Extension of DST: National Geographic News Article

I’m all for the extension of DST, and would like to see it be the year-round standard.  Perhaps it’s because I’m not an early-riser, "day" person, perhaps it’s because when I get home I want to do something outside, and it’s darker than a cave at 5PM when the time shifts back in the winter.

National Geographic News has an article about the rationale / rationalizations for (admittedly fairly weak, but they’re weak in my favor), and the pretty weak arguments against its change.  It’s worth reading, but there are some bits in here that made me laugh out loud.  Such as…

The airline industry is adamantly against a change of the daylight
saving calendar, which officials say will severely affect scheduling.

"There will be disruption all over the place. If [daylight
saving time] is extended [by] four weeks, we’ll end up with some really
major difficulties," Anthony Concil said. Concil is spokesperson for
the International Air Transport Association, which represents 265
airlines that account for 94 percent of all international scheduled air
traffic.

"When Europe and the U.S. are on different times, connections
become less convenient. Right now there is one week of discord between
the U.S. and Europe so it’s sort of at a manageable level
," Concil
said.

So, we can do it for one week, but another four would be a real hardship.  Riiiiight.

The real knee-slapper was from the PTA:

…"We remain concerned about the potential safety issues the extension
into March may cause due to the increased danger of traveling to school
in dark hours."

Why did I find that funny?  No, I think child safety is a terrific thing, and m against kids getting run over on the way to school.  It’s the disconnect about what actually happens, or doesn’t, at school: the kids aren’t getting any exercise at school since the PE classes are now "part of the curriculum" and not daily exercise, kids can no longer run on playgrounds, etc.

My main hope to get any outdoor play / family fun time is after school and work.  Sunlight isn’t too much to ask.

Please Remain Inside the Vehicle at All Times

Tonight I saw a patient who reminded me of the inexplicable nature of human behavior under stress: my patient jumped out of a moving car "because the brakes failed", and didn’t want to "be in the crash".

These patients utterly flummox me.  My inner dialog runs to ‘how stupid could you possibly be?’ and gives me a desire to ban cartoons, which can be the only explanation for such behavior. 

This happens often enough I wonder if this is lore in some communities / circles, bizarre though it may be.  To say this is a foreign thought is an understatement.

So, stay in the car, wear your seatbelt, and have your brakes checked every once in a while.

IM v Ortho

The Madhouse Madman took a (humorous) swipe at the intellectual capacity of Orthopods the other day, and got a response worth reading.

I just tried to abstract a little to give you a taste, and, it’s just too flavorful.  Go and have a laugh.

Happy (recurrent) 30th Birthday, Honey

Happy Birthday, Honey, and many more.

Kindergarten photo

Forbes.com Best of the Web

Forbes.com Best of the Web gets to medbloggers again; this time I didn’t make the cut.  That’s no slight considering the competition!

Congrats to Family Medicine Notes, Corante: In The Pipeline, Medicine and Man, Medlogs, MedPundit, A Chance to Cut, Code Blog, and Straight from the Doc.

MedBlogs Grand Rounds 1:44, or 44, or…

Link: Pharyngula.

So, here I am hosting the premiere carnival for medbloggers and, well, I’m not a medblogger myself. I’m not qualified! When this flood of links came pouring in, I was at a loss about what to do with them all, until I realized that as an outsider, I could act as an objective observer and use this as an opportunity to figure out what the heck these people do with their time. All I had to assume was that the submissions were a representative sample of their efforts and interests (there couldn’t possibly be anything wrong with that assumption, could there?), and voila, I could quantify what they do.

So, we’ve been quantified. I suppose it’s time!

Heroin abscess

‘Skin-popping’ is the injection of drugs, usually but not exclusively heroin, into the subcutaneous tissues.  This is typically done when the IV drug abuser has no more accessible veins, but is still addicted, so in the needle goes.

To say these injections are usually not done under the most sterile conditions would be an understatement.  The resulting infections are legendary, and every EM doctor and experienced nurse will have a story, or 10, about the worst they’ve seen.

