Yes, I had to do another emergency consult while on my ski vacation. This one however was not on the slopes. Someone who was travelling with us (we were a large extended family group) had a wipe out. Not the one you might expect. She crashed and burned […]

Going on vacation is often just as much about getting away from medicine as it is about the destination.  Of course it seems like one can never fully get away from it. (although it has been snowing every day since I have been here!  Choking on pow pow!)On my second day at the top of […]

This week I am off to sunny and hopefully very snowy Colorado to ski with the extended family (in laws and the whole clan are coming as well). I may be able to squeeze a post in if my helicopter attempts (jumping and doing a 360) do not render me bedridden but I can’t guarantee […]

I believe there is a “sixth sense” that doctors (especially ER docs) need to develop in order to be really good. I would describe it also as “the bad vibe” or “Spidey sense” that you get when you see a patient. The obvious thing is right there but for some reason, you just get this […]

The other day, during a shift from hell, I had a few exciting cases - this one sticks out (pun intended as you will see!!!!).
A lady in her 60’s fell down two steps - just TWO steps. She did a NUMBER on her right elbow that is for sure. The following images are pretty gruesome […]

It really sucks when you walk into work and you are already in the hole. At nine am there were only two waiting to be seen - but by 11:30 it had swelled to 20 in the queue. By 1 we had a boatload of VERY unhappy patients waiting to be seen. The […]

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 […]