PCP: Still Sick

I took Rescon and Veramyst over the weekend for my impending cold, and while the Veramyst (fluticasone) nasal spray did wonders for me (I've never had nasal congestion), there was nothing available to treat my nagging cough. So I went to the store to get Robitussen, and lo and behold, it was almost completely sold out. I couldn't believe it. Must be cough season or something like it. Fortunately there were still a few bottles of cough syrup available for me to buy; I need to stop coughing in front of the patients.

We had a ton of no-shows today, quite unusual for a Monday. There was one 57-year-old patient who has a 30% ejection fraction and had a ICD put in, so we entered the room expecting to see a frail man. Instead, we saw a tall, robust businessman who was the picture of health The lesson: don't judge a person by his medical records. We saw another lady with a bad case of psoriasis; Dr. P commented that most patients with psoriasis also have anxiety, and that he's never seen a psoriasis patient without it. This same lady accompanied her husband to his later appointment; he had a hard marble-size lump in one testicle. It was mobile, not attached to the testicle, so what it is remains to be seen. Right before we saw him, we saw a 11-year-old boy with what looked like hydrocele except it was painful. Hydroceles aren't supposed to be painful. So he got referred to Cook's. Before we saw these two patients, Laurie (the MA) said, "You have back to back penis cases." Dr. P misheard and thought she said, "Peds cases." Not quite =)