Saturday, May 30, 2009

Old People

Why are senior citizens and others of that generational mind set against gay marriage? I propose it's because most of them haven't even thought about it.

[While watching a segment on gay marriage on CNN with grandma]

Grandma: But what if they got into a fight or something and wanted to split up? What would they do?

Me: Get a divorce like 50% of heterosexual marriages....

Clearly she has put a lot of thought into it. I can't put her at fault though. Most of my hetero friends don't seem to really care what happens with gay rights because it's not something that affects them, or regularly think about.

Friday, May 29, 2009

"Real Doctor"

Even though Cosmetic Doctor likes to see primarily cosmetic "patients" he still sees mainly medical patients, since this is before anything else a medical dermatology practice. I can tell that he doesn't like seeing medical patients though, especially pediatric patients. This is a little odd since the practice specializes in pediatrics, but nonetheless this is where he decided to work. Fair enough though, since Boss Doctor is board certified in Peds Derm, so I guess not all Derms would handle kids as well as him.

Quick example of this:
We get many children with Molluscum Contagiosum which Boss Doctor will always attempt to treat. The condition is self-limiting, but we'll try to move it along by using a blistering agent like Cantherone or liquid nitrogen. The Cantherone treatment is immediately painless, but the kids often freak out on us cause they're generally very young. If it becomes too much of a struggle then Boss Doctor just lets it go and gives them a topical that is slower acting but normally less traumatic.

Cosmetic Doctor has been presented with this situation an inordinate number of times lately. How does he handle the situation? By telling parents that pediatric derms generally don't treat it. I'm not sure how true that is since both Boss Doctor and the PAs will attempt treatment every single time. There was one really bad situation where the child was screaming uncontrollably and the parents just weren't convincing us that they wanted us to continue, even though they told us to go ahead. Cosmetic Doctor more or less froze during the situation. At one point I had to interject so that the parents and doctor would stop staring at each other with blank expressions.

Anyway... Fine he's not comfortable treating kids. Pediatric derm isn't his thing, but surely general derm is something he could handle. So a psoriasis patient came in with a history of failing topical treatments, but being successful with biologics in our practice. The patient had to go off the biologics because of insurance problems, but could now continue. Well at least he could of continued if Cosmetic Doctor hadn't replied to his request with, "I haven't prescribed biologics in years and am not comfortable prescribing that." Excuse me?!?!?! THIS IS STANDARD DERMATOLOGY!!! HAVEN'T PRESCRIBED IN YEARS?!?! THERE IS NO WAY YOU COULD BE MORE THAN 5 YEARS OUT OF RESIDENCY!!!

Boss Doctor's verbal reaction to this - "What? Isn't he a real doctor?"

How did we resolve the situation? Referred the patient to the 1.5 years of experience PA that is comfortable handling biologic patients.

Let this be a lesson to all the asshole physicians I've been reading lately who say P.A.s aren't capable of the same level of care as Board Certified physicians. P.A.s are totally capable of being trained to the same standard as board certified physicians. I don't even want to know how Cosmetic Doctor would have handled Senior P.A.s erythrodermic psoriasis patient...

Tuesday, May 26, 2009


I still hate you so much California.

Monday, May 25, 2009

Shoot Me

My grandmother sent me out to get an ice cream cake for my uncle's birthday. She wanted something plain like chocolate or vanilla, something everyone would like. I come home with chocolate chip. She kind of freaked out as if chocolate chip was something no two people in the world could ever agree upon liking. It's freaking chocolate chip! That's as plain and boring as it gets outside of chocolate and vanilla. AHHH!!!! SHE'S CRAZZZZYYY!!!!

One more thing. This weekend there were plans to have a BBQ at my parents' house on Monday and have lasagna at my grandmother's on Monday. For some reason we didn't do lasagna Sunday and my grandmother says "Oh well we'll have it tomorrow (Monday), which is just as well because it's suppose to rain today (Sunday)." Why just as well? Were we planning on eating lasagna outside? I guess lasagna on Memorial Day is standard tradition...

Friday, May 15, 2009

15 Days

I only have 15 days of work left. I've been the moodiest bitch in the world lately. I'm not exactly sure why, but I'm sure it's because I'm almost done at this place. The shit that I use to put up with so well, I can no longer stand. I also have just not been as on top of my game as I usually am. I forget to get simple things ready when seeing patients, my notes are lack luster. It's just all going down hill.

