Archives for 2008

Reasons I’m glad I’m an EM doc, another in the series

Tonight I was walking into the hospital, and greeted two of my favorite consultant docs walking out. They’d just finished rounding. At 9pm.


The Great Barack Obama Smoke Out

The Great Barack Obama Smoke Out

The Happy Hospitalist (a blogging machine and one with good points and an excellent style) has started the BOSO blog (Barack Obama SmokeOut).

Let your voice be heard: vote (there) and comment (there) on whether the next President should kick the habit.

BBC NEWS | Asia-Pacific | Chinese girl gets ‘kiss of deaf’

BBC NEWS | Asia-Pacific | Chinese girl gets ‘kiss of deaf’
“While kissing is normally very safe, doctors advise people to proceed with caution,” wrote the China Daily.

Another reason normal people think docs are stupid.  Look at that quote.  Dumb.

FDA Pulls Back on Prescription Pistol – Medgadget –

FDA Pulls Back on Prescription Pistol – Medgadget –
We received a statement this evening from Constitution Arms, the manufacturer of Palm Pistol, …, that the FDA has rescinded its registration of the device.

Probably just as well.

Previous coverage here.

BBC NEWS | Africa | Getting high on HIV drugs in S Africa

BBC NEWS | Africa | Getting high on HIV drugs in S Africa
Anti-retroviral drugs used to treat HIV/Aids are being bought and smoked by teenagers in South Africa to get high.

What?  That’s odd, and it’s doubly odd it asn’t described in the US before this (got the drugs before Africa).


Seen at my class today. On an Internist, make of that what you will.


It’s called CDO; it’s OCD but in alphabetical order.

Need more TP

On a recent visit to the eldest daughters’ family, the story: grandson (aged 8) announces he’s ‘going to be in there for a while’, and takes a lined notepad and a pen into the restroom.

Ten minutes later this came sailing out of the restroom:


Heh.  Resourceful.

Twelve STI’s of Christmas

Courtesy of the British National Health Service:


NSFW.  Funny, but Unsafe for work, unless your work involves STD’s in which case it’s required.

It’s my seasonal favorite post, and I hope it’s one of yours.

Not the STD’s, the funny song with equally amusing illustrations.  The backstory, from a previous blog post:

I have seen several searches of this blog for the British National Health Services’ “12 STI’s of Christmas“, and wondered why. The answer: the NHS site no longer carries the wonderful show, for reasons unknown to me. As for the searches, I guess the Christmas season has people thinking about sexually transmitted infections (diseases on this side of the Pond) set to Christmas tunes.

Merry Christmas!

Clinical Cases and Images – Blog: 10 blogging myths debunked from a medical blogger perspective

Clinical Cases and Images – Blog: 10 blogging myths debunked from a medical blogger perspective

Too true.  Good things to know if you’re thinking of blogging.

Is there a doctor in the house?: Start where it starts…

Is there a doctor in the house?: Start where it starts…

The most powerful blog post you’ll read in a while.

Ease ER overload – Opinion –

Ease ER overload – Opinion –
Reforms needed to improve doctor access

By Kevin Pho

Emblematic of soaring health care costs, which are projected to reach $3 trillion by 2011,is the nationwide crisis of emergency department overcrowding. More than $18 billion is wasted annually on unnecessary visits to the ER,with volume rising by 32% and wait times almost doubling to one hour during the past decade.Relieving this strain will be critical to any health care reform.

Contrary to popular belief, it is not just the uninsured who are utilizing emergency services. A recent study in the Journal of the American Medical Association showed that patients with health insurance were primarily responsible for the increase of emergency services over the past decade. Lack of access to an available doctor is the major reason.

Kevin, MD continues his takeover of the bedblogosphere with another well-written Op-Ed in USA Today.

Good work, Kevin!

PalmPistol is now an FDA recognized medical device

via Medgadget I was made aware of the PalmPistol, a single-shot 9mm weapon apparently intended for contact-wound distance self defense.  One of their marketing focuses is for the disabled, with amputations, arthritis, etc.

Images from the PalmPistol website.

The trigger is on the top and is thumb-activated, and I’ve got to assume the buttons in the front have to be depressed as a safety, which seems like it’d be hard to use unless you’ve got a decent grip, a thumb and at least two fingers.  How that’d make it easier to use for people with hand problems I don’t know.  I think a derringer type pistol would do the same thing, but Medicare won’t pay for a Derringer (and I sincerely hope they don’t start paying for this).

I also don’t know of any other firearm that’s been approved as a medical device (but I don’t follow that, either).  It is ATF recognized as a firearm, so it’s got the same restrictions on ownership, transportation and prohibited facilities as any other firearm.

There is a market for this sort of thing.  I would bet the disabled and frail are targeted by our permanent criminal class, and they should be able to use any legal means of self-defense available.  If the look of a conventional firearm drives them away, maybe this will help.

I won’t be writing any prescriptions for one, however.  When used the prescriber is going to get a brush with an attorney (especially if used in a suicide); doctor, did you screen the patient formally for homicidal or suicidal tendencies?  Did you make sure they knew how to use it properly?  Fill in your second-guessing here.

So, interesting marketing.  Best of luck with it.

Apple backtracks: no AV necessary for the Mac

via CNET, alerted by Slashdot:

Apple removed an old item from its support site late Tuesday that urged Mac customers to use multiple antivirus utilities and now says the Mac is safe "out of the box."

"We have removed the KnowledgeBase article because it was old and inaccurate," Apple spokesperson Bill Evans said.

"The Mac is designed with built-in technologies that provide protection against malicious software and security threats right out of the box," he said. "However, since no system can be 100 percent immune from every threat, running antivirus software may offer additional protection."


So, they want it both ways: you don’t need it, but it’s a good idea.  Corporate-speak gibberish.

The End is nigh. Is it time to move on?

The End is nigh. Is it time to move on?

When PalmDoc recognises the end is near for Palm, game over.

You’ll be surprised at his answer for a successor platform.