Talk Thursday: So I Have To Ask....?

So I have to ask...... Why do the people I know prefer to call me for medical advice, instead of their doctor? For the most part, I don't mind.... The investigation part is interesting for me, but I'm not a doctor, or a nurse... I'm a freaking secretary. Albeit an ER Unit Secretary, but my medical training is INCREDIBLY limited.

It started several years ago when a roommate had some lab work done and came to me concerned because her glucose came back fairly elevated. I asked to see her previous levels, and then asked her if anything had changed between the normal one and the elevated one. The doc had changed some of her meds in that time. I did a little investigation and found that one of her meds was contraindicated for diabetics.... The easy answer for me would be because it must mess with your sugars.... ta dah!

Yesterday, I got two calls. Call one came from my friend who broke her leg and just got out of the hospital. She hasn't pooped in a week and wanted to take a laxative, but the box says that if you're pregnant, call your health care professional.. My advice: Call your pharmacist.

The second one came at 2300, from a friend that just had lab work done and her Vitamin D came back low..... Why would that be? What causes that? Hmmm, I know she's outside a lot... No, she doesn't drink milk... But I also know that Vit D isn't a standard chemistry screen, so why did her doctor test it? I asked what meds she's one so I can investigate those.... Albuterol and a thyroid drug.. Hmmmmm, Vit D isn't really a vitamin, it's a hormone... FIve minutes later, I confirm... It's either due to the med or her thyroid hormone. I tell her to take the supplement her doc prescribed and send her a list for a Vit D rich diet. (It's always easier for your body to utilize what it gleans from food sources rather than supplements).

Last week, a friend without medical insurance calls me.. She's pretty sure she has pitted keratolysis, but can't afford to go to the doctor if she doesn't HAVE too. I get this. I did some investigation.. If she is right, it's caused by bacteria when the feet get hot and sweaty. She's a waitress.. duh. So, home remedies... I explain to her that if she went to the doctor they might give her a topical or oral erythromycin. Bacteria is pretty sensitive to pH, so I suggest she do vinegar baths and alternate with tea baths (tannin will dry out the affected area) and get some tea tree oil and use that topically. Also, change your socks, cotton, several times a day and alternate shoes, don't ever wear the same pair two days in a row. Go barefoot as much as possible. Unfortunately, there's no way to tell if my suggested treatment would really work, because she keeps forgetting and will probably go to the doctor anyway.

My favorite call ever... About 3 weeks ago, I was at Ash's house (yes, the broken-legged laxative friend) and an exboyfriend started blowing up my phone. I ignored the first 6 calls, 6 calls in 20 minutes, then finally answered a bit annoyed. "What? Is someone dying? What's your freaking emergency?"
He responds in a frantic voice, "It IS an emergency!"
Me: Ok.... what's going on?
Idiot: Well, I don't know what to do... It's embarrassing and I don't want to go to a doctor...
Me (Rolls eyes) : Ok... What's going on?
Idiot: Well, I've been going to the pool a lot. And swimming.
Me (No shit? Is that what those are for?) To him: uh huh?
Idiot: And I had my lady friend shave my body.... my whole body.

(Did I mention we've been broken up for two years? All I can think is, poor lady friend!)

Me: Ok?
Idiot: And this is really embarrassing.... I have an ingrown hair, I think, on my asshole.
Me: ..............................................*choke back laugh*........ ok..?
Idiot: And I don't want to go have some doctor guy look at my asshole. My lady friend looked... I don't know what to do.. It hurts... Should I pop it? I called my mom and she said to sit in a warm salt bath. I called my cousin, and he said stab it with a needle... I called my other cousin and she said to have my lady friend squeeze it... My aunt said to leave it alone and go to the ER... What do I do?

Me: ............................................ Um, How long have you had it?
Idiot:  30 minutes!
Me (In my head: and you called me 7 times and half of your family?) To him (Still trying desperately to not laugh) : Well, Epsom Salt  bath would be good...  If it is an ingrown hair, or something of that type, that will help it come to a head... (but..I'm thinking probably a rrhoid) Yeah, ummm, I wouldn't squeeze it or STAB it... There's a fairly significant blood vessel that runs around your anus..... don't go stabbing at it. Really, there are several possibilities of what it could be.... But I don't want to look at it... Really, I'm not going to look at it... Ummm, if it gets significantly worse, or doesn't seem to get better in the next 4 or 5 days... You're going to have to have a professional look at your ass.. Sorry.

At this point, Idiot starts ranting and raving to the point that everyone in the room is staring at me with shit eating grins on their face and now the kids are interested too!

Me: Don't yell at me, dumbass, I'm not a damned doctor, most certainly not an ass doctor. You want a better opinion, go show someone your ass! Otherwise, chill out. You aren't bleeding. You're not going to die... at this point. (DAMN!) Wait and see how it goes.. it's been 30-fucking-minutes! Ohhh.. and quit shaving your asshole!

And I hung up!

Everyone knows you're supposed to wax it! Sheesh!