Archives for September 2015

Happy Birthday to our youngest, latest in a series (and an Aunt!)

Happy Birthday, sweetheart! We wish you all the best.

Here’s a nice throwback birthday post:

We love you a lot! Your life has progressed in the last seven years (see the following post), we’ve been happy to have raised you (so far), and we wish you the best. First year out of the teens. Congrats. Still can’t drink.

Looking at the blog I found this trip down memory lane turned up this ‘gem’ from several years ago:

Today’s the first day of teendom for my littlest girl. She still talks to me, and that’s encouraging, but usually only about horses, or how much she loves horses, or how I should get her a horse.

Tonight we were eating TCBY, and I commented how tall something was. “It’s about 13 hands” was her reply. Horse crazy.

However, no horse this year, and she’s OK with it (though secretly resentful, in the way I still am that I didn’t get either an airplane or a motorcycle for my 13th birthday).

Happy Birthday, sweetheart

Happy Birthday, honey, from all of us. You are loved more than you can know.
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How ER docs actually process what we do

A remarkably good blog post from Seth Treuger ( @MDaware on twitter).

The classic model of history, physical, testing, diagnosis & treatment does not apply to us. I think we do 3 things in emergency medicine:

  1. Resuscitation
  2. Risk stratification
  3. Care coordination

Resus is the fun sexy stuff that we stay up late at night having twitter arguments about. As much as I love ketamine, I can go a number of shifts without using it, and very little of what we do is resus. Most of what we do is risk stratification and care coordination.

Read it. It’s good.

 

When healthcare is literally legislated

Hint: it’s not good. A terrific article from Weingart and Faust.


If the drafted CMS measure goes into effect, we are hosed. Because data will be collected retrospectively, hundreds of patients will be deemed severe sepsis who were never actually sick.

Government organizations do not invent this stuff. Behind every measure there is, somewhere, a group of physicians that made it happen. Just as medical malpractice would not exist without plaintiff witnesses, these measures would not exist without us. Let’s fight back before it is too late.

Hint: it’s too late. Enjoy the people who wrote the tax code legislating your care.