The return of Cocoa Brown

Just when newFNP was thinking that she was running out of stories to share, the elusive Ms. Cocoa Brown returned to the clinic!

NewFNP walked into clinic this morning with a spring in her step and noticed Cocoa's best friend sitting in the waiting room. She was not hard to miss, what with the 250-something pounds and the bright yellow sweater and shorts ensemble. It wasn't until she had almost entered the back office did she hear Ms. Cocoa Brown call her name.

"Hi newFNP!" she cheerily sing-songed. Now, newFNP has been trying to get in touch with her for months in order to follow up on that pesky syphilis. It's always, "Tomorrow - I'll be there tomorrow." Thus, newFNP gave Cocoa a look that said both "finally" and "where have you been?"

"Don't be mad," Cocoa told newFNP, "I've been in jail."

NewFNP can hardly think of a better excuse by which to deflect one's accountability for n0t making it to one's clinic appointments than that of incarceration. Apparently, the felony warrants and copious tickets were too heavy a burden for Cocoa and she turned herself in.

And now here she was, by her accounts sober except for the occasional Bartles & James wine cooler, which - in her estimation- have no alcohol.

While newFNP was addressing the need to re-check an RPR to monitor titres, she had her MA move Cocoa's hypertensive pal into another room to perform a screening EKG. A different MA tried unsuccessfully to draw Cocoa Brown's blood. NewFNP twice tried unsuccessfully to get blood from her tiny veins. A third MA took a break from setting up the EKG to give it a whirl, also to no avail.

Cocoa Brown graciously offered to return to the clinic for her venipuncture another day, but newFNP was having nothing of it. Yes, it is a torture, but frankly, obtaining that blood sample was a high priority. NewFNP sent her to hydrate and she opted to do so in the room where her buddy was having her EKG.

Fine.

It was at this point that the power went out.

NewFNP's MA, Cocoa Brown and her half-naked 250-pound friend were all in the exam room, Cocoa Brown with her two glasses of water, her friend with her paper gown and EKG mid-way completed and newFNP's MA wondering what in the hell to do.

NewFNP's chronically late but exceptionally gifted MA/phlebotomist finally showed up. NewFNP sent her in with a flashlight and a butterfly to get the sample.

Success!! Winnie the Pooh sticker in hand, she left the clinic with instructions to return in two weeks. Anyone in a gambling mood?

NewFNP continued to see her patients, flashlight in hand, until about 2:30 PM when the power was restored. This is the second time in as many months that newFNP's clinic has had a power outage due to a downed power line. The first time they sent us home after several hours. This time we had flashlights. NewFNP hears that a generator is in the works which, of course, the clinic needs, but damn it if newFNP doesn't appreciate a little unexpected light day every once in a while.