West Nile virus 2013 as of July 2nd

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:
WNV722013map
Wow, Texas is dark green as are several other states! Must be an epidemic, right?

Not so much:
WNVactualcases722013
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

DoD Buzz | Navy Scuttles All-Cap Messages

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.”

via DoD Buzz | Navy Scuttles All-Cap Messages.

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’.

Mr. Balls, aka Senhor Testicle, goes to bat for cancer research  – NY Daily News

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.

via Mr. Balls, aka Senhor Testicle, goes to bat for cancer research  – NY Daily News.

Carl McCoy: Dear Grads, Don’t ‘Do What You Love’ – WSJ.com

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.

via Carl McCoy: Dear Grads, Don't 'Do What You Love' – WSJ.com.

FatBottomed Girls, mens’ chorus version

I like it.

Zachary Quinto vs. Leonard Nimoy

It’s been a while since I posted something fun:

 

Is farting in the OR transmitting germs?

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!

GruntDoc.com turns 11

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!

An open letter to central line packaging engineers

Dear Sirs,

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.

Respectfully,

GruntDoc

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…).

Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report

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.

via Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report.

Video at the link.

The Favor

As a medical student in the GYN clinic in El Paso, one occasionally needed both language and female standby assistance, at the same time.

Occasionally like 80% of the time*.

I asked one of the clinic technicians to assist me with an exam; after we were done, trying to be med student charming I said “Thank you, senorita!”

She said, laughing, with the clinic staff chuckling at my discomfort, “It’s Senora, it’s only senorita until someone does you The Favor”.

Education takes many forms. Sometimes when you don’t expect it or even want it.

(This is however a family point of amusement, which we sincerely enjoy).

*Medical statistics are made up on the spot: 75% are BS and the other 33% don’t add up.

 

Southwest Airlines mobile design fail

So, I was trying to sign up for the Rapid Rewards for Southwest on my iPhone.

I got nearly to the end before the design fail happened. I wonder what I should answer when I’m not sure of the question.

Heh

20130319-185658.jpg

Dumb American Speedometers: Ford Mustang

The other day my lovely wife bought a Ford. It’s nice. (They sold her a car that’d already been sold; then made up for it by giving her a car with more options than the one she originally tried to buy and eating the difference. Thanks Ford!).

While she was beating the dealer until they cried negotiating I looked at the other show-room vehicles. And I found the Ford Mustang (genes and all).

I was thinking Steve McQueen, and Bullitt. Really.

The drivers’ door wouldn’t close (on the showroom floor) and then I saw the dash:

2013-Ford-Mustang-Shelby-GT500-speedometer
Seriously, nobody in the US (or Canada, eh), needs 1/2 of this speedo. Yes, there’s a stretch or two of Texas highway that are 85, but 220? Drop this car out of a C-130 and it wouldn’t do 220.

I get marketing. You want to sell this car as a True Sports Car with a lot of Speed!!! Here’s the thing: as my eyes slowly age I don’t want to have to squint at the 1/2 inch to discern the difference between 35 and 45 while knowing this bad boy won’t go over 160, and never near 220. I don’t need a big HUD to tell me, but this display is just dumb.

Thanks,

a guy who’d buy a Mustang but not one with this silly detail in it.

Some studies that I like to quote

Wow! Very nice.

Talk Like A Healthcare Management Robot

My good friend Dr. Richard Winters has skills: doctoring, parenting, professional coaching, and computer coding. Add his dislike for mumbo-jumbo and his skills with javascript, and you get:

Talk Like A Healthcare Management Robot

Instructions: Click the button. Learn to talk like a Healthcare Management Robot.

via Talk Like A Healthcare Management Robot.

This is the most recent one I got: “Our clinical organization needs to transform physician-centered healing missions around value-added architectures.” Everyone in medicine can imagine someone saying that unironically.

I do like how he gets the point of the exercise across:

Be careful though. If you talk like a robot, physicians won’t listen.

Amen!

Now, go there, click, and laugh. This has already surpassed the Dilbert mission statement generator in my book.

Thanks, Rick!