Ramblings of an Emergency Physician in Texas

Archive for December, 2009

Happy Twentieth Anniversary, Honey

Posted by GruntDoc on 31st December 2009

I love you.  I always will.

Wedding

Thanks for marrying me, and taking me away from all that.

Posted in Family | 13 Comments »

Going to take a while to draw all those labs

Posted by GruntDoc on 30th December 2009

IMG_0598

 

And the patient will probably need a transfusion at the end of it.

(Reportedly the printer engaged itself in a loop and printed out blood culture label sets 25 times, so don’t panic).

Posted in Amusements, Medical | 5 Comments »

TBTAM has THE post on the mammogram recommendations

Posted by GruntDoc on 27th December 2009

A tour de force.  What medical blogging aspires to be:

The New Mammogram Guidelines – What You Need to Know

Unless you’ve been living on another planet, you know that in mid-November, the US Preventive Services Task Force released new recommendations on screening mammography, in which they recommended against routine mammogram screening in women under age 50, and recommended that mammograms be every two years in women ages 50-74.

What you may not have heard is that the Task Force has acknowledged that the mammogram guidelines were poorly worded, and have revised their original statement to clarify their intentions, mostly by removing those two little words “Recommends against”.
Bravo.  Now even an ER doc understands…

Posted in MedBloggers, Medicine, Policy | 1 Comment »

Jasper Schuringa, Hero

Posted by GruntDoc on 26th December 2009

Update: the BBC report is much better (many thanks to reader Melissa!)

CNN has a (marginally B+) interview with Amsterdam native Jasper Schuringa, the man who subdued the Northwest Airlines terrorist and put out the fire (sustaining burns on his hand in the process).

If you can get through the interview, please watch it.

Interestingly, he said they moved the terrorist to First Class and stripped him looking for more explosives, which seems a very heads-up move.

The courage to act.  He’s a hero in my book.

Posted in Aviation | 7 Comments »

$100 Christmas Caption Contest

Posted by GruntDoc on 22nd December 2009

$100 Christmas Caption Contest

Happy’s got both a caption contest, and a prize for the winner! Go there, and win (or try to…).

Posted in Announcements | 1 Comment »

Samba broken (badly) in Snow Leopard

Posted by GruntDoc on 21st December 2009

Yeah, I’m late to this party, and have just wasted several days figuring out that nobody has a fix for it that’s as easy as older OS versions.

Bummer. I am enjoying the iMac, though. That’s why I’m not writing much (that and if I wrote about work right now I’d need to get a new job).

Posted in Amusements | 2 Comments »

12 STI’s of Christmas, 2009

Posted by GruntDoc on 19th December 2009

My yearly Christmas favorite, reposted:

Courtesy of the British National Health Service:

Hmmm.

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!

Posted in Amusements | 4 Comments »

Happy 45, Brother Aerospace Genius

Posted by GruntDoc on 12th December 2009

Yeah, the 70′s were like this. Vests, awesome belts, and a smile into the great unknown.

I need another white belt...

He’s the smart one (math is hard), I’m the pretty one. (Give me that, otherwise I have nothing…)

Really, Happy Birthday!

Posted in Family | 5 Comments »

iowahawk: Fables of the Reconstruction

Posted by GruntDoc on 12th December 2009

iowahawk: Fables of the Reconstruction

Iowahawk explains the stats behind AGW, in an accessible post.

The smartest AND funniest guy on the internet?  Thank heavens I look better…

(I told you we should elect him President…)

Posted in Current Affairs | Comments Off

Physician killed for denying drug seeker a prescription

Posted by GruntDoc on 9th December 2009

Horrible.

200912091638.jpg Perry doctor killed by patient

SUSPECT HAD BEEN REFUSED PAIN PILLS EARLIER IN DAY

dhjalmarson@herald-leader.com

CORNETTSVILLE — A man seeking prescription painkillers shot and killed a doctor at a Perry County medical clinic Tuesday morning, according to state police.

Dr. Dennis Sandlin, 57, of Delphia died after being shot at Leatherwood/Blackey Medical Clinic in Cornettsville.

John Combs, 46, of Redfox in neighboring Knott County, was arrested after the shooting, state police said. Combs has been charged with murder.

There are no words. Wonder what narcs he’ll get in prison.

via Kevin, MD

Posted in Medical | 14 Comments »

MedGadget 2009 SciFi Contest winner

Posted by GruntDoc on 8th December 2009

Announced over at their place, so I won’t spoil it here.

200912080946.jpg

I will say it’s an honor to read the creative writing submitted every year, from writers with imaginations I cannot even comprehend. And big big kudos to MedGadget for continuing this series!

Posted in Announcements | Comments Off

Syncope

Posted by GruntDoc on 7th December 2009

Always nice to have an etiology…

Sinus arrest without an escape rhythm...

Sinus arrest without an escape rhythm...

Posted in Emergency | 6 Comments »

Pearl Harbor Day

Posted by GruntDoc on 7th December 2009

The “First” Medal of Honor Winner from Pearl Harbor is still with us at the age of 100: LT. John William Finn (via the Weekly Standard). Looks like he was a Chief when Nimitz gave him the award.

Thanks to our Pearl Harbor vets.

Posted in Announcements | 1 Comment »

Accountable Care Organizations, Capitation, and Emergency Care Providers – Lessons Learned from California’s Delegated Payer Model « The Central Line

Posted by GruntDoc on 6th December 2009

Accountable Care Organizations, Capitation, and Emergency Care Providers – Lessons Learned from California’s Delegated Payer Model « The Central Line

In case you thought medical payment reform was going to be easy, read this from someone who knows what has happened in California.

Posted in Policy | Comments Off

» Lead Story » proof that God is a she.

Posted by GruntDoc on 5th December 2009

» Lead Story » proof that God is a she.

The Other ABC’s.

Posted in Amusements | 2 Comments »