Cleaned my blogroll

I got rid of blogs with invalid domains, updated sites that have moved, and deleted those who have not posted in over a year! OK, in once case he posted about 4 months ago, but only posted 4 times last year. It’s still long, but trust me, it’s cleaned up. Next step is to sort [...]

Four patients before noon…

1) Appendicitis, straight to the operating room. 2) Acute inferior myocardial infarction, straight to cath lab3) Accidental drug ingestion, patient was intubated before I even left the room.4) 1 year old in status epilepticus. I was mentally prepared to intubate this one after the way the morning was going, but thankfully, it was not required. [...]

Smoking is to Abortion as Pesticides are to Morphine…

I don’t usually post regarding topics like this, but the argument stated below…that giving painkillers to fetuses prior to abortion may be risky for the mother is just about as absurd as the people who decide to quit smoking because of the use of chemicals and pesticides in the growing of tobacco. In both cases, [...]

Riding with Edgar

This late 1800s photo of the Edgar Thompson Steelworks is largly unchanged today as I discovered on my Industrial Bike RIde around the city. We headed off east again, but this time down into a town called “Braddock”, which is home to Pennsylvania’s last remaining integrated steel making facility. Yes, folks, this scene is how [...]

The Fat Doctor Blog

Next week’s grand rounds host is the Fat Doctor. I had run across her blog before, but forgotten all about it. I stopped by tonight to check it out and find myself laughing out loud at many of her posts. An overweight Family Practice physician with a kid, a husband and a great sense of [...]

Grand Rounds

A great new host for grand rounds is on the scene at Treatment Online, an anxiety & depression blog. Nice succinct round up.

Hill Repeats

This is the bridge I didn’t ride over. OK, the title should really be in the singular, in which case the name is a misnomer and the title of the post should just be “Hill.” That would describe my ride! It turned into a beautiful, sunny day a little on the cool side (47 degrees), [...]

My China Hurts

Some selected comments in reponse to Pegadocs recent musings regarding medical terminology for female body parts and secretions. This post is a must read if you care about being precise in such things, or just for a good laugh. Somedays it’s like goop, somedays like yuck, somedays it’s clear and some days like the sediment [...]

Taking a dive…

The EMS call came in over the radio, “Fifty year old man found in the trunk of his car, unresponsive. We’ll be there in five.” The radio hissed and crackled into silence. The hairs on the back of my neck stood on end as I imagined the circumstances. “Did you hear that???” I asked everyone [...]

"You’re so confident…"

So this “middle aged” guy comes to the ER, with a recent surgery for throat cancer. The swelling after surgery was giving him difficulty breathing, but he still had a patent “stoma” from the tracheostomy placed after surgery to keep his airway open. His doctor asked us to place a new trach in the old [...]