April 03, 2015

Kudos to Alexander Fleming

I got in a nasty argument with a doctor in a doc in the box last night. Bones is really really sick. If it were not for the likes of Alexander Fleming, he'd be dead by next week. He has a nasty throat infection he's not fighting well and he's on augmenten.

When I realized how nasty his throat was, hugely swollen pussy tonsils, I told him we weren't waiting and I took him to the local urgent care clinic. I wrote briefly 103 degree fever and sore throat.

I realize it was 7PM and everyone was done. (They close at 8.) But that doesn't give anyone an excuse to not actually examine a patient before deciding what tests should be run.

And when I told the 18 year old Med tech that we were NOT doing a flu test, but a strep test instead, she reported to the 'provider' as the doctor was called, and I'm sure that pissed her off (the doc was a woman, just so you know the pronouns), in particular when the Med tech came in with the flu AND the strep test and I said once again, "NO flu test".

It was the principle. Come look at my son, listen to his chest, look in his throat, check his ears, listen to what he has to say, and then if you tell me "flu test", I'm going to say yes. But to demand tests to be run from a side office without ever having looked in his eyes... that is a No-Go.

The strep test came back negative, I had no idea if the Dr was even going to come in, so I was sitting there trying to figure out what to tell the Med tech to do, when the Dr did grace us with her presence.

And she was loaded for bear.

How dare I make the decision about the flu test. And on and on she went and as I met her point by point, she told me to keep quiet while she finished. And as she went sideways, I became a huge huge bitch.

Meanwhile, my son was horrified, stuck between two aggressive women.

When she finally bothered to examine my son, listening to his chest, he said meekly, "Exactly what is the flu test?"

She smiled at me smugly, looked back at him and said every so sweetly, "I only swab your nose."

And that's when I said, "Baby, if you want a flu test, you can have it. If it will make you feel better, you can have it."

And then realizing that he had to actually live with one aggressive woman, while the other he'd never see again, he said, 'no, no, I'm good'.

She then proceeded to look in his throat, which was nearly closed off it was so red, inflamed and pussy and with large eyes, she snapped her head to me and siad, 'OH My GOD! Have you seen his throat?!"

To which I folded my arms across my chest and deadpanned, 'Why yes, yes I have, and that would be why I'm here."

And she said, 'He's going to need anti-biotics!" (This coming from the woman who had been reaming me out that he had a virus and needed tamiflu to fight a virus... without examining him.)

I deadpanned, "Why yes he is, which is why we're here."

And with that, she went on and on with Bones about how he needed an anti-biotic, a steroid, something for his throat and couldn't go to school.

She scooted out and I never saw her again. Someone brought me the script.

When we were in the Publix pharmacy waiting, Bones said to me, "Mom, in her defense, she thought you were just like every other parent who thinks they know everything because they watch Dr. Oz. She didn't realize who you were and how smart you are."

And I told him, my only issue is that she asked for tests without seeing him. If she'd examined him and ordered the flu test, I'd never have questioned. At one point, I never knew if we were going to actually see a Dr, only the 18 year old Med tech.

It has been a long damn time since I've been that big of a bitch. I don't regret it for a minute. Not.One.Minute.

Posted by Boudicca at April 3, 2015 07:38 PM

Yea, Mom for getting the "doctor" to look at the patient before prescribing something.

At least when we go into emergency (price the same after insurance as the med center/doc-in-a-box), they take the adult child directly from triage (real nurses) to a treatment room and and start a line so they can inject the drugs directly into the body.

Its so much better dealing with real nurses over (maybe) community college (or Everest Institute) trained med techs.

Then there was the time we took our youngest in wheezing and looking like a lobster. They couldn't get the line started fast enough so that they could push the antihistamines to keep his throat open. Boy, that was fun.

We haven't been in that part of the ER treatment rooms in a while. That area was behind the crash bays and ambulance area, so they may have remodeled it into more crash bays. They have also added several simple and CAT-scan X-ray rooms in the ER area so that patients don't have to ride the elevator to get their pictures taken. So there is no telling what other remodeling they have done.

Posted by: The Thomas at April 3, 2015 08:12 PM

I prefer the ER's, but there are long waits and they are far away. We did the ER for T on Thanksgiving. He was doubled over with chest pains, struggling to breath. Turns out he was dehydrated after 6 hours of football and water not doing it for him. The ER doc said, "We will hook him up to an IV..." and I said, "Umm... we can do that, but why not just give him a bottle of Gatorade?"

He started to laugh and said, "You are absolutely right. I tell people all the time that we are the only country in the world where we refuse to orally hydrate our kids." And with that, the nurse handed me a bottle of Gatorade and we moved on.

They were awesome though... ALL of them.

Posted by: Bou at April 3, 2015 09:13 PM

A principled bitch is sometimes needed.

Posted by: Amy at April 4, 2015 07:53 AM

That should be my tagline... A principled bitch. Holy crap, that is so dang funny.

Posted by: Bou at April 4, 2015 08:12 AM

Standing Ovation!!!

Absolutely ZERO excuse for diagnosing a patient that the tech nor the doc has even examined.

I would've gone Level 4 Nuclear too...

BTW: What was Bones reaction to hearing Roxanne? ;-)

Posted by: Nina at April 4, 2015 08:49 AM

Good for you! Sometimes, ya just GOTTA be a bitch.

Posted by: Pammy at April 4, 2015 11:03 AM

why did you go to a doc in the box in the first place for throat pain ? .... isn't your neighbor an ENT or have you moved? lol

Posted by: jd at April 18, 2015 02:52 PM

Good for you! Fight the good fight!

Posted by: Civilwarrior at May 4, 2015 11:31 PM