Happy Birthday to our youngest, latest in a series (and an Aunt!)

Happy Birthday, sweetheart! We wish you all the best.

Here’s a nice throwback birthday post:

We love you a lot! Your life has progressed in the last seven years (see the following post), we’ve been happy to have raised you (so far), and we wish you the best. First year out of the teens. Congrats. Still can’t drink.

Looking at the blog I found this trip down memory lane turned up this ‘gem’ from several years ago:

Today’s the first day of teendom for my littlest girl. She still talks to me, and that’s encouraging, but usually only about horses, or how much she loves horses, or how I should get her a horse.

Tonight we were eating TCBY, and I commented how tall something was. “It’s about 13 hands” was her reply. Horse crazy.

However, no horse this year, and she’s OK with it (though secretly resentful, in the way I still am that I didn’t get either an airplane or a motorcycle for my 13th birthday).

Happy Birthday, sweetheart

Happy Birthday, honey, from all of us. You are loved more than you can know.
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How ER docs actually process what we do

A remarkably good blog post from Seth Treuger ( @MDaware on twitter). The classic model of history, physical, testing, diagnosis & treatment does not apply to us. I think we do 3 things in emergency medicine: Resuscitation Risk … [Continue reading]

When healthcare is literally legislated

Hint: it's not good. A terrific article from Weingart and Faust. ... If the drafted CMS measure goes into effect, we are hosed. Because data will be collected retrospectively, hundreds of patients will be deemed severe sepsis who were never … [Continue reading]



I'm not a book reviewer but when I read one I want to share I'll tell you about it.  This is one for a small audience, those who are space junkies who don't know a ton about the U.S. Mir space missions. It's very well written and well sourced, … [Continue reading]

Nursing Homes are restarting the ‘don’t send the MAR’ game

For a primer, from 2007, here. Another patient, another absent MAR (if you don't know that acronym, you didn't read the lead in article!). Usually they send when we call, but not recently. Here's an amalgamation of some cases: Calls are made by … [Continue reading]

How teleconferences really go

This is way too true.   … [Continue reading]

America’s Emergency Physicians

Really good video! … [Continue reading]

VP Biden’s best speech

Joe Biden isn't my cuppa tea. Yet, his talk to TAPPS is the best contemporaneous speech by a Pol to military families who lost family members in combat. I now like him much more. … [Continue reading]

Happy Birthday Dad!


Thanks for not killing me all those years ago. … [Continue reading]

The NYT, Maureen Dowd, and Dr. Caplan

Behold, a very worthy rant.  Recommended. … [Continue reading]

It’s GruntDoc.com’s birthday!

The thirteenth, and as such is in that awkward non-communicative phase.  Thanks to the seven of you for checking in from time to time!  Yes, I intend to keep this. Should my current situation change, I suspect long form blog posts … [Continue reading]

A wonderful Fisking

I'm neither terribly for nor against paramedics working as employees in the ED, but I love people ripping apart straw man arguments. Texas ENA’s Unprofessional Attack on EMS Author’s note: I generally avoid posting non-tech matters on my blog, but … [Continue reading]

They call me ‘Doc’

For the mighty Navy Corpsmen, past, current and future.   … [Continue reading]

Olivet Nazarene University ED Nursing graphic


Well done, and some good information:   via http://graduate.olivet.edu/ … [Continue reading]

TELCO types, I have a question

So, I figure someone out there knows the answer to this, and I'll share my guess, but I can't find an answer on the internet. My Question: Why does my cell phone ignore (or add) a "1" with a phone call, but my POTS* line phone doesn't. Not only … [Continue reading]