What bothers me a lot when it happens...

[planex]

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I thought it might be good to see if we could share some irritating things that happen with work...🙂

1. When refracting I ask "3 or 4" and they say "1 was a lot better"
2. They close one eye at a time, while wearing their -3.25 cyl contacts and state "the right one is clearer", as they read 20/20 each eye.
3. After explaining monovision for what seems like 30 minutes, they close the dominant eye to inform me that the chart is blurry"


Hopefully there will be others...please share😀

 

[cpw]

4. At least once a day I say "No.. your other right".
5. No, the NCT isn't putting "the drops" in your eyes.

PS -- I wouldn't say any of this really bothers me. It's just funny how many times it happens

 

[Olddog1]

4. At least once a day I say "No.. your other right".
5. No, the NCT isn't putting "the drops" in your eyes.

PS -- I wouldn't say any of this really bothers me. It's just funny how many times it happens

6. When residents say your other right. Is that the way you would want someone to talk to your parents, ie make them feel stupid? They are likely thinking my right or the doctors right. Wouldn't it be easier to say look the other way after you examine that quadrant and go on with your day?

 

[sco1styear]

7. me "you said your vision is blurry in the distance?"
patient "yes"
me "anything seem to help make it better?"
patient "no"
me "so it's blurry with your glasses?"
patient "no, it's blurry without my glasses, it's not blurry with my glasses"
me "AGHHHH!!!"
Same patient that was approx -3.00-1.25cyl OU and happened to have forgotten their glasses that day but otherwise wore them all the time - according to them and their mother! yeah right!

 

[sco1styear]

6. When residents say your other right. Is that the way you would want someone to talk to your parents, ie make them feel stupid? They are likely thinking my right or the doctors right. Wouldn't it be easier to say look the other way after you examine that quadrant and go on with your day?

I'm assuming they were talking about when you say something like..."cover your right eye"...it's hard to misinterpret that as the doctor's right

 

[cpw]

6. When residents say your other right. Is that the way you would want someone to talk to your parents, ie make them feel stupid? They are likely thinking my right or the doctors right. Wouldn't it be easier to say look the other way after you examine that quadrant and go on with your day?

way to take a fun thread and make it serious.

 

[Olddog1]

way to take a fun thread and make it serious.

Sorry, one of the very few pet peeves of mine.

 

[cpw]

Sorry, one of the very few pet peeves of mine.

I did have one guy at the VA cover his ear. Now, we actually did have a really good laugh together. (he'd had an audiology appointment right before he saw me for his exam)

 

[4Eyes]

1. When refracting I ask "3 or 4" and they say "1 was a lot better"

Heh, this happens to me. Sometimes it just doesn't matter how many different ways you try to explain it.

Or, with EVERY flip of the JCC, they want to read the whole line out loud. Again, it doesn't matter what I say. Some will just insist on reading the blasted line. And it takes forever. 🙂 Anyone else run into this?

Or the patients who keep answering their cell phones. As a student, I don't have the luxury of doing anything much about it. And my exam is timed the same regardless.

Orrrr. I ask them at the beginning if they're sensitive to lights. "No." Okay. Fast-forward to SLE. Rheostat all the way down. Beam narrowed to optic section (not that you can see anything like this). "Owww it's soo BRIGHT! Can't you turn that down?" Oh boy...DFE will be fun. 🙂

 

[iiiimonica]

"Or, with EVERY flip of the JCC, they want to read the whole line out loud. Again, it doesn't matter what I say. Some will just insist on reading the blasted line. And it takes forever. 🙂 Anyone else run into this?"

how about isolating just 1 or 2 letters? that's what were being taught in school (though some instructor perfer a whole line, others point out your situation - that the patien'ts will read the line if you give them a choice)

 

[rpames]

8. Me: "Do you have any systmic conditions, such as HTN or DM?"
Pt: "No"
Me: "Do you take any medications?"
Pt: "Yes"
Me: "What meds do you take?"
Pt: "any'olol' and insulin"
Me: "So you have have HTN and DM?"
Pt: "No"
Me: "Why do you take those medications."
Pt: "B/c I take those, I don't have them."
Me: "So, clearly you have a genetic disorder, do you by chance know what it may be?"

 

[4Eyes]

"Or, with EVERY flip of the JCC, they want to read the whole line out loud. Again, it doesn't matter what I say. Some will just insist on reading the blasted line. And it takes forever. 🙂 Anyone else run into this?"

how about isolating just 1 or 2 letters? that's what were being taught in school (though some instructor perfer a whole line, others point out your situation - that the patien'ts will read the line if you give them a choice)

I have wondered about this, but I thought if it were me, I don't think I could make a decision based on just a letter or two. I suppose I should give it a shot. 🙂

 

[posner]

Nothing is more irritating than a poor historian in my opinion. Not only does it confound your ability to make sound decisions regarding the care of your patients, it can make you look like a penis to another health care provider. Let me give an example:

A local wealthy 74 year old wine maker presented last week(as a new patient) with a painless loss of vision in his right eye. Upon dilated exam, it is apparent that he has suffered a BRAO. I reviewed the case history in depth with the patient to find out that he was the perfect specimen of health. His BP ws 136/86 in my office. He did admit that he occasionally forgets his multivitamin, however. Patient says no meds, and history unremarkable otherwise. I order a litany of tests from his internist to rule out the usual suspects, and send the fellow on to our retina guy for confirmation.

