GruntDoc’s blog turns 12

12 years ago I was in Midland, Texas. At the urging of my still good friend Rick I started a blog that’s been continuous since then. Not terribly interesting or well maintained, but it has staying power.

It has survived a series of moves to Fort Worth, the new job (also going on 12 years), children graduating college, grad schools (one mine), two grandkids, about 10 cars (family wide), my getting older and maybe a touch wiser, some professional advancement, two marriages (kids)(My kids marrying others, weirdos), a tractor, about a zillion in home improvement, a about that many ER shifts.

It’s been a pleasure to share a tiny slice of it with you. The days of a lot of blog followers are over (not writing regularly will do that), but I appreciate most of the comments and everyone who reads this missive.




Resuscitation 2014

As you read this, I’m winging to sunny Las Vegas for the Resuscitation-2014 conference.

Not only is it going to be a first-class conference, I and a fantastic team organized by Haney Mallemat (twitter @CriticalCareNow ) will be live-tweeting the lectures, #Resus14.

Full disclosure: I got my conference fee comped to come and twitter. Joke’s on them, I twitter all the conferences I go to for free, so this is a bonus. Therefore, my timeline is likely to explode on twitter.

Hope you enjoy it!

This is why the War on Squirrels started


My new ER, in a video

It’s really well done.

Tesla’s Waco Supercharger

Visited this the second week of February, 2014.

8 stations, all empty when I was there:
Waco supercharging stations

Parking was marked as ’60 minute’; is this at all the superchargers?
Tesla 60 minute parking
If that’s not the norm, I suspect it’s because there’s a hotel immediately behind the supercharger, and there’s some concern someone would plug-in and then turn-in.

It’s at the Collin Street Bakery which was clean, had nice bathrooms, many food choices, and cheap coffee. Also, fruitcakes.
Collin Street Bakery

Free WiFi at this one, done in a low-tech fashion:
Collin Street free wifi

Not a bad location!

Grandpa’s little dentist


Joy to The World, USAF Band style, at the Smithsonian

Pearl Harbor

If you meet a Pearl Harbor vet, thank ’em. They’re pretty rare (an 18 year old then would be 94 now…).

Thanks to our Pearl Harbor vets.

Happy Birthday USMC!


I post this every year, and I still enjoy it…
original poster from:

Heroic State Attorneys General band together to force lawful commerce to stop, because they don’t like it.

This is the sort of thing that makes my teeth ache, and is why I’m on blood pressure medication.

So, 22 State Attorneys General sent a letter to Urban Outfitters demanding they stop selling gag merchandise described as their ‘Prescription line’, which includes the terrifically dangerous items of

glasses, coasters, mugs, drink holders and related products that mimic prescription pill bottles and prescription pads.

Wow, they must be a public health hazard! They must be made of uranium or Chinese drywall! Oh, no:

As you may be aware, there is a national health crisis related to the abuse and diversion of prescription drugs. As Attorneys General, we have prosecuted and engaged in outreach to stop this epidemic. We are actively engaged in a campaign of environmental change to educate the public that abuse of prescription drugs is not safe simply because the medication originated from a doctor. By putting these highly recognizable labels on your products you are undermining our efforts.

They committed the sin of not getting their product in line with the ‘environmental modification’ these Defenders of Democracy intend.

It gets worse:

These products demean the thousands of deaths that occur each month in the United States from accidental overdoses.

What? A mug that looks like this

banned, demeaning coffee cup

banned, demeaning coffee cup

demeans the death of people who overdose on prescription drugs? Explain that one to me, I’m missing a step here.

Also, these 22 Stalwarts of Freedom get to pass judgement on what’s funny:

These products are not in any way fun or humorous but make light of this rampant problem.

So, if they’d been funny to these idiots these products would have been okay? It’s only because this particular juxtaposition of the daily normal as the absurd didn’t tickle their collective giggle-triggers that they have to be banned?

And the coercive power of The State that Knows What’s Good For You:

We invite you to pull these products from your shelves and join with us to fight prescription drug abuse.

Get it? Not only must they stop selling harmless nick-nacks, they are invited to join in this latest temperance movement.

I’m absolutely against prescription drug abuse, and agree that because it’s prescription does not equal safety (and quite often the opposite), but the straw man in the argument that selling prescription themed coasters is contributing to the problem is absurd. Doctors and patients are the root of the problem, not vendors of inanities.

I’m unsurprised Urban Outfitters quickly pulled this line of products, and it has nothing to do with agreeing with these 22 Bastions of Enlightenment but the reality that businesses are there to make money, not waves. Businesses seldom do the right thing constitutionally if that would cause them one iota of a problem, and I get that.

Good thing all the real problems have been sorted out.

An image of the letter,

Heroic Correspondence of 22 Thought Leaders in Law

Heroic Correspondence of 22 Thought Leaders in Law

and a link to the full .pdf.

Links and story via CNN and Ace of Spades HQ

NEJM on inflight medical emergencies

Via Doximity, a nice review of inflight medical emergencies:

We conducted a study of in-flight medical emergencies involving large commercial airlines, characterizing on-board assistance provided by flight crews and other passengers and identifying the outcomes of these events, including ambulance transport to a hospital and hospital admission. On the basis of our findings, we suggest a practical approach to the initial management of common in-flight medical emergencies for medical personnel who may be called on to render aid.


RAND studies the ED, finds we are good.

RAND did us a huge favor here, documenting the shifts in styles of care and validating most of what we’ve said anecdotally.


2013 Top Docs |

Yours Truly shows up on this list, for the first time.



Fort Worth, Texas magazine sent more than 4,500 local physicians a survey, asking them to voluntarily rate their peers and name the best doctors in Tarrant County. Medical professionals willing to participate went online to cast their votes.

While Fort Worth, Texas magazine provided the fields of specialty, the physicians identified the professionals they regard as being leaders in those fields.

The final results were submitted to a select panel of physicians for review.

via 2013 Top Docs |

Things are going to start happening to me now, my name in print!

Screen Shot 2013-03-29 at 2_40_15 PM

3 of these fellow EM practioners I don’t know, and I am glad to count as working colleagues three of the others.

Humbling enough to blog about.

Fort Worth designated 300th International Safe Community | City of Fort Worth, Texas

Very nice!

Fort Worth designated 300th International Safe Community

Posted Feb. 8, 2013

Fort Worth will be formally designated an International Safe Community by the World Health Organization during the City Council meeting at 7 p.m. Feb. 12. With this designation, Fort Worth will become the 300th international Safe Community, the 23rd in the United States and the second in Texas.

via Fort Worth designated 300th International Safe Community | City of Fort Worth, Texas.

Read the whole article. Fort Worth has worked had, and it’s paid off!

So God made a farmer Dodge Ad

Best Super Bowl ad this year

I miss Paul Harvey.