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Bad Doctor, no donut

@baddoctornodonut

Primary care physician, so equal parts rage, cynicism and compassion

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09.12.2024
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Latest posts by Bad Doctor, no donut @baddoctornodonut

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When I sub in at urgent care I don’t usually worry about getting COVID or the flu.

But I’m a little concerned about getting rabies from the break room.

#medsky #primarycare #doctor

15.12.2024 21:07 👍 1 🔁 0 💬 0 📌 0

Btw this was my patient who had acute hyponatremia attributed to HCTZ a few years ago. Repeat last week was 134 and he’s been fine since stopping the diuretic :)

15.12.2024 20:38 👍 1 🔁 0 💬 0 📌 0
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Winner: lowest sodium - 105

#medsky #primarycare #doctor

15.12.2024 19:21 👍 2 🔁 0 💬 2 📌 0


Yeah - we try to avoid making jokes about how “backed up” they are in G.I. 😜😂

14.12.2024 03:42 👍 1 🔁 0 💬 1 📌 0

Not gonna lie…it did. Then I always wonder if I went too far 😬

But the local admin is good and the rest on the chain were other primary care docs - so I think I’m safe!

14.12.2024 03:04 👍 1 🔁 0 💬 0 📌 0
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all credit to marriedtothesea.com

#medsky #primarycare #doctor

14.12.2024 02:44 👍 1 🔁 0 💬 0 📌 0
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Friends I’m fed up with the BS tonight and just emailed this to my department

#medsky #primarycare #doctor

14.12.2024 02:08 👍 10 🔁 1 💬 2 📌 0
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#medsky #primarycare #doctor

13.12.2024 16:27 👍 14 🔁 3 💬 0 📌 0


Holiday gifts from patients so far:

- 1 nice card
- 2 boxes of chocolates (shared with staff)
- 1 bottle of unlabeled moonshine (at my house while I google “risks of methanol poisoning”)

#medsky #primarycare #doctor

13.12.2024 15:21 👍 2 🔁 0 💬 0 📌 0



Me in clinic: Tells patients to improve exercise, get more fresh veggies and whole grains, more fish, avoid sugar sweetened beverages.

Me at lunch: ooo free cookies in the McDonald's app!!

#medsky #primarycare #doctor

10.12.2024 19:19 👍 0 🔁 0 💬 1 📌 0



When the patient comes in wearing wranglers jeans I know I better not talk politics

#medsky #primarycare #doctor

10.12.2024 17:08 👍 1 🔁 0 💬 0 📌 0
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When you make your primary care doctor really mad …

#medsky #primarycare #doctor

10.12.2024 01:11 👍 25 🔁 1 💬 1 📌 0

I actually get logs on all sorts of stuff…more sticky notes than you would expect. For some reason people like to get them started on teeny tiny pieces of paper.

09.12.2024 23:03 👍 1 🔁 0 💬 0 📌 0



Me: We just did a nice thorough physical. Any last thing before you go?

Patient: no I feel great!

Me: okay see you nex-

Patient: although last night I did have crushing chest pain so I chewed two aspirin and then went to bed. Any idea what that’s about?

#medsky #primarycare #doctor

09.12.2024 22:59 👍 12 🔁 0 💬 1 📌 0
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#medsky #primarycare #doctor

09.12.2024 20:28 👍 4 🔁 0 💬 2 📌 0



Me: let’s get you that COVID shot

Patient: *gestures to arm* but I’m wearing a sweater today

Me: …uh, well, you could take it off

#doctor #primarycare

09.12.2024 19:54 👍 5 🔁 1 💬 0 📌 0