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 was done…..

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 lung […]

Quick rant here. I read with expected horror yet another article about how religious (and many political) conservatives mostly clustered in Southern states (what a surprise) have been introducing and pushing educational bills through their various state legislatures which champion “theories” of intelligent design, creationism, as well as questioning global warming. Probably spurred […]

He’s done.
He spent a large part of his 46 years hittin’ the bottle.  He spent the last year or so in and out of the hospital with GI bleeding, cirrhosis, Hepatic Encephalopathy, and infections.  he spent the last night of his life intubated while a gastroenterologist worked furiously to stop bleeding in his esophagus.
Alas, he […]

Lets see, you’re a 43 year old woman and in my ER with recurrent facial abscesses. You have celulitis all over your cheek which is very puffy. Your teeth are rotted. You have snorted massive amounts of cocaine for more than 20 years and now your entire nasal septum is gone and the resulting cavernous […]

Yes, we may laugh at that vintage Life Alert commercial but sometimes it is for real. A woman pushed her button just like in that classic (although the dude going “I’m having ack!!! Chest pain!!!” is pretty funny in a morbid way too!) after she fell. Unfortunately, the CT above is what was going on […]

The next day you are found aspirating on your own vomit with decorticate posturing and right gaze preference. Shortly afterwards EMS intubates you and your are on a vent in the ER. Your blood work is horrible (renal failure and white blood count over 20K). You might think you are lucky that […]