The patients usually present incredibly ill and very miserable.  In my experience, they will have continued skin popping until the infection is so overwhelming they can no longer avoid going to the ER.  That their suffering is self-inflicted is a given, but we’re not there to judge, we’re there to do the job.

Today one of those patients presented, as described above, and xrayed below:

Heroinabscessxray

Those of you who see xrays for a living are probably squirming, as we did, on seeing this image, and for those who don’t, I’ll put an annotated picture in the extended entry.

To the OR for a very big drainage.

Oh, and the Throckmorton sign doesn’t work if the patient cannot lie flat.

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Military Terms and Translations

Funniest thing all month: Argghhh! The Home Of Two Of Jonah’s Military Guys...

a small sample:

Military Terms and Translations

 

Army Navy/USMC Air Force
Latrine Head Powder Room
Cot Rack A Single with ruffle and duvet
Mess Hall Chow Hall Cafe’
BDU’s Utilities Casual Wear

Go hither, and laugh.

Armstrong wins 7th Tour de France

Best athlete in a sport the US couldn’t care less about: 2005 Tour de France – Armstrong wins 7th Tour de France – Sunday July 24, 2005.

PARIS (AP) — Lance Armstrong closed out his amazing career with a seventh consecutive Tour de France victory Sunday — and did it a little earlier than expected.

Because of wet conditions, race organizers stopped the clock as Armstrong and the main pack entered Paris. Although riders were still racing, with eight laps of the Champs-Elysees to complete, organizers said that Armstrong had officially won.

That’s either a nice homage to a retiring superstar, or just another example of French weirdness; today, it’s the prior.  For other oddities, SI cannot have a story about Lance this week without including senseless mentionings of his current singer-girlfriend, a People-magazine-esque bit I got tired of after two stories.

For the record, you can have Tiger Woods, the most dominant athlete in sport for the last decade has been Lance (and his team(s), which don’t get nearly enough credit).

OSHA is looking out for us

Saw this the other day in the doc’s changing room (I’ll type out the text in the extended entry, in case you cannot read it in the photo):
Osha_potty

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Cal’s here

Michelle Au has a baby: the underwear drawer.  Go and wish her (anesthesia R2), and her resident husband good luck.

Who says nobody reads blogs?

A couple of weeks ago I posted about the scenic view from the Weatherbug camera that’s my default.  It’s not ugly, but not what most folks would choose to watch.

Today I got an email:

don’t worry- I just sent our NetOps team an email with a link to your blog- they’ll contact the school and kindly ask them to change to a "better" view- so hurry up and enjoy the view while it lasts.  hopefully if the staff isn’t on vacation this week due to school break we can get it changed quickly.

He also gave my his email address, in case things don’t change.  I really didn’t want them to change the view, just let me pick the default camera view.

And, yes, the dumpsters are still there as of this writing.

‘ICE’ Cell Phone Plan Would Help Rescuers

In the ‘why didn’t I think of that department: ‘ICE’ Cell Phone Plan Would Help Rescuers.


Now a simple initiative, conceived by a paramedic in Britain, has gained momentum on both sides of the Atlantic to try to solve this problem. Cell users are being urged to put the acronym ICE — "in case of emergency" — before the names of the people they want to designate as next of kin in their cell address book, creating entries such as "ICE — Dad" or "ICE — Alison."

This is a great idea, and is going into all our phones.  This tip is from FFM, and his additional idea is worth seeing.

Congress to add 2 months to Daylight Savings Time

Well, it’s a start: Congress to add 2 months to Daylight Savings Time.


Congressional leaders of both parties have signed off on a proposal, being considered in Washington this week, to start Daylight Saving Time on the first Sunday in March and end on the last Sunday of November. They say it would save energy.

If the president signs the bill, the new law would take effect immediately, extending Daylight Saving Time by one month this fall. Currently, Daylight Saving Time begins at 2 a.m. on the first Sunday of April and ends at 2 a.m. on the last Sunday of October.

Me, I’d like to keep DST year-round.

Rodeo Nursing

First, I think the description of Rodeo Nursing is very apt in many instances of patient care.  Second, her anecdote in this case is incredibly funny.   Mediblogopathy – A Nurse Blog.

via Azygous