Archive for August, 2007

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An Honest Question

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For those of you both in and out of medicine I have an honest question. Does your job make you miserable? I mean miserable to the point of sleep loss, depression, anxiety, sheer frustration, and surender?

I once again am faced with the following facts. After three overnight shifts, all of which dragged on two hours […]


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New Medical Equipment

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As I said before, I was trained in the art of medicine many decades ago. We were taught to use a stethoscope, percuss chests and abdomens, plunge faces into ice water to stop SVT and many tools and cures rarely seen today. I do think that some of the newer tools available to us today […]


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Two Firsts, One Night Shift

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First first. My father is a smart man. However, he gave me bad advice in high school. He told me not to take a language in 7th grade and to concentrate on other subjects. I don’t recall what they were. Then, in eighth grade he told me to take Latin. I did, for a year. […]


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Oldfart

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Thanks for the welcome. I’m the night doc tonight and we’re a little busy, but saw the response and thought I’d better say hello..I’m just an old ED doc..Back in days when we had just invented CT scans for heads and used something called Penicillin. But I am EM trained..Back from the days when you […]


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Welcome "Oldfart"

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I have the pleasure of introducing to you, dear readers, yet another emergency physician. He will contribute on a regular basis to M.D.O.D. and will bring a unique perspective to the discussion. I happen to know Oldfart personally and I must say that while, by reputation, he has a vanishingly small penis, his insight will […]


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"Allergic to Haldol"

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If I read on the triage sheet that you are “allergic to haldol” I will duck and dodge and try not to see you. If someone has given you haldol you are either schizophrenic, in which case you need it or something like it and it’s really too bad you are allergic to it, OR, […]


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The Exodus Continues

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Scratch one more surgical sub-specialty at my semi-rural facility. The burden of the uninsured, the lack of a surplus of these particular surgeons in general, and on-call responsibilities have combined to drive another necessary capability out of our town. Under EMTALA we can not transfer these patients either because, while, due to our bylaws, these […]


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Private Health Care Rescues Public

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Check this out. Guess we have to crash our current system, install socialized medicine, and then come back to the start like the Aussies when people start dying.
Visit our home site here.


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F****NG DRUG COMPANIES!

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So get this. I had an indigent patient today who recently was diagnosed with a DVT and pulmonary embolus. I admitted him to the hospital and he was treated appropriately (and his bill will be distributed amongst the more fortunate). When he was discharged Sanofi-Aventis provided him with a full course of free lovenox therapy. […]


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Good to be home (warning, not really medical)

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Just got back from vacation, and I can say it’s good to be back in the USA. (Although my first night shift back sucked) Went south of the border. It’s amazing how long it takes in customs and immigration (thank you jack hole Islamo-fascist for trying to blow up your f**king shoes) to go and […]