Great Nurse Blog & New Medic Blog

Looking at my referrers, I saw a new visitor, Impacted Nurse. It’s pretty cool. Not only is Ian a good writer, but the design is awesome, and well, I’m one of the hot new topics for 2006. Sort of. You’ll just have to go read the article. Thanks, Ian. If you like a little challange, [...]

An unusual massage experience

OK, first, get your mind out of the gutter. Second, has this ever happened to you? I’ve been treating myself to a massage about once a month or so, and the past 3 times, when I try to get off the table, my lower back says, “NO WAY.” It’s not just painful, it’s like the [...]

Alcoholic Ketoacidosis

The big winner is Rich Lassiter of Tucson, Arizona! THe classic history in AKA is that of an ETOH binge with minimal other caloric intake (no glucose). By the time the AKA is in full force, the ETOH level has long since dropped off. This guy admitted to being an alcoholic. His last drink prior [...]

Make the diagnosis, Part II of III

You are all pretty much on track, but the final diagnosis still hasn’t been mentioned! I was thinking pretty much teh same as all you guys, that 1) I have to get him slowed down, 2) He’s gotta be in DKA and 3) why is he so calm and “with it” for someone in DKA???? [...]

Grand Rounds

Is up this week In the Pipeline by “PharmaDude” Derek. Great job of weaving in numerous submissions!

This image says it all. Snow, mud & muck as a black and gold freight train runs over the lineman. This is how I will always remember the Steelers. Imagine a five year old girl jumping up and down as her heros roll over the bad guys while snow covers the world outside. Thirty years [...]

Make the diagnosis…Part I of III

This was a great case! Part I:Called urgently to the room. Man in his fifties, vomiting all day. Feels naseated. Triage nurse get a pulse of 220. The nursing staff throws him on a gurney, hooks him up to the monitor, confirming a rate of 220. Blood pressure 140/80, respirations 18, 100% room air. Talking [...]

Five words my on call surgeon said to me tonight

1) Don’t2) F*cking3) Call4) Me5) Again

Bronze Stars

The two bronze medals hung from a gold chain around his neck on the outside of his dingy off-white turtleneck. Thick-lensed, clear plastic glasses on his swollen nose gave the otherwise chiseled face an almost comical appearance. His smile was the most prominent feature of all, however, matched only by his warm hands that grasped [...]

Upgrading Site

Bear with me during my site upgrade. Hopefully it will be fairly seamless. I am currently working on the following:1) Getting archives linked2) Upgrading sitemeter, blogroll & hit map codes3) Updating template Feel free to email me at the contact link with any comments, or just leave them below this entry. Thanks.