I received the correspondence from our retina guy monday agreeing with my assessment of the patient. His conclusion was that the gentleman's problem was likely due to his advanced cardiovascular DZ as evidenced by his history of carotid endarterectomies, 2 minor CVA's, early CHF, and longstanding medication for HTN😕 It turns out he took his wife to drive him to our retina guy and she spilled the beans on his history.

Posner

 

[qwopty99]

3. After explaining monovision for what seems like 30 minutes, they close the dominant eye to inform me that the chart is blurry"

otherwise - u spend 30 minutes counselling them on presbyopia, u give them a pair of READING GLASSES to read a card, then they look up and say the distance chart is blurry.

 

[aphistis]

8. Me: "Do you have any systmic conditions, such as HTN or DM?"
Pt: "No"
Me: "Do you take any medications?"
Pt: "Yes"
Me: "What meds do you take?"
Pt: "any'olol' and insulin"
Me: "So you have have HTN and DM?"
Pt: "No"
Me: "Why do you take those medications."
Pt: "B/c I take those, I don't have them."
Me: "So, clearly you have a genetic disorder, do you by chance know what it may be?"

That's one of my favorites. 🙄 I've reached the point where I ask for meds first, *then* hit the ROS, so I can have at least some idea of what I'm looking for.

 

[planex]

That's one of my favorites. 🙄 I've reached the point where I ask for meds first, *then* hit the ROS, so I can have at least some idea of what I'm looking for.

Another favorite of mine is with the ROS forms- their family history includes DM or HTN with their wife or husband.🙂

 

[disparue]

i was just wondering, what do you do and how are you to react when patients smell as if they dipped themselves in a pool of perfume, or pungent of B.O.??!! oh! in cigarettes and the etc...?? 😱

 

[r_salis]

Another favorite of mine is with the ROS forms- their family history includes DM or HTN with their wife or husband.🙂

Depending on where you practice, wife/husband may be valid for family history. 😉

 

[aphistis]

Depending on where you practice, wife/husband may be valid for family history. 😉

Ouch! 😀

 

[prettygreeneyes]

Depending on where you practice, wife/husband may be valid for family history. 😉

LMAO!!!

 

[cpw]

Depending on where you practice, wife/husband may be valid for family history. 😉

she'll be here all week, folks !

 

[planex]

I did have one guy at the VA cover his ear. Now, we actually did have a really good laugh together. (he'd had an audiology appointment right before he saw me for his exam)

That reminds me of the hand full of times where I hand over the occluder and they close the non-occluded eye and state "I can't see anything"😀 I just go ahead and put away the pinhole...

I have the introduction speel of "what brings you in to see me today are you having problems with your eyes or you vision?" and I got the reply once "my foot has been bothering me" - he was trying to make a funny😉 ...it was funny at the time.🙂

And please tell me I am not alone at being asked- "can you write a prescription for marijuana?"...they say they are kidding afterwards; but I wonder😀

 

[drmhyde]

6. When residents say your other right. Is that the way you would want someone to talk to your parents, ie make them feel stupid? They are likely thinking my right or the doctors right. Wouldn't it be easier to say look the other way after you examine that quadrant and go on with your day?

I say this every day and everyone laughs...it's all in how you say it (with a smile)

 

[drmhyde]

#10. When I look at the sun or a bright light..it hurts my eye? Is something wrong wth me (I swear I get this question 2-3 times a week)

 

[drmhyde]

#11 I cant see a DAMN THING out of these glasses! Response: Yes sir you have Occult Macular Neovascualarization, end stage glaucoma and 4+ Combined cataracts....remember that when I told you not to buy new glasses and NO makiing them "stronger" won't help.

 

[cpw]

I say this every day and everyone laughs...it's all in how you say it (with a smile)

definitely ! 🙂 I laugh a lot at work. 😀

 

[cpw]

And please tell me I am not alone at being asked- "can you write a prescription for marijuana?"...they say they are kidding afterwards; but I wonder😀

I was asked this a few times at the VA , yes. I also got many MANY questions about Viagra.

 

[aphistis]

8. Me: "Do you have any systmic conditions, such as HTN or DM?"
Pt: "No"
Me: "Do you take any medications?"
Pt: "Yes"
Me: "What meds do you take?"
Pt: "any'olol' and insulin"
Me: "So you have have HTN and DM?"
Pt: "No"
Me: "Why do you take those medications."
Pt: "B/c I take those, I don't have them."
Me: "So, clearly you have a genetic disorder, do you by chance know what it may be?"

DDx: Inbreeding, inbreeding, or possibly inbreeding.

 

[r_salis]

#12 When taking VAs the patient says, "Wow that's *horrible*, they're all blurry, I can't see anything, I can't believe how bad this looks!!!". So you ask if they can just *guess* at a couple of them, and you get a rapid-fire: E-V-O-T-Z-2

Also, I can totally relate to rpames' "I take an anti-hypertensive so I don't have HTN". I've gotten that a lot. I guess most people think of hypertension as being "high blood pressure", so if they take their rx and their pressure is never *high* they must not have it anymore!

 

[POJO]

How many ask patients to bring all of their medications to the visit?

Pojo