Internet Exile

For my crimes against the internet, I’m going to exile myself from the digital wold for a week.

Also, I’m getting on a boat.

Please play well together, and have all the problems solved when I come back.

Meeting of the Minds

@movinmeat and myself meet with ACEP Immediate Past President Angela Gardner ( @ACEPHeadliner ).

ACEP Scientific Assembly 2011

It’s in San Francisco this year, and starts in the morning. While I’m NOT a morning person I’m going to make as much of it as I can, as the lectures are good, and worth the time.

I plan to live-tweet my conferences tomorrow, so if you’re interested follow along on Twitter @gruntdoc. Last year I had more than 200, and some people liked them. We shall see, some lectures, and lecturers, are more quotable than others.

Yes, people watching here.

ACEP Scientific Assembly 2011

Update: Seems I’m not alone, I got this today (October 4th):

Due to a printer error, some course tickets do not match course schedules in the mailed packets. Corrections have been made by the printer and were mailed on October 4. Please bring both packets with you to San Francisco. If you do not receive your corrected tickets before you leave for San Francisco, a set will be waiting for you at ACEP Registration, Moscone Center South.

Well, good. Here’s hoping the correct ones arrive on time.

Original post: I have a problem. I didn’t get what I needed from the pre-registration for this years’ SA.

When I look online, I have a full schedule, Sat-Tuesday, and while this makes me an extra-special dork, it makes me sad.

Sad, as yesterday I got my SA materials (kudos for the effort!) which have me with 2 classes on Saturday, 3 on Sunday, a full boat on Monday and none on Tuesday. Bonus, you say, but you’re wrong (again).

I just checked the ACEP SA site, and I have all the classes I signed up for online, which makes me think there’s a big disconnect between the SA site and what ACEP sent me. This matters, as ACEP gives us ‘tickets’ for every class, which are checked at the door, and in the immortal words of Indiana Jones, “No Ticket!”.

Wish me luck in about 9 days doing battle with the nice people at the registration desk…

Happy Birthday, Honey!

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.
[Read more…]

US marks first month with no troop deaths in Iraq – Yahoo! News

4,474 dead, thousands more wounded.

BAGHDAD (AP) — August marked the first month since the 2003 U.S.-led invasion of Iraq that no American forces have died, according to an Associated Press tally.

Figures compiled by the AP show that no American forces died in Iraq in August either in combat or non-combat related situations, a significant achievement in a conflict that has claimed the lives of 4,474 American service members since it began.

via US marks first month with no troop deaths in Iraq – Yahoo! News.

Let their sacrifices not have been in vain.

A Calling for Entries in the 2011 Charles Prize for Poetry Contest

Announcing the second annual Poetry Contest!

An award will be given to the writer who submits for consideration the most outstanding poem within the realm of health, science, or medicine.

The contest starts today and ends September 31st, 2011. The winners will be chosen shortly thereafter by an elite group of 8 judges (other doctors, friends with literary training, and select bloggers).

via A Calling for Entries in the 2011 Charles Prize for Poetry Contest.

I’d love to see a limerick win. Make me proud…

TrendsMD: TMLT’s blog

TrendsMD is the blog of Texas Medical Liability Trust, and it has some informative things on it.

I look forward to the first insurer blog flamewar, though….

Impeding progress

Dr. Edwin Leap (he of the excellently written and quite frequently updated has started a second blog, to which he seeks submissions.

I think from the title of his new effort,  Impeding progress, you can get a feel for what he’s after.

Interesting idea, and while it’ll give all of a place to vent our spleens, I find blogs that are all negative rants to be cringeworthy after a while. I’m sure Dr. Leap (whom I met at ACEP this year, and he didn’t know me from Adam), will do a good editorial job.

So, go hither and submit your case of impeding progress!

Extra Credit: Fort Worth teen wins first Google Global Science Fair

Fort Worth teen wins first Google Global Science Fair

Shree Bose, 17, found that a metabolic enzyme affects ovarian cancer cells that can cause them to become resistant to certain treatments and discovered a way to improve cancer treatment when such resistance happens.

The Fort Worth Country Day senior wins $50,000 in scholarships, a trip to the Galapagos Islands for her project and a three-day internship to the prominent European Organization for Nuclear Research near Geneva, known by its French acronym as CERN. Fair winners were announced last night at Google’s headquarters in Mountain View, Calif.

Bose was inspired to research cancer after her grandfather died from the illness two years ago. She has presented related work to various science fairs, winning some top honors in the Fort Worth Regional Science and Engineering Fair and the Exxonmobil Texas Science and Engineering Fair. She was one of 15 finalists in the Google competition.

via Extra Credit: Fort Worth teen wins first Google Global Science Fair.

Okay, a little snark for a gender switchup, but good for Ms. Bose!


Doc Shazam, please drop me an email.

Sorry for the non-posting interruption.

Humanity frees cattle, buffalo from cloven-hoofed plague • The Register

The second disease ever defeated by man.

The OIE was able to declare yesterday that “the 198 countries with rinderpest-susceptible animals had been declared free of the disease”.OIE director general Bernard Vallat said: “Today we witness a historical event as rinderpest is the first animal disease ever to be eradicated by humankind.”

via Humanity frees cattle, buffalo from cloven-hoofed plague • The Register.

The other: smallpox.

This is good news.

Fresno Trip

I’m off to Fresno tomorrow, to give a chat about EPIC (our EMR), Scribes and how we see patients with all three in my ED. I’m talking to the residency that mistakenly kept me long enough to graduate, and it’ll be interesting to see their new ED (which I was told would be ready for my last residency year, joke’s on me), and the faculty that remains.

I have been given an hour and a half. I can easily talk all day about seeing patients with EPIC, an hour on scribes and hours and hours about our cascading acuity shift system, so it’s been fun writing a talk to hit the major points without going over. I think I’ve hit the right balance, but time will literally tell.

I’m still debating renting a car vs. the hotel shuttle and a couple of taxi rides. I like the freedom of having my own wheels, but as I’m there for right at 27 hours (many of which will be spent sleeping) it seems kind of a waste. Still debating.

Couldn’t be a better time to be flying, right? This week I will not gripe about everyone going through the TSA’s enhanced interrogation.

(I wonder if any of the Fresno EM residents twitter, that would be interesting…)

Blog Birthday Numbering Nine


Nine years of intermittent ranting. occasional linkage, and near certain inanity.
Thanks for coming, and the corresponding page views.

I like all 11 of you readers, and always will.


XY SCRUBS | Mens Scrubs – XY SCRUBS.


A new scrub shop, started by a former Army Flight Surgeon (now a Surgery Resident).

Don’t know much more than that, but check it out.