Friday, April 13, 2012

My medical practice:
should DNAs be billed?  no shows are referred to as did not attend
who has heard of ordering a faecal calprotectin to check for inflammatory bowel disease?
Nikki, why does Novartis market Reclast here as Aclasta?  the infusions are done in the GP office
reps usually come on Thurs, which is my day off; I can go with Rich to Wanganui next month.
I bring my own patient to the room.  No routine weights or vital signs are done.
So doc rooms patient, but nurse takes the initial history for NPV
some meds I've encountered include tranexamic acid for DUB, Pimafucort, Viaderm, cetomacrogol for eczema, chloramphenicol eye drops as drug of choice for conjuntivits.
sigs are different with mitte as quantitiy, od instead of qd for daily, etc.
I see lots of Peds, order EBV titiers for glandular fever, and ultrasounds not MRIs for rotator cuff tears.
Vaccine regimens are different with Tetanus boosters at 45 and 65.  Pneumovax only for med indication.
No subsidy for Zostavax
I do enjoy the patient care and the people that I work with.
Life in Palmy:  They don't know what a screen is here; a flyswatter is on our shopping list.  The postman delivers the mail on a bicycle.
Adjusting to work is easier for me than a new home routine.  After so many years, it is hard to get used to not having Nellie.  I don't miss TV (Rich does).  I thought there wasn't a lot to watch in the US, but the shows here are 100 times worse/really ridiculous; not to mention that we have an old set with a rabbit ears antenna and poor reception.  We did find a great oldies station on the radio that entertains us.  Heard more coverage of the Masters here than I would have heard in Albuquerque.
I love the device that they have for rapidly heating water.  Why don't we use them?
Kaylee rules the family room from her roost on the dog bed next to the TV.
Rx found his spot watching life go by from the guest room at the front of the house.
Have to go, megabytes are ticking away.

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