Happy Birthday to your youngest

Another happy birthday, sweetie!
Moriah and Scott (120 of 803)

Scribes in 2014

I've written about scribes in the ED before (here's one from 2007) and continue to utilize their services. Did I say utilize? Wrong thought: enjoy and marvel in their help is more my experience. I'm spurred to extoll their virtues and my experience … [Continue reading]

There’s always another surprise


We remodeled our kitchen 16 months ago. Today, my wife decided to pull out the broiler pan.   We don't use the broiler, obviously. It did answer the question ?Why didn't it come with a temperature probe?! The red is plastic that … [Continue reading]

ACEP Now still silent on EM President interviews.

Which is terrible, yet predictable. ACEP Now | The Official Voice of Emergency Medicine. Yeah, it's completely devoid of interviews or conversations with the purported future leaders of Emergency Medicine. What a surprise. Again, if you're … [Continue reading]

Emergency Medicine Literature of Note: The tPA Cochrane Review Takes Us For Fools

  Posted by Ryan Radecki It’s been 5 years since the last Cochrane Review synthesizing the evidence regarding tPA in acute ischemic stroke.  Clearly, given such a time span, in an area of active clinical controversy, a great deal of new, … [Continue reading]

My professional college beclowns itself

A fisking of a paranoid, ill-considered and frankly stupid idea a 9th grader would be ashamed to put forth. From the American College of Emergency Physicians 'leadership'. ACEP Clarifies Campaign Rules By James M. Cusick, MD, FACEP Chair, … [Continue reading]

Amusing typo


Flew on American Airlines yesterday and today. The plane both ways was an Airbus A319, a smallish but perfectly nice plane. It had a really fancy infotainment system built into the back of the seats, and I enjoyed following the flight with this … [Continue reading]

Another reason I like my job

Colleagues I can call on and count on. Recently I was the 11p doc in my ED (the overnight shift), and I knew what my evening had in store when Colleague/suspect1 said "It's been slow all day". Oy. At 11:03P the charge nurse (who deserves a … [Continue reading]

Happy Fathers’ Day, dad

Germany, 1976ish

Thanks for not strangling me, even when I deserved it. It was the first pizza any of us had had to use a fork for, which is (I think) the reason for the bemusement. Anyway, happy Fathers' day. … [Continue reading]

ED patient: word to the wise

If your driver has a personality disorder, it will reflect on you. It's unavoidable. please ask them to wait for you in the waiting room. Or in the car. Or on Venus. (EMS not included). … [Continue reading]

Definition of cold: Killing a Patient to Save His Life – NYTimes.com

For the record, I'm all for this, providing it pans out in trials... PITTSBURGH — Trauma patients arriving at an emergency room here after sustaining a gunshot or knife wound may find themselves enrolled in a startling medical … [Continue reading]

Tesla Supercharger in San Marcos, TX

helpful map

Got to visit this supercharger on a recent trip, thought this might be useful. The map is a touch odd (I came in from the North): Yes, it gets you to the right area, it's just a touch odd... Turn left (North) here: It's about 1/2 … [Continue reading]

Happy Anniversary!

Our youngest and her husbands' first anniversary! Congrats to you both, from all of us. … [Continue reading]

33 Charts — medicine. health. social media.

Well put! After a recent presentation on social physicians, someone asked why there were so many emergency medicine physicians on blogs and social media?  Good question.  From content to conversation, ER docs are heavily represented in public … [Continue reading]

You Can’t Yelp Your Doctor – The Daily Beast

Some of the country’s best doctors have the worst patient satisfaction scores. Here’s why.Part of being a doctor is learning to suppress your feelings. You get good at being what people need you to be. But it slowly transforms you into something you … [Continue reading]