Archive for September, 2007

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A New Strategy for Asswipes

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I sympathize with my consultants for reasons that have been presented here ad nauseum. Still, there are folks on our call list that are master dodgers and defer-ers and general pains in the ass to deal with… Docs who honestly believe that I MEAN to cause them pain by referring sick patients to them. Over […]


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"I’ll Walk it Off"

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I covered a local high school football game tonight at the request of one of my orthopedic colleagues. I love football.
I show up at the game and see the same kids that were in my high school 29 years ago or so. There were band geeks who thought they were cool, a kid with a […]


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It Begins (Addendum)

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From the CDC and ACEP. Ring true guys? I could not readily find the definitions of “immediate”, “emergent” etc… but given that about 15% of patients seen in the ED are eventually admitted that makes me think that to get in the “urgent” category can’t be that difficult. Your tax dollars at work.

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ED Design

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We’re moving into a new ED at 5AM tomorrow..It’s great, blah, blah..Just wondering if anyone knows if there is a design bible/rule that says no ED can have WINDOWS!!45 new beds and it’s in the middle of our hospital and NO WINDOWS!!Why can’t I see outside when I work?!Does that bother anyone else or just […]


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Love Her or Hate Her, Ann Coulter Echos Much of the Medblogosphere…

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She’s especially attractive when pointing a weapon and is my favorite attorney.
P.S. Came across this piece this evening. Also a good read but light on emotive thinking and heavy on common sense and logic. Yuck.
Visit our home site here.


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Tag, M.D.O.D. Contributors! Answers Please…

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The rules:
1. Post these rules before you give your facts.2. List 8 random facts about yourself.3. At the end of your post, choose (tag) 8 people and list their names, linking to them.4. Leave a comment on their blog, letting them know they’ve been tagged.
Eight Random Facts About Me (911doc)
1. When Simon and Garfunkle did […]


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Medical Crisis??

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Hey folks, just occurred to me to put this thought out for discussion..
What is the “real” crisis in American Medicine?
I think it’s that no one will want to be a doctor and there won’t just be a shortage of specialty “A”, but an absolute shortage of doctors..Medicine has changed so much in my 30 yrs..I […]


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It Begins

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Well, here goes the start to another weekend. Swing shifts this time, not nights like last weekend. But I’m sure the parade of fools will be similar, just more awake and a little less intoxicated. Here is a sampling of last weekend, in no particular order. Oh, there were a few […]


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"Gotcha" Medicine

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I don’t care if you do drugs. I don’t care if you smoke marijuana. I don’t care how many times you have been seen here in the last month for chest pain, or abdominal pain, or endometriosis. There is almost never a reason to order a urine drug screen. It almost never changes anything I […]


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Another Colleague Leaves the Profession

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I recently had the honor of writing a letter of recommendation for a friend of mine who is leaving Emergency Medicine to go back and do an anesthesia residency. This is no small decision. He is going back to four years of low pay, long hours, and the humbling title of ‘residenct physician’. I asked […]