Archives for August 2010

How not to do the NG tube

I put a post up a few days ago about an NG tube that went poorly.

The post went just as badly as the tube (though with lesser consequences), and when I tried to fix it the new and improved WordPress rebelled. It refused to accept the change, and just got worse.

So, go read ImpactedNurse‘s post. And cringe.

Medblog Grand Rounds 6:46 is up!

I once worked with a psychiatrist who called listening the most underrated skill, and his words are truer now than ever. Listening is hard work; too often, we just wait for our turn to talk. And that’s if we’re being polite. We don’t talk to each other; we talk at each other or sometimes over each other in the loudest voice possible.

At Dispatch from Second Base

Dr. Leap and the death of a colleague

Last night, my friend died.

Looking for Scalpel

..of Scalpel or Sword fame.

If you’re Scalpel, please drop me a line, and if you have a working email for same, ditto.

That is All.

Little Rock Physician bombing from 2009: trial underway

Remember this?  The Chair of the Arkansas Medical Board being critically injured with a car bomb?

A multi-disciplined physician is on trial for the crime:

LITTLE ROCK – The Arkansas Medical Board chairman, his face scarred and embedded with bits of tire, testified Wednesday that he lost an eye, his sense of smell, teeth and some hearing when a bomb went off in his driveway.

Dr. Trent Pierce testified against Dr. Randeep Mann, who prosecutors say planned the attack as retaliation for the medical board taking away his license to write prescriptions. Pierce took the stand after a jail inmate told jurors Mann had offered him $50,000 to kill Pierce to keep him from testifying.

Wow.  I’m glad he pulled through.  And I wonder at the (alleged) depravity of those who should have insight.

HT: Glenn

Update: I’m informed by the informative Ramona that neither physician is from Little Rock, actually.  (I thought that due to the by line of the original article).  So, Non-Little Rock (Big Rock?) docs…

Change of Shift is up


Myth of EM? Eyebrows and shaving

I’ve internalized all the dogma of medicine, for good and bad.

When I was an EMT, green as a twig in an ER, I’d learned the basics: for any wound with hair employ the razor, and get the hair away from the laceration so the doc could do a good closure.

So, employment week 3, eyebrow lac? Shaved that sucker clean off. ED doc freaked out, and I learned some Dogma: don’t shave eyebrows, they don’t grow back.  Heard it later, too.  All the way through training, in fact.

Hmm. My now older-guy eyebrows would like to disagree…..

I shave my face, nearly daily. All the hair comes back. I have women in the home, who bemoan their razor-rituals.  I see younguns with cuts deliberately made in their brows, with blithe unconcern they might be permanently bald there…

I’ve never, ever seen a person come in with one normal and one shorn-off brow, never. (I’ve seen people with shaven brows and penciled in, unlikely shaped, eyebrows but that’s an interesting choice).

So. Myth of EM? I think so. I seek the wisdom of the learned crowd.

Obamacare personal insurance mandate wildly popular in Missouri

Or not.

Millions spent on doctor ‘gagging orders’ by NHS, investigation finds – Health News, Health & Families – The Independent

Hospital doctors who quit their jobs are being routinely forced to sign “gagging orders” despite legislation designed to protect NHS whistleblowers, it is revealed today.

Millions of pounds of taxpayers’ money are being spent on contracts that deter doctors from speaking out about incompetence and mistakes in patient care.

via Millions spent on doctor ‘gagging orders’ by NHS, investigation finds – Health News, Health & Families – The Independent.


I’m not being snarky here, I really have no idea: does this happen in the US?