Monthly Archives: January 2006

The Collapse of Primary Care

“Medicare will pay tens of thousands of dollars … for a limb amputation on a diabetic patient, but virtually nothing to the primary care physician for keeping the patient’s diabetes under control,” said Bob Doherty, senior vice president for the ACP. The article doesn’t comment on the fact that many patients end up in the emergency room for primary care…

Juicy Fruit Man

Remember the Juicy Fruit man? Well I saw him again. That makes twice that I’ve seen alcoholic ketoacidosis in my career. I’m getting better at diagnosing it, but of course it helped that I knew his previous diagnosis! This time the juicy fruit smell was cheaply blended with a strong odor of ETOH. Ethanolism has a nice ring to it,…

I can’t imagine…

…being the parent of a teenage son and being told he needs to be seen by a neurosurgeon. Mom’s initial comment to the triage nurse was that he’d had an inoperable brain tumor. After some investigating, and talking to the father, it turns out that he had a condition that didn’t NEED an operation…he had a cyst that needed to…

A wave of animal cruelty

From a friend: A wave of animal cruelty has the World Wildlife Federation up inarms. On the first day of this new year a lion was found viciouslymauled. A week later, a bengaled tiger was discovered horriblybeaten. While the lion only had fresh wounds, the tiger appears tohave been suffering regular beatings for years. Just seven days after that, a…

Book Game Redux

I posted this game about a year ago, and it was pretty fun. Since I’ve got a stack of library (i.e. non-medical books) in front of me, I thought I’d take another crack at it: Book Game by Texas Biscuit. I have no idea who Texas Biscuit is, but that was the closest I could get to the source of…