Daily Docblock: International Espionage Edition

Around the world right now, there are evil nerds plotting attacks on our nation’s computer systems, while ours are plotting counter-attacks against theirs. But in my daily grind of looking at images sent from radiology centers, I have discovered something which could be wielded as a sort of super weapon in this war; the CT scan on C.D.  My plan is simple,  just send one  CT scan on C.D. to a high-placed member working on a sensitive computer network of one of our adversaries. It would labelled appropriately to entice the user to place it in the CD drive (“grandkid pictures”, “porn”, “Lady Gaga’s Latest Shoes”, etc. . .) Once the user places the CD in their computer, and clicks on any screen, then if these things work they same way they work on my computer, they are simply moments away from complete system shut down.

Their computers will freeze, becoming completely obstinate in their refusal to continue. If an attempt is made to close the program, or remove the disk, the program will ask for the disk to be placed back in the computer. If the disk is placed back in the computer, the program will state that the disk is not recognized. If an attempt is made to shut down the computer, the program will ask the user “are you sure?”. If the user clicks “no” the program will ask “why not?”. If the user clicks “yes” the program will reply with any number of vague responses such as “in progress…”, or “why?”.

 The process will be frustrating, maddening, even tech support gurus will be beffudled and have no choice but to  wonder about the wisdom of messing with a country that could produce something so diabolically powerful!  

Daily Docblock: Denied Edition


It seems the doc-blockage never stops. A particular thorn in my side has been Care Core. They manage imaging services for an insurance that we accept and often deny coverage for CT scans. Once the requested test is denied, the physician may appeal by calling a 1-800 number, and much of the time, they end up approving the requested study. So my question is, why make the physician jump through hoops just to get the study done, when ultimately you are going to approve the test if a physician calls? Then again, maybe that’s the point, not every physician will have time in their day to call and appeal, and many of tests will not get done.

The Daily Docblock: Self-Block Edition

Sometimes docblocks come from the most unexpected of places. . . ourselves! Recently I’ve had a slew of patients see me in follow-up after me or my partners saw them while in the hospital. . . sometimes months later. Problem is, there is not always a dictation summary available, meaning I’ve gotta spend lots of extra time digging through test results (over a painfully slow remote access system) until I can finally suss out the reason for the follow up.  Eventually we get it all figured out, but those extra minutes are surely frustating.

The Daily Docblock: Jurisprudence Edition.

We usually have a nurse practitioner who helps round on hospital inpatients. Unfortunately she got called away on jury duty, which means I will be seeing more patients on my own. Luckily it’s not too busy in the hospital today and I’ve also got a fellow doing a critical care rotation, which should make things easier.

The Daily Docblock: Vacation Edition

Sometimes a doc just wants to get away from it all, ya know go back to their hometown and let the grandparents get some grandkiddy time. Unfortunately the docblockage followed me to the airport, where Delta airlines cancelled our flight, then got us to an adjacent city sans luggage and car seats. . . at 1 am. Luckily we now are now in possession of our prized possessions 2 days later. . .though I was  starting to  get used to wearing my dad’s 1970’s leisure wear.

Announcing a New Series: The Daily Docblock


We’ve all experienced it. Sometimes it happens in the office . . .  an unsuspecting fax requesting a phone call to get approval for that CT I just ordered. Other times at the pharmacy. . . the antibiotic I’m hoping will clear up that nagging cough. . . wait for it. . . DENIED! Yes, at some point all of us have been hapless victims of what I call the docblock.

The frustation is endless. The toils against it, useless. Let’s face it, the docblockers can’t be stopped. But that doesn’t mean we can’t whine about it. That’s where this blog comes in. In an attempt to preserve my sanity slightly longer, I will be using this space to document my common battles with that singularly frustating entity known as The Docblock.