Archive for December, 2007

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Medical Economics Part 2

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This is spurred by our wonderful (looking, as well as posting) RadGirl..Hope you do fine, Babe..But did you guys know???That medical bills are not counted against your CREDIT rating/scores?! Bet you didn’t! They don’t even appear! And to follow that to the (ill)logical end..By our laws, as long as your doctor wants […]


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The Naked, the Fat and the Dead

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Here’s some free advice: Don’t get so fucking fat that when you die, your family has to deal with your ginormous whale-carcass.
One of my local pathology colleagues had a gastric bypass patient die today – he was 45 years old and 780 pounds. I think his BMI was, like, a trillion.
Listen, I have nothing against […]


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Hello Taxpayers! (incident number 3087)

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Spoke to a friend today who happens to be a nephrologist. He is currently taking care of a Bangladeshi woman who flew directly here to Podunkville after a physician in Bangladesh told her she would need dialysis but could not get it there. Turns out she has relatives here in the den of Satan… the […]


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My Crystal Ball Rocks

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Dear Readers,I have posted before on the fact that we are running out of specialists, especially here in podunkville. I opined in previous posts, that this problem will only get worse as less and less people decide to put themselves through the 6-10 years of minimum wage 120 hour week hell that is surgical residency. […]


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Santa came early!!!

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for me…I just got my ABEM re-cert score back and passed! I wonder if I’ll be alive to re-cert a fourth time? How old is the oldest living, really practicing, ED doc any of you know? Not in an Ivory Tower setting, but really in the trenches??
Visit our home site here.


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Irony

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Here is the result of our “clutter team’s” progress! Need I say more…….?
Visit our home site here.


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My Favorite Patient

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A few weeks ago, I had a 50ish year old lady brought to the ED by her daughter. The chief complaint was “confusion”. Mom had been confused for days. Significant medical history was denied, no medications.
History was not helpful, exam revealed a very confused somnolent patient, but was otherwise unhelpful.
The standard workup […]


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Pardon Our Absence

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Evidently folks are mad that we haven’t been posting too much. Sorry. Between looking for my new job which does involve the circus (and trapeze stuff), we have all been uncommonly busy.
Etotheipi is ‘getting stabilized on his medicines’ and is out of the lock-down unit.Schrodinger’s Cat is involved in back to back semi-pro bowling tournaments […]


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Livestrong?

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Banal? I guess that’s a good word for it. Comically commonplace? Certainly not ironic in the classic sense. Pitiful may be the best word for it.
73 year old smoker with COPD. Came in to my ER by ambulance near intubation, huffing and puffing, and getting only a few words out. Clothes and breath reeking of […]


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Dirtballs Get Sick Too

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One of my colleagues took care of a “trap” patient the other night. A “trap patient” sets up the doc and ER staff for failure by looking and acting like a dirtball, but is, inconveniently, tremendously ill (boy who cried wolf etc…).
This patient had been seen in our facility a few times, and at other […]