The entire office knows how many days left I have. This is mainly due to the fact that announce it many times throughout the day. Many people are upset about this. I too am upset that I'm not going to see these people every day. I like all of my co-workers and everyone seems to like me. I'm the jokester of the office and make everyone laugh. But I'm not going to miss my role in the office at all. I feel like there are always a million different people asking me to do stuff. The front desk is asking me to answer patient questions, office manager is always on our ass about doing things faster (although she's gotten better since I snapped at her), the providers are snapping at me if I'm not doing every goddamn thing that needs to get done in the room. Honestly, it's as if they want to sit on a cloud and watch from afar the medical assistant do everything. DON'T COMPLAIN TO ME BECAUSE YOU HAVE TO WRITE HALF OF THE NOTE. IT'S YOUR FUCKING SIGNATURE THAT GOES AT THE END OF IT!!!! Jesus Christ these people are so needy. I'm very interested to see what I'm like on the other side of the coin.

Senior PA often says that I make a crappy medical assistant, but will make a good PA. I don't know how much she means that though. She most recently said this because one day she asked me to call in some medication and I never remembered to do it, but in all fairness I wasn't even working with her that day. I had my own things to do, had another provider to work for and then she just gives me some random job to do. God knows that she has plenty of instances where she doesn't have any work to do and could have called in the god damn medication herself. She sits in the back corner doing online surveys for 40 dollar checks, while I never have a moment to sit around and do nothing. God I can't wait to stop working for $10 an hour.

Friday, May 08, 2009

Due Process My Ass

February of last year a got a ticket for driving while using a mobile phone. The officer told me if I pled not guilty and brought a hands-free device the judge would probably let me off. I bought that hands free device (on a drive that lead to that annoying accident) and pled not guilty to be told that I would be given a court date in about three months.

I graduated college, left that town, and sent the court a signed letter saying what my new address was and that I wanted to plead guilty.

1 year, 3 months later they finally gave me my court date in that town that I no longer live in. WTF?!?!? Where the fuck is the due process in all of this. I can't go to this court date. I just want to plead GUILTY and pay my effing penalty. What is going to happen if I don't show up to this court date?

Shoot me.


My brother claims (who's had LOTS of tickets), and the DMV website suggests that if I don't show up then my license will be suspended and I will then have the opportunity to pay the fine then. I'm going to send the court a letter again trying to plead guilty. Otherwise, I'm just not going to the court date and hope I get something in the mail allowing me to pay my fine off.

Wednesday, May 06, 2009


Maine legalized same sex marriage today. You go Maine!

New Hampshire's legislative branch passed it, and it waits to be signed by the governor. Lets do this NH!

Washington D.C. City Counsel has passed the acknowledgment of same-sex marriage, but needs to pass the 30 days review period in Congress. In general I don't believe Congress generally goes against the Counsel's decisions, but this could be interesting.

A decision in New York is pending. The governor there introduced a bill legalizing same-sex marriage. The state currently recognizes marriages done in other states.

That is your gay update of the day.

Monday, May 04, 2009

I'm not THAT stupid

I checked out an apartment yesterday that I thought was too good to be true. Surprisingly, the place ended up looking just as it did in its online posting. I did not play it cool and made it quite obvious that I wanted the apartment badly. (TWENTY MINUTE COMMUTE TO SCHOOL!!!) But I did press upon him how good of a tenant I am: great reviews from past landlords, professional student, minimum year lease with probability of 26 months.

They sent me the Rent Application and I faxed it over today. They then told me that I would be getting lease papers tomorrow. horrah! But wait! There's a catch! He said I was going to be the sole signer on the lease. whaaaaaaaat?! Yeah that is definitely not happening.

I called him and long story short, I gave it to him. I told him how there is no way in hell I'm going to be held responsible for Roommate. I understand that it's in the landlord's best interest to only have one person to deal with legally, but ummmm I'm not retarded. I have to cover my own ass. He tried to act like proposing a multi-tenant lease as some unheard of idea. I then pointed out that every lease I've ever signed included every occupant, so this is not some novel idea of mine. He then changed his tune a little and said that maybe his lawyer could work something out. And by lawyer he probably meant Standard Multi-Tenant Lease from Google.

As I typed this I received an e-mail from Landlord saying that making up a multi-tenant lease was not going to be a problem and that I'll have the papers by mid-day tomorrow. DAMN RIGHT BIOTCH! I OWN AT LIFE!

Can you say shortest apartment search ever? God I amaze myself sometimes. I don't know which is more impressive, my job search last summer or this apartment search. I'm going to say this apartment search because the job pays so shitily, yet my job was the reason I got into school.