I hear a lot of people pissing and moaning about how the new health care reform bill is going to deluge us with more debt. I would counter that we already are and no reform of any kind short of draconian restrictions is going to stop it. Nothing the Republicans or Democrats can do about it. Nada. Although [...]
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Yes, you heard me right. Well, what I mean is that no matter what you think of the Happy Hospitalist (and his controversial posts concerning getting awoken for critical lab values, his observation of a patient in impending respiratory arrest, and his idea to prevent kids from becoming ER abusers by taking away their [...]
OK, What the hell was in the water this weekend? Each shift we had one bad intracranial bleed. First, the post from yesterday, the 50 y/o with a subarachnoid. Second, a middle aged woman with a very large intraparenchymal bleed from uncontrolled hypertension. Third an elderly, yet functional man who fell down while on Coumadin [...]
You know it is sad when we have to admit patients to various units (usually specialty units like psych and peds) to “keep up the census” in order to justify us (the hospital) keeping the units opened (and thus, I imagine, to continue to receive state and or federal subsidies). It does not [...]
OK, here is a new record for me. How many cardiac arrests have you known a patient to have (and survive)? I mean, real asystolic/vfib/vtach arrests where miraculously one is brought back from the dead? The other day we had a 46 year old guy come in with is TWELFTH! Twelve in [...] |
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