This daily blog post thing is really hard when the bad days hit. I had the most unbelievably bad day today; I am so agitated I can barely sit still. I would talk about that except I really don’t want to talk or think about it any more. I wrote a blog post yesterday, but I had to publish it privately because the person I was discussing would be easily recognizable from my post, and I don’t need to get sued. Too bad. It was an interesting post. We talked about snuff films and stuff.
This morning I found out that my new job in North Dakota may be in jeopardy, due to some creative scheduling by the hiring hospital that involved them hiring four doctors instead of two. So my two weeks work a month is cut at least in two. I don’t know if we can get by on that money. The locum company rep assigned to me made it sound like a sure thing that the two weeks at the end of the month was mine, and now I found out that it is all screwed up only because I CALLED HIM with some questions. I have no idea when he had planned to let me know otherwise.
I had to go to a meeting of our two OB/Gyn practices that are being joined at lunch today. I had to go despite the fact that my last day of work with them is in two weeks. They made me go anyway. The meeting was hideous. The group across town that my group is joining spent the entire meeting bitching and moaning about problems in THEIR clinic, leaving those of us from across town wondering why we had to sit there for an hour and a half. Eyes were rolled, names were called. They clearly all HATE each other. And now they hate us. I would be so grateful because I’m leaving, but now my new job is in jeopardy. I may have no job at all, or I may have to go crawling back to this awful old job.
I had the worst patient (with mother in tow) that I have had for MONTHS, if not years. Put together ignorance, entitlement and sheer craziness, and you get something really awful. The girl was complaining because her birth control was making her bleed. She was on a form of birth control KNOWN to make people bleed – in fact – I notify patients of that when they want it put in. We switched it out two weeks ago, and she hasn’t stopped bleeding yet (this stuff takes a while to work, people) so she demanded an appointment. She had her mom call a few times too. The girl postured, strutted, and burst into tears and attitude and informed me that she wanted a pill that would make her stop bleeding TODAY. I told her if I had that pill, I would have given it to her already. Her mom started with the major cray-cray. “If we had done a D&C when she had her MISCARRIAGE like we SHOULD have she wouldn’t be bleeding now. My FRIEND was bleeding and they looked and looked and then didn’t find anything and SHE had a TUMOR. How do we know my daughter don’t have a tumor? I want a SPECIALIST. This girl been bleedin’ for SIX MONTHS and ain’t NOBODY should bleed six months, And I don’t think it was them HORMONES. There somethin’ WRONG with her. You ain’t doin’ NOTHIN’ for us.” I then honestly informed them that I was leaving the practice in two weeks and I would need to transfer their care elsewhere. I also told her that the gynecologist IS the expert for this problem, and that we were doing the best we could. They stormed out to the lobby and proceeded to throw a massive fit. “The doctor LEAVIN’ and she don’t care NOTHIN’ about us and my daughter have a TUMOR and she won’t send us to see no SPECIALIST.” She then started to demand an ultrasound TODAY (schedule full, sorry) and demanded to see one of my partners TODAY so THEY could send her girl to a specialist. My partners refused to deal with the nut cases. I got a phone call from the receptionist, who was freaking out. What was I going to do about this scene in the lobby? I told her to call security. And of course, the patient is on Medicaid, which means that my tax dollars are going to support her, her pregnancies, her birth control, and her attitude. So all afternoon, all I got to hear about was the scene in the lobby.
Now, this evening, my husband and I have to go through all the emails from the rep at the locums company so we can find things to yell at him about, because of my job getting all screwed up. And tomorrow, I will start an entire weekend on call at a very busy hospital that is new to me, and I will probably not get to come home for days. So I am having an awful day, and this is what I’m going to write about. My apologies if my sense of humor seems to be lacking.