Archives for April 2010

Updated: Vid link added Texas Stadium comes down Sunday, 0700 Central

It was the only place I saw Cowboys play home games in my lifetime, and I got to march there in the HS band long, long ago (big stuff when you’re 16).  I have some ‘souvenir’ AstroTurf from the first time they recarpeted the place.

For those who are going to be up that early, the WFAA link to their live streaming web page is here: WFAA.

Here’s the video, via Austin’s KXAN.  Implosion starts about 1:10.

CNN Video:

I think I’ve found my ‘retirement’ job

I’m going to be a CMS investigator looking into EMTALA violations.

Would be therapeutic.  I think.

Educate The Public To Prevent Sky-Rocketing Health Care Costs | The Behavioral Medicine Report

Get.  Out.

Educating individuals about the costs of healthcare could save money and lead to a more efficient use of the healthcare system, report policy researchers at Tufts University School of Medicine and Boston University School of Public Health

via Educate The Public To Prevent Sky-Rocketing Health Care Costs | The Behavioral Medicine Report.

You mean, people, when faced with facts about cost (and their end of it) choose the less costly option?  When did this start?

Oh yeah, we do it all the time, except in medicine.  Where our costs will bankrupt the country.

Who are you, my audience?


That’s a good crowd.  Thanks for coming!

So, why am I not blogging more personally and regularly?


That, and a very gradual change in how I currently see this blog, and myself.

I’m enjoying my new shooting hobby, but haven’t inflicted the horrific paper-target carnage on you, gentle readers.  The tales of tiny holes in paper would cause most to blanch, and I’m not callous enough to inflict those stories on you.  (I have had an influence on a colleague or two, and now there are more shooters in my ED than many, I’d wager…)  (At least one can repeatedly hit a target 1K yds away.  Whee!).

Professionally, I’m on-plane: the learning curve is mostly behind me, and now I’m in ‘practice mode’: do the best I can for each patient, get enjoyment from it whenever it happens.  No, my profession isn’t about being entertained, but the job is sometimes more task than enjoyment.  (Just like your job).

I’ve been Officially Instructed to stop being cranky at work, so Happy! (or not unhappy!) is the Rule of the Day.  I get it, and hope nobody has taken my taciturn manner personally.  (If you have, it’s not personal: tell me face to face if I’ve crossed you and I’ll tell you we’re fine, and that it’s me, not you, and mean it).

Current macro medical politics makes me so crazily unhappy I dare not commit my thoughts to blog, so I’m waiting for the right vehicle to which to add my thought(s).  So, silence there.

Interestingly, the Readers Digest article (March, 2010) has resulted in more unhinged hate-mail than I’ve gotten in a good while, and I’m intrigued by the black/white should/shouldn’t a few people have about docs and health care professionals in general.  The idea that those employed in health care aren’t robots without experience or opinion (let alone judgment) seems too shocking for these naifs.  (Those who are shocked! Shocked! are also pretty profane, making the average Borderline Personality look like a piker…).  Ahh, well.  Such is fame.

And, to the Sloth.  I’m not an original writing blogger (a few posts to the contrary); my limited strength typically falls in commenting on others’ ideas, and pointing out strengths and weaknesses.  This makes me an unoriginal blogger, which I get.  Yet I persevere, or at least don’t quit.

Not ready to quit yet, by a long shot.  Blog maturation, or senility?  We shall see.

Wounded Soldiers Have Increased Odds of Survival –

A nice WSJ article on how forward treatment of combat casualties has become possible.  Kudos to these deployed docs, and to the military that invests the time, money and effort to make things like this happen.

Dr. York, an interventional radiologist who usually performs surgery at the U.S. Naval Medical Center in Portsmouth, Va., is especially skilled at treating internal injuries. His type of surgery—using X-rays and imaging equipment to guide catheters through veins to perform micro-operations—is comparatively rare in emergency rooms. But in the cramped Kandahar hospital, it is critical to saving lives.

via Wounded Soldiers Have Increased Odds of Survival –

Probably the worlds’ only front-line (literally) Interventional Radiologist.

HT: he who shall not be named.