Ramblings of an Emergency Physician in Texas
That will happen.
India’s army reportedly spent six months watching "Chinese spy drones" violating its air space, only to find out they were actually Jupiter and Venus.
Don’t make yourself unhireable.
As the medical director of a health services group that serves racially diverse patients in some of Chicago’s poorest neighborhoods, Ravi Grivois-Shah, MD, always conducts a quick search of physicians he’s interested in hiring on various social media sites and blogs to see if anything worrisome surfaces before offering them a position.
SoMe is entertaining, but here’s the equation we should all keep in mind: Job >>>>>> SoMe.
Last year was a big year for us in Texas with West Nile, an in conversation with colleagues the other day we noted we hadn’t seen any yet.
So, to the CDC Map of cases:
Wow, Texas is dark green as are several other states! Must be an epidemic, right?
Not so much:
Two cases made Texas look like ground zero. (This isn’t to make light of the CDC, it’s to point out that maps by state aren’t necessarily as descriptive as they look).
And, I and mine got ambushed by mosquitoes today, so wear the right clothing/DEET, etc. Or the map you change might represent you!
Source: CDC West Nile virus
Way past time…
WE DON’T HAVE TO SEND MESSAGES THIS WAY ANYMORE, the Navy has decided.Word went out from the Navy’s Fleet Cyber Command on May 8 that the Navy’s internal messaging system now had the ability to transmit in lower case as well as the traditional upper case letters.“Therefore, it is not necessary to limit Navy messages entirely to upper case,” said the directive, first reported by the Navy Times.Of course, the message saying that upper case was no longer needed went out this way: “THEREFORE, IT IS NOT NECESSARY TO LIMIT NAVY MESSAGES ENTIRELY TO UPPER CASE.”
I remember reading Navy messages in the 90’s and wondering why they were always all caps. When I asked I got a very Naval ‘because’.
Just go look.
At first blush, the mascot’s name is rather endearing: Mr. Balls.But for those who might find that descriptive title offensive, the scrotum-shaped character also answers to "Senhor Testiculo" in Brazil, where he is a spokes-thing for a group that is seeking to raise awareness of testicular cancer research.
What he said. Even Docs have to come to terms with this.
Does the doctor love going into the hospital to see a patient in the middle of the night? Does the firefighter love entering a burning building? Does the teacher love trying to control a classroom full of disrespectful children? Not likely. But the work is performed with a sense of purpose that "love" doesn’t capture.We don’t all have to become first responders or social workers. And we can’t all find jobs with such obvious benefits to society. When diplomas are being handed out, though, it might be worthwhile for graduates—and the rest of us—if the popular "do what you love" message were balanced with a more timeless message to find work that, even in some small way, truly matters.
It’s been a while since I posted something fun:
From the BMJ:
“It all started with an enquiry from a nurse,” Dr Karl Kruszelnicki told listeners to his science phone-in show on the Triple J radio station in Brisbane. “She wanted to know whether she was contaminating the operating theatre she worked in by quietly farting in the sterile environment during operations, and I realised that I didn’t know. But I was determined to find out.”
via Hot air?.
Yes, it’s a 2001 article, but I wasn’t blogging then, so missed it.
Brought to my attention by Glen in West Texas, thanks Glen!
11 years of nothingness, punctuated by inanity.
Thanks to my 11 readers. I appreciate nearly all of you.
Here’s to twice the fun for the next 11 years!
First, thank you for putting all the tools I need into one sterile package, minimizing the amout of running around finding little pieces to start central lines on my patients. (A central line goes into the central venous circulation, allowing the use of hypertonic medications and monitoring of venous pressures to guide fluid resuscitation).
Now, to my gripe: apparently none of you have thought about the order in which these devices are used when starting a line. Yes, everything has a special place, but it tells me you haven’t thought out the actual use of the kit when I have to dig the Seldinger wire out of the bottom of the kit despite its use being necessary very early in the process, and getting it out dislodges many of the other items from their pockets, then making the whole shebang a mess.
Therefore, I offer my assistance in designing a kit that makes more sense when it’s used.
FYI, here’s a nicely done animation of how to place a central line:
I do mine a little differently (direct sonographic guidance usually), but this is good for the gist. (The wire is there, but it’s really hard to see…).
They’ve made a hovercraft golf cart. Very cool.
Bubba Watson, owner of brilliant pink golf clubs and provider of epic shots around trees, has a hovercraft golf cart. Yahoo! Sports spotted this video of Watson hanging out on the course in his very own hovercraft. Apparently, the vehicle is a collaboration between Watson and Oakley in an effort to make something better designed for the intricacies of the golf course.
Video at the link.