...A young patient calling me "Sir" 15 times in a span of 5 minutes:
When were you diagnosed with whiplash?
"In 1998, after my car accident, Sir."
Did you ever get an MRI?
"No, Sir."
Have you ever had physical therapy?
"Yes, Sir. It made me worse, Sir."
Have you ever tried NSAIDS?
"I'm allergic to all of them, Sir."
How about Flexeril?
"No, but Soma works well, Sir."
And Tramadol?
"I have seizures, Sir."
So what do you do for this, do you take Tylenol?
"No, Sir. I've heard all the horrible things that it can do to your liver, Sir."
Well, here is a prescription for flexeril and PT, let's try that for a few weeks.
"And what about my OxyContin, Sir.?
What?? You take OxyContin for this?
"Yes, Sir."
How long have you been on that?
"About 8 years, Sir."
Well that is completely inappropriate. We'll try the PT first.
"What am I going to do? I'm going to run out tomorrow, Sir!"
I didn't prescribe your oxycontin, so you need to speak to that physician.
"But that's why they sent me here, Sir."
Well, I can't help you with that. That is inappropriate treatment.
"Then this was just a waste of my time. This is bulls--t."
You mean, this is bulls--t, Sir.
"What?"
Well, you were being so polite, I thought that's what you meant to say.
"Screw this. I'll go get the medication from the street if I have to."
OK, thank you, Sir. Do you still want your PT script, Sir?
When were you diagnosed with whiplash?
"In 1998, after my car accident, Sir."
Did you ever get an MRI?
"No, Sir."
Have you ever had physical therapy?
"Yes, Sir. It made me worse, Sir."
Have you ever tried NSAIDS?
"I'm allergic to all of them, Sir."
How about Flexeril?
"No, but Soma works well, Sir."
And Tramadol?
"I have seizures, Sir."
So what do you do for this, do you take Tylenol?
"No, Sir. I've heard all the horrible things that it can do to your liver, Sir."
Well, here is a prescription for flexeril and PT, let's try that for a few weeks.
"And what about my OxyContin, Sir.?
What?? You take OxyContin for this?
"Yes, Sir."
How long have you been on that?
"About 8 years, Sir."
Well that is completely inappropriate. We'll try the PT first.
"What am I going to do? I'm going to run out tomorrow, Sir!"
I didn't prescribe your oxycontin, so you need to speak to that physician.
"But that's why they sent me here, Sir."
Well, I can't help you with that. That is inappropriate treatment.
"Then this was just a waste of my time. This is bulls--t."
You mean, this is bulls--t, Sir.
"What?"
Well, you were being so polite, I thought that's what you meant to say.
"Screw this. I'll go get the medication from the street if I have to."
OK, thank you, Sir. Do you still want your PT script, Sir?