Shifty Paradigms
Life in the post Katrina, middle aged, mother of a teenager, pediatric world


Mudders
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Office manager to patient's mom: Oh, Your son is sick, I'm sorry to hear that. We can see him at 3:30 today. That is the only appointment we have open today.

Patient's mom: Ok that is fine. I'll be there at 4.

Office manager: The appointment is at 3:30. We have an office policy that if you are more than 15 minutes late, you will probably be rescheduled.

Patient's mom: I'll be there at 4.

Office manager: The appointment is at 3:30. We have an office policy that if you are more than 15 minutes late, you will probably be rescheduled.

Rinse, wash, repeat times 3.


3:45. Patient's mom signs in.
3:48 Patient is being checked in. (Gently with careful attention to routine, because this is the autistic patient who later in the visit pinched me and he is very particular about the routine. We write on the front of the chart the particulars of how to handle patients who need predictable routines when they visit.)

Patient's mom: Your clock is 5 minutes fast. See (she whips out her cell phone and shows the nurse the "correct" time)

Nurse: Oh, I am sorry. We don't use that clock to keep track of the time, we use the one on the computer.

Patients' mom: Are you going to change that clock, or are you just going to keep looking at me like I am stupid.

Nurse: I would have to climb up on a ladder to change the clock, so I'll have to do it later.

Patient's mom: Well, you shouldn't tell people that they can't be late if your clock is not right and that is just wrong, see look at my cell phone clock, your clock is running five minutes fast and that is just wrong and the person who talked to me on the phone was just rude and are you going to change that clock right now, or are you just going to stare at me like I am stupid and this is just ridiculous.

Nurse: We use the computer to keep track of the appointment times. I am not going to change the clock on the wall right now.

Patient's mom: Well, your clock is wrong and you should change it right now and this is just wrong and there had better be a good reason why aren't you changing it right now.

Nurse: Because right now we have patients to take care of.


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