Good Idea!

My hospital recently sent out an edict which I wholly support. It bans smoking ANYWHERE on the hospital grounds, parking lots, sidewalks, lunch area, garden, etc.  The “designated smoking area” in the employee lot will be closed (I used to call it the “designated carcinogen absorbing area”) and people will be strictly not allowed to smoke [...]

GBM=Good Bye, Man

Actually it means Glioblastoma Multiforme.  A really horrible, irrevocably fatal brain tumour (like Ted Kennedy had).

I hope this guy has a short bucket list because he ain’t gonna have long to get [...]

How to Annoy Me in the First 30 Seconds.

I walk into the room after reading the chart which states; “60 year old man with fatigue, cough, and headache”. I introduce myself to the patient and the 4 pacing family members in the room. Before anything else is said or done, a family member who was yaking on the cell phone, comes up [...]

Didn’t Take Enough

I hate to say it but when I saw this patient that rolled in, all I could think was “you didn’t take enough”. He had stage 4 cancer and had checked himself into a hotel far from home with all his meds. He then OD’d on Remeron, Ambien, Insulin, and Oxycontin. For some reason, [...]

Am I the Grim Reaper?!??!

What is up with this? Two cases this week? See the abnormality above? I feel like the friggin’ grim reaper!!!!

Again I had to tell a guy he is totally screwed. Even though he had quite smoking 5 years ago when he was forty, the damage of doing that for 25 years [...]

Sucks, But What do you Expect?

Man I know it sucks.  You came in for cough for several weeks and feeling “like crap”. You were told you had a sinus infection (which you probably did) but are not better.

The x-ray I did shows a nasty -assed thing in your lungs (see it on the x-ray?) which as it turns out is [...]

PE Risk Factors

“Hi Doc, I have your patient Mrs Hypercoagulable here and she is short of breath. I think she might have a pulmonary embolism since she has a history of cancer”

“Yeah, I think she probably does, she has even more risk factors than that.”

“Really? What else? Cancer is a pretty big one.”

“She has known deep [...]

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