Rad Rage Reciprocated
Do not piss off a radiologist.
I learned this the hard way today.
Earlier this week I had another case of a radiologist ordering a breast biopsy: a call came asking me to fax over a note for a patient already sitting there. I had seen the abnormal mammogram, but apparently the report for the extra views and the ultrasound never made it to me. They faxed it over; I made the patient come over for an exam and then sent her back for the biopsy. Actually, she had more than one lesion: a cluster of little cysts that were aspirated uneventfully, and a "worrisome" lesion that they tried to needle but said that if the pathology came back negative, I should assume it was because of faulty sampling, because they really thought it looked like cancer on both mammogram and ultrasound. (So why needle it? Because they can.)
Anyway, the next day I had called the radiologist back and threw a major hissy fit; really chewed him a new one. All he agreed to was that I should have gotten a phone call instead of just the report (that never came.) And he made certain I got the report of the aspiration/biopsy. Along with a later addendum with the path results (which I had gotten under separate cover anyway.)
Actually, I got the report twice: the original, then the addendum faxed under separate cover after a call from the Breast Center Liaison confirming my fax number (because they wanted to be *sure* I got it.) Then I got the whole thing sent over again, labeled "Superceded Report." Actually, it came over twice.
Then today it came over again. And again. And again. And again. And again. And again. And again. And again. And again. And again. That's right: 10 more times. Four pages each.
After the eighth time, I called over to the hospital and promised never to yell at them again; just please, make it stop! They claimed it was an IS gremlin, but I found it a bit too coincidental that it just *happened* to be the same patient I'd chewed them out over. They had the IS guy call me; he asked me to fax the first page back over to him. I asked why. So they could tell where it was coming from. Good luck; there was NO indication of what phone number was sending the runaway faxes. By then, though, I thought it had stopped.
No such luck. About half an hour later it came over again; and then again. Another call to radiology and another transfer to IS; more groveling on my part; promises never to complain to any radiologist ever again; happy to write notes allowing them to do ultrasound guided mastectomies if they would please please please stop faxing me the same goddamnable report over and over and over. Eventually it stopped.
Ever feel someone sneering at you from two miles away?