Yes, the VA is without doubt the model for American healthcare

Well, let's consider their actual track record: Shot: The Pentagon reported Friday that 265 active-duty service members killed themselves last year, continuing a trend of unusually high suicide rates that have plagued the U.S. military for at least … [Continue reading]

How long do condiments last?

Some good info here: Honey, salt, sugar: Indefinite Tabasco sauce, pepper, vinegar: 3-4 years Jelly in plastic tubs: 2-3 years Olive oil, parmesan cheese, taco sauce, mustard, soy sauce: 1-2 years Mayonnaise, relish, barbecue sauce, … [Continue reading]

ZDogg sings about stroke

It's good! Follow him on twitter, @ZDoggMD or at this blog … [Continue reading]

Pearl Harbor Day

December 7, 1941. 74 years ago. If you meet a Pearl Harbor vet, thank 'em. They're pretty rare (an 18 year old then would be 92 now...). Thanks to our Pearl Harbor vets. … [Continue reading]

Happy Birthday, Marines!

SemperFi I post this every year, and I still enjoy it... … [Continue reading]

Happy Birthday to our youngest, latest in a series (and an Aunt!)

Happy Birthday, sweetheart! We wish you all the best. Here's a nice throwback birthday post: 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 … [Continue reading]

How ER docs actually process what we do

A remarkably good blog post from Seth Treuger ( @MDaware on twitter). The classic model of history, physical, testing, diagnosis & treatment does not apply to us. I think we do 3 things in emergency medicine: Resuscitation Risk … [Continue reading]

When healthcare is literally legislated

Hint: it's not good. A terrific article from Weingart and Faust. ... If the drafted CMS measure goes into effect, we are hosed. Because data will be collected retrospectively, hundreds of patients will be deemed severe sepsis who were never … [Continue reading]


I'm not a book reviewer but when I read one I want to share I'll tell you about it.  This is one for a small audience, those who are space junkies who don't know a ton about the U.S. Mir space missions. It's very well written and well sourced, … [Continue reading]

Nursing Homes are restarting the ‘don’t send the MAR’ game

For a primer, from 2007, here. Another patient, another absent MAR (if you don't know that acronym, you didn't read the lead in article!). Usually they send when we call, but not recently. Here's an amalgamation of some cases: Calls are made by … [Continue reading]

How teleconferences really go

This is way too true.   … [Continue reading]

America’s Emergency Physicians

Really good video! … [Continue reading]

VP Biden’s best speech

Joe Biden isn't my cuppa tea. Yet, his talk to TAPPS is the best contemporaneous speech by a Pol to military families who lost family members in combat. I now like him much more. … [Continue reading]

Happy Birthday Dad!

Thanks for not killing me all those years ago. … [Continue reading]

The NYT, Maureen Dowd, and Dr. Caplan

Behold, a very worthy rant.  Recommended. … [Continue reading]