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Latest Posts

When Clinical Suspicion Trumps Radiology

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A patient comes in with the entirely understandable complaint of “I have a fishbone lodged in my throat”. Came straight from dinner to the ED. When I ask a stupid question I’m given a stupid answer: “It feels like…a fishbone…”. Duh on me.

Now, I went to a pretty good EM residency, and while there I learned two things: the books say fishbones don’t show up on x-rays of the neck, and, fishbones sometimes show up on x-rays. I’m about 70% positive in my career…

So, I got an xray. See if you can spot the fishbone (hint: there’s an arrow pointing at it…)

So, it’s there… Now what… There are very few wrong answers. Call ENT, etc. My answer: go get it. Read more »

*This blog post was originally published at GruntDoc*

Computer Error: 25 Blood Tests Ordered On Same Patient

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It’s going to take a while to draw all those labs. And the patient will probably need a transfusion at the end of it.

(Reportedly the printer engaged itself in a loop and printed out blood culture label sets 25 times, so don’t panic).

*This blog post was originally published at GruntDoc*

Physician Murdered After Denying Prescription To Drug Seeker

Horrible.

200912091638.jpg Perry doctor killed by patient

SUSPECT HAD BEEN REFUSED PAIN PILLS EARLIER IN DAY

By Dori Hjalmarson, Bill Estep and Karla Ward – dhjalmarson@herald-leader.com

CORNETTSVILLE — A man seeking prescription painkillers shot and killed a doctor at a Perry County medical clinic Tuesday morning, according to state police. Read more »

*This blog post was originally published at GruntDoc*

ER Doc Finds Creative Way To Make Coffee During Power Outage

I like living on the edge of built-up civilization, but it means our little development has one electric line coming in.

Today it wanted some time off, fortunately only 4 hours. Didn’t get that cold inside, but having an all electric house has some drawbacks in that circumstance.

My wife figured out the electric-less coffee, thankfully.

*This blog post was originally published at GruntDoc*

Family Receives Medical Bill And Form Letter After Son Dies In ER

Wow. Just wow:

Hospital bill stuns slain student’s parents
By Sam Stanton

“It was just devastating and insulting,” Gerald Hawkins said Monday. “It’s just hard to grasp for words. My wife and I were near collapse.”

On Saturday, 10 days after Scott Hawkins was beaten to death inside his dormitory at California State University, Sacramento, his parents got a letter in the mail.

It contained a bill from the UC Davis Medical Center for $29,186.50 along with a form letter addressed “Dear Patient” that implied they were indigent and stated that the hospital no longer could provide them services.

“UC Davis can no longer provide follow-up care or any other non-emergency care to you,” it read. “Please go to a County clinic for all non-emergency care or to get a referral to another doctor.”

For Gerald and Elizabeth Hawkins, it was just too much to bear.

Read more »

*This blog post was originally published at GruntDoc*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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