What Hurts?

His answer was “only my pride”.  “Why?” I asked? 

“Because I shit myself”.

 Good reason my man, [...]

Can you Treat my Asthma “Off the Record”?

I get annoyed when staff members – in this case a consulting Plastic Surgeon, grab me in the middle of a busy shift to ask me to treat them for something “off the record”. Now, if you just need me to give you an Rx for something reasonable (NOT an unnecessary antibiotic or [...]

How Many Cases of “Swine Flu” have you seen?

Up here in the north east, there have been a few cases – linked to people who travelled Mexico or had close contact with those who got in Mexico and returned here sick. Now that the national alert has been sounded, EVERYONE thinks they have it. Fever for one hour, vomiting and diarrhea [...]

Watch Your Hands!

So, a case from last week had me in such a smirk, I could almost not avoid bursting out laughing while reading the triage note. The chief complaint was “dysuria” which is pretty boring. However, the rest of the note by the triage RN provided a higher level of detail that just had to [...]

Nurse K Needs Your Help!

No, she is not dying and does not need a stem cell transplant so keep you blood to yourselves. However she is in need of something just as life-sustaining.  Cash!  Drop a proverbial coin in the bucket for her…

Nurse K’s [...]

Such a Nice Day….

The first REALLY nice weekend of the Spring where I am off has put me in a very good mood. I cannot possibly think of the busy ER right now to do a novel post. However, tomorrow I will post on one from last week that almost made me die laughing. Enjoy [...]

If Something Does not Make Sense….

Then the first thing to do is REPEAT the labs. As Happy Hospitalist showed to us in a post earlier this month, when something seems really weird, it COULD be a zebra, but maybe it is really a horse in disguise. This guy came in last night with nonspecific symptoms and palpitations, etc [...]

Alcohol or Drug Addiction?

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