Monthly Archives: November 2005

The Tale of the Second Ovary

A lady in her early 40s presents with heavy, painful bleeding, about 2 weeks later than normal. A thorough gynecologic history leads me to believe that she has just entered the peri-menopausal period, had her first anovulatory cycle, and is now sloughing the heavy endometrial buildup from an extra 2 weeks of hormonal influences. She had been married for 21…

Freed from Darkness!

Yesterday afternoon, after the heartbreaking loss to the Ravens, I hopped on my bike to ride off into the twilight and into the park. My new Nightrider light was fully charged, and ready for it’s first test. It was awesome. The air was cool & crisp, I was perfectly dressed, well a little overdressed really. I found a new “shortcut”…

Football Rants

Way to go, Georga Tech & Nittany Lions! But did you see that USC vs. Fresno State game? 50 to 42. Holy cow! Unbelievable. USC came up with several outstanding plays right at teh start of the second half, but aside from that, Fresno State played more consistently and much, much smarter than Bush and his Crew. And if it…

The Tale of the First Ovary

She was in the twilight of her child bearing years, and on the verge of tears. Her husband sat next to her bed cradling their two year old son who was only slightly distracted from his mother’s discomfort. The bleeding had just started that morning, but it was the pain and cramping that brought her to my emergency department. From…

Favorite Chief Complaint

A “Chief Complaint” is the reason the patient is at the doctor’s office in his or her own words. Triage personnel are trained to write down exactly what the patient states in order to avoid any “framing” by medical personel before a full medical evaluation takes place. Usually, Chief complaints are like the following: My chest hurtsI can’t breathMy stomach…

Grand Rounds 2.08

Doc Shazam is honored to host this week’s roundup of the best in medical blogging. I usually don’t read every entry linked in grand rounds, but hosting this week has helped me expand my understanding of what blogging is about. Some of us are politicians, some are patient advocates, some are great storytellers, and others just like to make people…