Random thoughts

I just finished 12 shifts in 13 days, which is a really nice way to make your brain soft and mushy.

When I told the consultant the patient had EKG changes and an abnormal troponin, I didn’t expect “does he have risk factors?” to be the question.

I am very tired of reading political diatribes on otherwise worthy medical blogs. If you’re going to do them, please tell us in big letters that a) it’s political, not medical, therefore out of your area of specialized knowledge and just a muddled recapitulation of what others of your particular political bent have already said (and have said better), and b) tell us if you’re kidding. The one I read tonight I had to read twice it was so bad. I was sure it was a joke. Apparently not, which is a pity. Do us all a favor and just comment in the forums at your favorite “me, too” political place. That’s what I do, as a service to you, my dear readers. Nobody comes here to see what I think about any politics outside medicine, and I respect all my readers enough to not insult the half who won’t agree with me if I did. Oh, and my presidential endorsement remains.

Listening to a lecturer with one of the ubiquitous verbal tics (umm, ahh, etc) can be annoying. Have the tic be an exact recreation of South Park’s Mr. Mackey saying “M’kay” repeatedly is at first amusing then amazingly distracting. He did it 136 times today before I stopped counting.  Yes I’m learning, and paying attention, but that’s an unfortunate tic.

I’m a lucky guy.  And I have the nine smartest readers out there.


  1. 12 shifts in 13 days?….take care of yourself Dr Grunt.

  2. 12/13 is heinous.

    You are an animal, sir.

  3. I got Shadowfax to put up special warnings just for me on his politics posts. Maybe people can go GruntDoc warnings too?

    Sadly, though, a lot of what we do in health care is influenced by politics as it is one of the most regulated industry out there…

  4. “M’kay” or “oh-kay”?
    I think he was my counselor.

  5. My lecturer’s verbal tic was the word “basically”. As annoying as it was, it was kind of discouraging too because the stuff he was teaching was not at all explained in a basic way. My blood boils just trying to remember it.

  6. Obviously this is some rare definition of nice I have never experienced in the wild before.

    Please tell me that you told the consultant this face-to-face, and that you subsequently gave him a coffee shower when you spewed a mouthful out of sheer incredulity.

  7. geez, i hope it wasn’t one of our posts that was so terrible… m’kay?

  8. I guess this was the reason you were home last night when I burned myself and you could give me excellent first aid advice. I’m very thankful for the timing of your night off!

  9. Oops.

    Guess you won’t want to read my latest post, even though it was properly labeled and has a comment which refers to this post of yours.

    [GD: I started it, but couldn’t finish. Good example of ‘mee-too’ forum fodder.]