Chris Kyle, America’s ‘most lethal’ sniper, dead in a range shooting

Odessa, TX born Chris Kyle who survived four tours in combat zones. Allegedly murdered at a shooting range, with another.

A decorated former Navy SEAL who authored the book “American Sniper” was one of two people shot and killed at an Erath County shooting range, according to a newspaper report.

The Stephenville Empire – Tribune reported Saturday that Chris Kyle and another man were shot and killed at a shooting range at Rough Creek Resort and Lodge in Glen Rose.

The newspaper reported that Eddie Ray Routh was arrested in connection with the fatal shootings.

via _storysmartredirect.

There will be more to this story. None of it will bring him back.

Texas Medical Association – Legislature Week 1 update

A blessing to this Great State is that the Legislature meets only every other year, and then for only 90 140* days. It concentrates attention.

This episode introduces the new and returning Physician and Nurse Legislators of this session.

 

*Many thanks to TMA’s Steve Levine for pointing out my error in the comments. Texas History class was a long time ago…

I paid off med school today

Guess that degree is really mine now.

19 years later (with 4 years of deferments in there for training), so really 15 years of payments.

Merry Christmas to me!

Happy Birthday, USMC

I post this every year, and I still enjoy it…
original poster from: stores.ebay.com/WONDERFULART

Navy-Marine Corps Relief Society Vet’s Day Fundraiser

It’s my chosen Charity, and if you have some money to help Sailors, Marines (and their families), it’s a good cause.

Dear Navy-Marine Corps Relief Society supporter,

Sunday is Veterans Day, and the Society — along with millions of Americans — will pause to honor all who serve or have served in our nation’s military.

But while we pause to reflect and express our gratitude, our mission of helping service members and their families never stops. That is why I am asking for your help today.

Donate $25 to honor Veterans and help us continue to support Sailors, Marines, and their families when facing financial difficulties:

http://action.nmcrs.org/donate-for-veterans

Since 1904, the Society has been helping Sailors, Marines, and their families deal with the unexpected.

By assisting with interest-free loans and grants for food, temporary shelter and other basic living expenses, military families can deal more effectively with unforeseen hardship.

Veterans Day is the perfect time to honor those who serve by ensuring active and retired Marines and Sailors have the financial resources they need in times of crisis. Your support will make a very real difference.

Make your Veterans Day gift to the Navy-Marine Corps Relief Society today:

http://action.nmcrs.org/donate-for-veterans

Thank you for your service to our great country.

Steve Abbot
Admiral, U.S. Navy (Ret)
President and CEO
Navy-Marine Corps Relief Society

I just gave.

 

Your eyes do not deceive you, it’s different

The first new theme for this blog in years.

It was well overdue, but as usual only a crisis can make things happen.

Something changed on the blog, I know not what, but suddenly I couldn’t get into the dash through a web browser (but could through the WordPress app, odd). After several emails with the webmaster, a trial of reinstalling the software, etc, it was determined that the theme, very custom and lovingly assembled by my great web guy, was the problem. Time for an updated theme.

Thus, this. It’ll get tweaked going forward, but for now this is the starting point. (It looks good on my iPhone, too).

It’s also a chance to clean out some dead/dying stuff from the sidebars. Remember blogrolling? Blog link lists? I noticed the number of dead blogs on Instapundit last night, and realized my blog was certainly no better on that front, so those are gone (for now; were there a great hue and cry I’d look at restoring them with updated versions, but I’m betting they’re not missed).

Thanks for coming. And thanks to Brian, the web guy!

 

Theme change coming

Will elaborate later. In the mean time
Keep Strong and Carry On.

The Aerospace Genius succeeds

My brother the Aerospace Genius is celebrating the sale of the 1,000th copy of his book!

http://thinkfastengineering.com/blog/

If you have time, congratulate him, and if you have a racer in the family, consider a nice book on racing for Christmas!

Congrats, brother!

Yep. Alive.

Yeah, the world turns, technologies change, and I have this blog that lives on.

So, I’ve been to the Epic User Group Meeting for a love-in on technology we can’t have for years, and then I went to help with a go-live at Wake-Forest Baptist Medical Center for their ED’s Epic go-live. It was refreshingly weird to see a good training program in action and help their academics and residents get into the fight with a new system.

Then, home to work.

Also, I have the admin responsibilities. Some of which I’m decent at, and other I’m charged with that are not under my control, nonetheless which need me to get them done. And yet I cannot move forward. It actually makes me feel a little compassion for the admins who walk among us. A little.

In case you were wondering stale blogs seem to be in big demand, given my email. Daily emails are received, offering me ‘guest posts’, or SEO optimizations, or offers of ads that never work out, or some other goofy idea. Like a blog that’s posting once a month needs any of that.

Still here. Still irascible. Just traveling a lot.

Pepid: Winning friends and influencing people

Pepid has some really good apps for medical professionals, the ones I’m familiar with are aimed at ER docs. They’re good.

Pepid is so good I gave them an unsolicited endorsement in 2007:

Yeah, that sounds very generic, so let me tell you about when I decided to convert from the free (14 day) trial and spend the bucks.  A patient presents feeling frankly terrible and with a diffuse vasculitic rash.  Very early in the history it’s determined the patient has been taking quite a lot more methotrexate than intended (mixup, not sure why) so I tried out my new Pepid: ‘methotrexate’ brings up not just the drug, but throws me a lifeline: ‘overdose’ is on the front-page drop down menu.  I clicked on that, and it took me to the antidote (Leucovorin AD, liquid folate, which I didn’t remember), and then, tells me it’s dosed based on body surface area, then offers a calculator, all in serial – sequential clicks.  Amazing, and terrific.

That paragraph contains their Achilles heel: The Bucks. It’s never been cheap, and it’s not getting cheaper.

