British Attacked by Terrorists

Unionjack

Our most sincere condolences in this tragic time.

Update: We’re all Britons today.

Update2:Info about the Union Jack you might not know.

Update3: Union Jack flies over US State Department
(First time a Foreign Flag has ever flown there)

Late Night Weirdness

This morning (early, early morning after the end of my shift) I was making the usual commute when something unusual happened: I helped get a drunk driver off the road.

In one section of my drive there’s about 1.5 miles of straight four-lane undivided street, which I know really, really well from driving twice a day every shift for three years.  Tonight I noticed something odd: a car stopped in the road ahead, and that it was stopped in the oncoming lanes of traffic.  As I rolled up, progressively decelerating, the car was stationary, with one or two cars passing the stopped car slowly, then speeding up.

As I came to a stop, next to but just a little behind the car I saw a man, chin on chest, breathing.  ‘Well, there’s an interesting sight’, thought my inner monologue.  Inner monologue continues: ‘I should honk the horn and see if he wakes up’.  ‘Bad idea: if he’s drunk and passed out, he could wake up and drive away, and maybe hit somebody’.  ‘OK, I’ll call the cops’.  That took about 3 milliseconds.   I think fast, if not always clearly.

"This is the Fort Worth 911 center.  If this is an emergency, please stay on the line and your call will be answered".  Heard that twice, then the 911 operator.  "I am sitting next to a car stopped in oncoming traffic at (location).  The driver looks like he’s either asleep or dead".  (I was pretty sure he was alive, but not taking chances).  I gave the cars’ license plate number.

There followed some questions about the location, asking for more details.  I was rattled enough I forgot that if I pushed the GPS in my car it would have spit out a street address immediately.  Lesson learned, but too late.

Another vehicle slows and passes the stopped car, oncoming, then drives off.  Probably relieved someone else was there, like I would have been relieved and driven on had another car been there when I’d rolled up.

FW PD comes up, circles us, then stops to warn oncoming traffic, in front of the errant car.  I then got out and approached.  "I’m a doctor, but wasn’t going near him without some help" I said, and realized caution has become part of me.  Not terribly macho, but maybe a good way to live a long life.  A second officer arrives, and they took charge immediately.  The first one to the car determines the driver isn’t going to awaken to a flashlight beam, reached in and put the car in park, and then turned off the engine and removed the keys.

Together they opened the car door, and started to pull the driver out, awakening him.  There was a brief, purposeless struggle, and handcuffs were applied.  The driver was then taken to a patrol car as EMS rolled up.

To say the EMS crew was surprised to see me there is a modest understatement (embarrassingly, they know my name but I don’t know theirs).  The police and EMS had this well under control when I asked the nice officers if they needed anything from me, and they said no (which I thought odd; didn’t they need a statement or something?), so I got into my car and drove home, carefully.

I detest drunk drivers.  I have to professionally care for them but I don’t like them.  I’m more then a little glad this one is locked up.

VADM Stockdale dies at 81

America loses a true Hero: Perot running mate Stockdale dies at 81 – Jul 5, 2005.

WASHINGTON (CNN) — Retired Vice Adm. James Stockdale, a former prisoner of war and Ross Perot’s running mate for president in 1992, died Tuesday at 81, the Navy announced.

Stockdale received the Medal of Honor for resisting his North Vietnamese captors.

I have read about his time as (I recall) the senior officer in the ‘Hanoi Hilton’, which didn’t have Bibles or catered meals.

Fair Winds and Following Seas, Admiral.

MedBlogs Grand Rounds 1:41

Medical Connectivity Consulting.

Welcome to this weeks 41st Grand Rounds. Reading Grand Rounds always impresses me with the diversity, richness and good writing that comes from folks in the many areas in health care, and today is no different. This offering ranges from the clinical to psychological to business to the regulatory. Here are today’s submissions.

?Friendship Flag?

Tonight, amongst the ton or so of fireworks that were discharged in the neighborhood celebration, one stood out, and not for a really happy reason.  From the "Friendship Flag" canister came this little doozy, which has a parachute on one end and a weight on the other.

Friendshipflag

Check out the flag order here: Chinese Communist, Japanese, then US.  Yes, these fireworks are made in China, but they’re made for US export, and maybe I’m making too much of this, but it seems odd they chose to put the US flag at the bottom of the display.

Yeah, OK, it’s just a firework, but that’s not going to get them a lot of repeat business.

Happy Independence Day

7305

Have a safe and Happy July the 4th!

shrinkette: A Today Show exclusive

Matt Lauer interviews Serotonin, recently attacked by Tom Cruise: shrinkette: A Today Show exclusive.  Serotonin seems a little defensive, but will, I think, prevail in this contest.

If you Fix It, They will Come

Well, now.  If you fix it, they will come: The Monitor – McAllen, Texas.  Seems Texas has gained over 3,000 doctors since tort reform passed.

Coincidence, you say?  Not from my viewpoint.

via KevinMD

Happy Birthday, Lauren!

Lauren

Happy Birthday, Lauren, and we wish you many, many more.

Why blogs will disappear, and be replaced with “Online Magazines”

Utter genius: BillHobbs.com – Grassroots journalism from Nashville..

The management of this blog announces that I am ceasing publication of this blog after today. In light of recent and continuing moves by the Federal Election Commission to regulate blogs that cover politics, while allowing media publications a media exemption from such regulations, I have decided that it is time to cease publication of this blog after more than three years of blogging.

Starting tomorrow, I will publish a new online magazine here at this same web address, www.billhobbs.com.

A creative solution to yet another restriction of the freedom of speech.  As of yet, I have no plans to become an ‘online magazine’, but I don’t spend much time on politics, either.

New Interns Today

July 1st, legendarily the most dangerous day to be admitted to a hospital, as it’s the first day for the new Interns, and the first day of new responsibilities for all the housestaff.

I don’t believe this, by the way.  The newest docs are hyperalert and (hopefully) cautious, and the ‘supervising’ housestaff are well aware of the new docs’ limitations, having been there themselves.

I’d be very interested to get links to reflections of the First Day of this years’ new housestaff, be you interns or residents.

Where’s the Combo? Question Answered

I recently asked why aren’t there combination drugs for MRSA, and today I got my answer: Where’s the Combo?: Corante > In the Pipeline.


The answer is what you might suspect: the FDA would want clinical trials of the single-dose combination, just to make sure that things work the way that they’re supposed to. Any company developing the combo would have to recoup those costs, not to mention the costs of then beating the drum for the idea that the new combination is a better idea. But the antibiotics in question are generics, which means that there could be some real cost-containment issues over the use of a more expensive combination.

Now I know, and will sleep better tonight knowing the answer.  Thanks, Dr. Lowe!