2 who can probably hear this.

Doctor: Huh?  Oh, just tell `em everything’s fine.  (BANG!  BANG!  BANG!)

Medical Assistant: It may sound better coming from you.

Doctor: No, it won’t, they’ll just think I’m coming in for the exam and get angry that I’m not!

Medical Assistant: All right.

(Footsteps approach the door; Patient hurries away from having an ear against the wall to hop back onto the table)

Medical Assistant: (Opens the door with the hand not holding the cell phone, enters quickly, and closes it again) Hi – have you heard anything… unusual from the other room?

Patient: A little bit, yeah.

Medical Assistant: Well, don’t be alarmed: it’s just a minor repair in one of the offices –

(BANG!)         

Medical Assistant: (Winces) Nothing to worry about.

(SCREEEEEEEEECH!!!!!)

Doctor: AHA!  I have you now!

Medical Assistant: Everything’s under control.

Voice From Cell Phone: Doesn’t sound like it from here.

Medical Assistant: (Into the phone) I’ll call you back in a few minutes.  (Disconnects the call)

Patient: Should I reschedule?

Medical Assistant: I wouldn’t – we’re booked solid for the next two years.

(A large SLAM! rattles the room)

Medical Assistant: Sit tight!  (Rushes out of the room and gently closes the door)

Doctor: All good?  (BANG-BANG-BANG-)

Medical Assistant: Not really: the patient wants to reschedule and I hate to think what the ones in the waiting room are doing right now.

Doctor: Whatever; they can always come back if this scares them off for some reason – we have appointments six days a week and I haven’t taken a vacation in SEVEN YEARS!  (SCREEEEECH – POP)  Oops.

Medical Assistant: Quick, get it before it’s too late!

Doctor: Take that!  (CRASH!)  And that!  (CRASH!)  And that!  That!  That!  (CRASH-CRASH-CRASH!)  I’VE NEVER FELT SO ALIIIIIIIIVE!!!!

(The crashing and banging and screeching and ripping continue unabated; Patient picks up the thrown magazine, lies down on the table, and resumes reading the interrupted article)

Patient: (Starts nodding in time with the sounds of destruction) It’s almost soothing….