My two-week vacation starts Friday.
Not a day too soon. Clinic patient today. Came in last month for a checkup. He has hypothroidism, and his lab results were too high. I took a quick look at his chart, saw that he takes 100mcg of his medication, so I upped it to 125 and told him he really needs to take it.
He comes in today, lab results are even higher. "Why aren't you taking your medication?" "Oh, I am, I try, almost every day. I am taking it." "It doesn't seem like you are." "Oh, I will be better, I will, I am trying." Okay, whatever, everyone says they take their medication even when they don't.
I take another look at the chart.
And I notice that I didn't read quite so carefully last month. Because he'd actually been prescribed 2 of the 100mcg pills daily. 200 mcg. And I'd dropped it to 125mcg instead of bumping it up.
And so he'd probably been taking the medicine. He just wasn't getting enough of it. Because I am a terrible doctor.
Or at least a slightly careless doctor. Sometimes.
No long term issue, he's on the right dose now and he'll be fine. But, uh... oops?