A heated fist-fight discussion has been going on on three mediblogs - White Coat’s, Happy Hospitalist’s, and Nurse K’s. It started when White Coat bemoaned the fact that Michael Jackson’s doctor is possibly being charged with manslaughter in connection with the singer’s death, allegedly from the drug, propofol. He (and […]

Well, at first I could not believe it. It was one of the those “if pigs could fly” things. The pharmaceutical industry is supporting the Obama administration’s health care reform efforts. How could this be? Did they not fight tooth and nail against “Hillary Care” back in the early nineties? Now they are supposed to […]

One teenager the other night thought a good way to “ask for forgiveness” from her mother following an argument was to run into the bathroom, grab a bottle of generic Excedrin ( a mixture of aspirin, Tylenol, and caffeine used mostly for migraines) out of the medicine cabinet, and then in front of her distraught […]

The other day I had a case that raised my BP. Ultimately, it worked out well but not before I felt the need to do some deep breathing exercises. So, this obese 55 year old guy drives himself in during a busy-ish period for chest pain at rest an hour ago. Even before he got […]

Young men (teenagers) often make bad decisions. The other day we had an instance where a kid made a very good decision.
His girlfriend was brought in by EMS after he dumped her over the phone. She “freaked out” at home and smashed a mirror over her head and threw herself down some steps […]

Our institution only has “voluntary” psych beds. Ie, the patient has to willingly sign in and be competent enough to understand the concept of psych admission. Thus most of our admissions are for depression. When we get someone who refuses to be admitted or is floridly psychotic, they have to be “involuntarily” committed […]

Motrin and Tylenol do not make your baby “drugged up”. They reduce fever (antipyretic). These meds are very important to prevent a child from developing a febrile seizure - which WILL make him or her totally out of it when they are post ictal. Just give the damn stuff when your kids have a fever […]