Friday Funny -- Fun Puns

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Fun Puns When chemists die, we barium. Jokes about German sausage are the wurst. I know a guy who's addicted to brake fluid. He says he can stop any time. How does Moses make his tea? Hebrews it. I stayed up all night to see where the sun went. Then it dawned on me. This girl said she recognized me from the vegetarian club, but I'd never met herbivore. I'm reading a book about anti-gravity. I just can't put it down I did a theatrical performance about puns.. It was a play on words. They told me I had type-A blood, but it was a Type-O. PMS jokes aren't funny; period. Why were the Indians here first? They had reservations. We are going on a class trip to the Coca-Cola factory. I hope there's no pop quiz. I didn't like my beard at first. Then it grew on me. Did you hear about the cross-eyed teacher who lost her job because she couldn't control her pupils? When you get a bladder infection urine trouble. Broken pencils are pointless. I tried to catch some fog, but I mist. What do you call a dinosaur with an extensive vocabulary? A thesaurus. England has no kidney bank, but it does have a Liverpool .. I used to be a banker, but then I lost interest. I dropped out of communism class because of lousy Marx. All the toilets in New York 's police stations have been stolen. The police have nothing to go on. I got a job at a bakery because I kneaded dough. Haunted French pancakes give me the crepes. Velcro — what a rip off! A cartoonist was found dead in his home. Details are sketchy Venison for dinner again? Oh deer! The earthquake in Washington obviously was the government's fault. Be kind your dentist. He has fillings, too. To: From: magnetdoctor@...Date: Fri, 20 Apr 2012 13:53:09 +0000Subject: Re: Send to Collection?

Good detective work, of course he did lie to you again. See I would have believed him, we are in this profession, because we try to help people. Sounds like a good solution, and move on.

Cote

To: Sent: Friday, April 20, 2012 1:04:59 AMSubject: Re: Send to Collection?

Thank you all for the advice and support.

I got a reference and called a collection company: with the case # the patient gave to me, I was able to find out the bankruptcy was filed in Feb. But his visit was in March. The bankruptcy only takes care of his previous dues and collectors. He is financially responsible for his expense after he filed bankruptcy. He couldn't go buy an expensive car and not be responsible for it just because he has filed bankruptcy. Of course, dealer check his credit, but I don't have means to check on his financial credibility.

So, I plan to write him a simple letter, point this out to him and demand him to pay in 10 day and if no payment, I will send him to collection and they will take it from there. Most likely, I won't get anything, but nothing to lose. And I have to formally discharge him with regular and certified mails. More time and cost.

The process to go through this claim could be as complicated as a medical algorithm. It is time to chalk up the price to my experience and move on...

Thanks again,

Wen

Small claims court if you have the energy for it is sometimes a better bet than the collections agency.

Have him explain to the judge why he tried to defraud you for drugs.

Most offices would just let it go and chalk it up to a learning experience if the police aren't interested in the drug seeking angle.

I had a patient call this week that declared bankruptcy with the local hospital last year and was incensed that he left our practice off his lawyer's list of people to stiff. He actually yelled at the receptionist because we asked him about payment on his outstanding bill.

Ben

To: Sent: Thursday, April 19, 2012 2:12 PM Subject: Re: Send to Collection?

Good answer, bankruptcy is public record, you can look up on line, if not there he may be lying. Usually if they are honest and included you in their list of debts, you get something from the state saying, this person filed for bankruptcy and you are SOL you can't collect. Have you gotten that? Have been doing this 8 yr, 1 bankruptcy in patient pop in first 5, at least 5 in last 3 yr.

CCote

To: Sent: Wednesday, April 18, 2012 2:20:38 PMSubject: Re: Send to Collection?

Are u for sure he file for bankarrupkcy?

He can tell u he is Elvis re-incarnation ,

He tricked u, I would send him to collections.

I don't know how to do itAdolfo E. Teran, MD

Hi all,

After opening my door for more than a year, I have one patient I would send to collection. I appreciate if you can give me advice.

A new patient came in one late afternoon with two invalid insurance cards but no ID. After we insist, he went to his car and brought his passport. My assistant must be busy and didn't pay attention to our Phreesia check in pad alert on invalid insurances. The patient requested HTN meds refill and Narcotic Rx of #360 tablets because he was going abroad next day, and of course, he switched PCP... I tried to log into CURES, the California Prescription Drug Monitoring Program, but my password didn't work at that time. CURES has very strict rules about password, it just didn't work sometimes. I called them then realized because of the recent budget cut, the state dept no longer had a live person answering calls. In general, I have a policy of no Narcotic Rx on first visit. I kew there were so many red flags I should stay with my instincts. But When a morbid obese patient of 350 + lb complains of Low back pain, I believed him and wrote a much smaller amout of Narcotics as well as his BP meds. Later on I was able to log into CURES and found out he has been a doctor shopper. There were so many doctors ( license #s ) have been given him large amount of narcotics, like #360 tablets of Norco in 10 days. No one can consume that much Narcotic. So I reported him for suspicious activity, hoping someone can do something to stop him going to different doctors for controlled medications. By the time I called the Pharmacy, the meds were dispensed and pharmacy didn't have his ID because he paid cash. So some of the drug seeking acitivities must have not be recorded.

A balance statement was sent to him a few weeks ago from my billing software. Today I got his response that he had file bankruptcy and "don't contact me anymore". He wrote his case#. What a drama! Someone on the list said in the past primary care is more dramatic than a TV soap. I can't agree more. I don't feel too bad about the loss. But I do feel a little bit stupid that I was used and manipulated, after recognizing so many red flags. Now I am working on discharging him from my practice formally.

My question is, could I send him to collection? And if one has filed bankruptcy, would collection make any difference to him or to me?

Thank you for your advice and experience.

Wen

San Mateo, CA=