This year I elected to forgo renewing Pepid. It’s not that it’s not good (it is), it’s that the difference between the excellent free medical apps (Epocrates) (Medscape) plus now ubiquitous online resources (UpToDate supplied by my Corporate Overlords) minus their requested yearly rate for my iPhone ($264/year) wasn’t worth it. That’s just for the iPhone app, if you wan their iPad app you’ll have to buy that separately. Really, for only $264 they can’t just throw in the iPad app.

Imagine if you were to accidentally order the 3 year plan: $694. Sticker shock. Wow. So, if you asked them for a downgrade to the one year of the program, they’d do that, right? Sucker…

That’s right. My friend Rick (A terrific Physician Executive, Coach and pioneering blogger) accidentally clicked the 3 year button, immediately asked for a downgrade, and was told no. Pepid was more interested in his money than his loyalty or the customer experience.

Beware: Pepid screwed this doctor. Are you feeling lucky?

 

 

Karen -The bus monitor-Final donation tally

Lets Give Karen -The bus monitor- H Klein A Vacation! — Indiegogo.

In case you don’t recall, this is the nice elderly lady who was working as a bus monitor when she was verbally abused by some feral children who thought it would be a good idea to video the attack and post it to YouTube.

One good guy started this donation page to raise $5K ‘to send her on the vacation of a lifetime’. They raised $703,833. That’ll make for a very nice retirement fund, and she can vacation when she wants.

Good for Max Sidorov for doing this (and for indiegogo for having a platform to make it happen).

 

BLS Jobs By Industry Treemap

BLS Jobs By Industry Treemap.

Follow the link to a very neat, interactive map of where the jobs are (and aren’t) according to the Bureau of Labor Statistics. Then play with the time scale on the left.

Very fun and educational tool! Interestingly, Healthcare has been pretty resilient throughout the last 10 years.

via @AceofSpadesHQ http://ace.mu.nu/archives/330728.php

Ten Years

Today marks my Ten Year Anniversary at my current ED, in Giant Community Hospital.

It’s been remarkably good. Initially I was a fish out of water, only a year out of training in a system where the ED is noted to Know their Stuff to this system where the ED is the Scapegoat for the Staff. It resulted in several uncomfortable moments with the consulting staff (Consults and Pain) written just 17 days into my tenure.

As time has elapsed (as it is wont to do), the ED  has decreased as the Scapegoat of Record, and I’m happy as a clam in the practice of Emergency Medicine here. Though, times have changed.

When I was brought aboard a decade aboard our ED was seeing about 72k a year, and I was one of two docs hired to go from 7 to 8 Doc shifts a day. This year we’re going to exceed 100K visits easily, and are trying to go to 12 shifts a day. The facility has not changed much over time (a facelift about 5 years ago and the addition of about 7 beds 5 years ago), so we’re in hall beds daily, and sometimes all day every day. This will change within 18 months, as today we held our ED Groundbreaking for an 87 room  ED, each room of which will hold two patients, so no hall patients for at least a week. At the end of 2013.

Professionally, I’m good. It takes a lot to get my pulse up, and our nursing staff remains top flight despite a fairly high turnover rate. The medical staff is good to interact with, and the ED call list is as good as it’s ever been, and way better than the dark ages of a few years ago.

Personally, I and mine are in the same home for a decade, which is a record. The Kids are off on their own (One a mom of 2, one a budding lawyer, and one who walked for Graduation this May and will graduate at the end of June, aged 20). So, we’ve been lucky as parents.

Good news for me: professionally I have new avenues (Medical Informatics) but still get to work shifts, my wife still suffers me with class and style, and I have the best EM job on earth.

I hope the next Ten are as good.

Thanks for playing.

It’s my Tenth Blogging Anniversary

Every year marks an Anniversary of blogging, mostly to remind others I’m still here.

I started this inauspicious blog in 2002, not knowing really why. I still don’t know why. In people years that’s Ten Years, in the Social Media world it’s a lifetime.

Friends are the biggest thing I’ve gotten out of it, and I thank all of you who’ve taking the time to comment and occasionally critique. I’ve been to BlogWorld and met some terrific med bloggers, and have had fun conversations with others who are only internet buddies. This has continued in the SoMe world, and I continue to enjoy the blog but also Twitter, where rapid-action snark is appreciated/derided in equal measure.

It’s always odd to me that anyone even mentions I’m a blogger and that I have a blog; it’s like people pointing out you have good penmanship or have perfect attendance: it’s just something I do. I enjoy this, I’ve enjoyed the time spent here, and plan to continue.

I’d be lying if I told you I’m the blogger I used to be: clearly not. Re-reading some of my posts makes me realize I used to be a lot angrier, and that’s a big motivator for a blogger. I’m older, more established and frankly happier, which is a nice realization but is kryptonite for the rant blogger.

Professionally I’m doing well, plenty of patients and challenges, and yet: there could be more. I’ve recently been named (surprising mostly me) Director of Medical Informatics (chief tech geek and data dude) for the consulting company to which 130+ of us Independently Contract for the ED’s of the Gigantic Hospital Corporation, which we all like and respect. It’s a terrific opportunity, and a challenge I’m not sure I’m up to. Here’s hoping.

At any rate, as I’ve said before I’m too lazy to quit, so I’ll keep blogging.

Thanks for coming!

I was in a Texas kind of mood

when I designed my MacBook Air decorations:

 

 

 

Yeah, my name and email are on the bottom, but they’re a touch hard to make out... A little too easy to see, it turns out. Was a field of bluebonnets (my own photo). Cropped that bit out.

Upside: I will NOT have yet another clone of an Apple computer at the next meeting.

FYI, I got these (quickly and well made) from UniqueSkins.com