Grumpy People Get the Details Right — Science of Us

Think back to the last time you had to navigate a customer-service situation. Perhaps you were trying to make a doctor’s appointment when few convenient times were available, or you may have been speaking with a credit-card rep in an effort to get a onetime waiver on a late payment charge. Maybe you were speaking with an airline representative in hopes of finagling priority seating. Did you adopt a warm tone and play nice? Or did you raise your voice and speak aggressively? You are a nice person, so you probably chose the kind route. The tough pill for most of us to swallow is that those overbearing screamers often get their way. Feisty personalities, although unpleasant, can be tremendously effective.

via Grumpy People Get the Details Right — Science of Us.

I am vindicated!

Happy 239th Birthday US Navy

Here's to all those in the Sea Services. There's a nice writeup on Navy history at … [Continue reading]

How To Discourage a Doctor | The Health Care Blog

A modern parable. RICHARD GUNDERMAN, MD Not accustomed to visiting hospital executive suites, I took my seat in the waiting room somewhat warily. Seated across from me was a handsome man in a well-tailored three-piece suit, whose thoroughly … [Continue reading]

Happy Birthday to our youngest

Another happy birthday, sweetie! … [Continue reading]

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 –

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]