Archive for June, 2006
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Conflicted
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It’s a strange feeling to have. Wanting to be correct about a diagnosis and trying to balance that with wanting nothing to be wrong with your patient. Often this is simply not a problem. If someone comes in near death from a heart attack or a stroke or from trauma these thoughts don’t occur as […]
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Two Sad Deaths
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Mr. Brown weighed 650 pounds. He was 39. I have no idea how or when he gave up on life but he did. He died an undignified death the other day with his family and his pulmonologist deciding that the point of medical futility had been reached. I had miraculously managed to get his heart […]
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How Does a Bomb Kill You?
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If you click the link above you will be directed to a very fine report from Hell from Abu Musab Al-Zarqawi. Perhaps if he had turned his talents to composing rap lyrics he might not have had to kill to become famous? Through my laughter I remembered a presentation I attended during my residency about […]
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Wham-Bam
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Had one of those days today.
At about 4 pm we had a shitstorm. My partner took a patient with an immeasurable blood pressure who was bleeding out his butt and needed to be intubated and transfused emergently.
I got tagged almost right after that for a patient who was already at our door with EMS […]
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The "Hymen" Maneuver
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I went in to speak with the family of a man who was severely ill and on a ventilator in the department. The patient’s sister was in the family room and I introduced myself and asked, “Tell me what happened.”
She said that her brother had “fallen-out” and that she called 911. She added that she […]
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Horses are Strong Animals
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If you can avoid it, don’t get kicked in the face by a horse. Luckily the human face is a lot like an aluminum can. If you smash it it will collapse in stages.
A very nice gentleman walked behind his horse at the wrong time the other day. He came in to the ED […]
