Friday Night Red Wine Buzz. Ask me anything.

Man, what a hella week. As usual when we get a new clinic manager, our new guy wants to make a name for himself by increasing the productivity of his clinics.

No manager has ever figured out how to to that in an effective way short of magically making everyone in the community sick.

I heard he's actually going out on the streets and buttonholing people to tell them aobut the clinic. "They get you whatever you need!"

Which makes us sound like a pill-mill.

Asshole.

I should probably give him a list of the names of the clinic managers I've outlasted in nine years of practice. I wouldn't give him long odds for a lengthy tenure as manager.

Anyway, I need a fucking drink...

I love you all...

Just had to kick a guy out of the clinic for coughing like crazy and refusing to wear a scrub mask.

Sorry, Dude. I'd like to help you with that cough. But if you resolutely insist on exposing my other patients in the waiting room to whatever you've got, out you go...

I'm angry and conflicted about a patient right now. Maybe talking about it will help.

I've been treating, for a couple of years now, a patient with a history of deep-vein thrombosis. He comes in twice a month for his lab test and any necessary adjustment to his warfarin.

He's an okay guy, and our visits have been pleasant, even though I know he's been in and out of prison several times.

Yesterday during his visit, he confessed to me that he's going up on charges of felony possession of child pornography. Then he broke down and started crying. He's really afraid of doing hard time. Any affinity I might have had for him before instantly turned into disgust for this snivelling coward who is helping perpetuate a market for a horrible, horrible product.

I don't know how much longer he has before he has to begin his sentence. But I'm sure he'll be back for his regular visits. I'll make sure he gets good, proper medical care. I took an oath to that effect. But I just don't want to have anything more to do with him.

Thank you for listening.

Update on my cervical cancer patient: it's squamous cell carcinoma, and has not metastasized.

Squamous cell carcinoma metastasizes much more rarely than other forms of cancer. So that's the good news. And she has already started therapy. So more good news. Thank you all for your words of support for her.

Once Mueller is a private citizen again, Congress can subpoena him, right?

Barr can't do a thing about it, right?

If anybody says anything to me tomorrow about my veteran's status,

I'm going to tell them that the day is to remember those who fell in battle, which obviously ain't me.

We've gone so far in the other direction from the indifference veterans experienced during Vietnam, that now we acknowledge them when it's not specifically appropriate to do so.

Sunday Night Cannabis-Buzz.

Sunday Night Cannabis-Buzz.

Family Visit Record-Scratch Moment: my fundy step-daughter just bought Chik-Fil-A for everybody.

Mrs. Aristus' conservative fundy days are behind her, but she still has to keep peace in the family.

She asked me privately not to make a big deal out of it; to just shut up and eat.

So I did.

She didn't tell me not to make a donation to PFLAG, so that's what I'm going to do.

GODDAMMIT TO HELL! Just left a message for Housing & Urban Development.

They want to roll back the Equal Access rule and give homeless shelters the right to turn away transgender people.

I have five or six transgender people in my patient population, all of them are homeless (several of them specifically because they ARE transgender), and I'm not going to let this go by without having my voice heard.

You'd think Trump and his cronies would not want to piss off a fifty year-old, white, cisgender male Christian, but their incompetence knows no bounds, obviously.

If they even bother to call back, I'm going to let them have it.