Monthly Archives: April 2004

In one piece

From my long absence, you may have guessed I was out of town…you’d be right. Now I’m back, but there’s a problem…my back. Remember the sciatica I mentioned a few weeks ago? Well, it worsened to the point that I’ll be having surgery this thursday. I hope I can continue blogging. Maybe a play-by-play version of what it’s like on…

Big Cats

Finally finished work, dications paperwork. Relaxing in front of The Animal Planet, watching “Big Cats” at 3 AM. As I watch, Jasper & Louise are playing their own game of Big (House) Cats. Louise is being especially predatory tonight, currently perched on top of a chair, halfway hidden in a duffle bag. Her whiskers slicked straight back, ears perked, eyes…

Indecision

Once again, indecision is the biggest factor in my enjoyment of working in the ED. Anger, frustration, headaches and long patient stays can all be tracked down to the same factor, or at least the only factor that I have control over…indecision. Usually it stems from not wanting to let patients down, or knowing (thinking) that they’ll be disappointed or…

Parkland Formula

Imagine a little girl reaching up to a pot of boiling water and pulling it down on top of herself. Can you see the water splashing against her chest, running down the front of her stomach and her chest? Imagine a little girl climbing into a bath or sink of hot water. How many limbs do you think she’d stick…

Oxidation & Pyrolysis

London 1666. Chicago 1871. Peshtigo, Wisconsin 1871. Coconut Grove, Boston, 1941. West Warwick, RI 2003. What do these incidents all have in common? Two things…Oxidation & Pyrolysis. “Someone was yelling ‘Fire!’, ‘Fire!’, so I ran into the apartment. There was smoke everywhere and I pulled my T-shirt up over my mouth and nose. I was in the apartment for 15…

Satellite blackouts

I am currently taking a self directed course called Understanding Geographic Information from ESRI, as a refresher course. My undergraduate degree was in Geographic Information Systems. When I graduated from college, civilian use GPS on an individual or recreational level was impossible to due a deliberate random error introduced into the GPS signal by the Department of Defense. The reasoning…

Background Thinking

There is a big difference between working an ED shift, and working a day of floor medicine/cards/surgery/ICU/PEDS. On the one hand, I go home at the end of my day, forget about everyone, and start anew the next day. On the other hand, while I’m working in the ED, I am working continuously. Literally. Pick up a chart, see the…