I don’t do well with pain. I learned that lesson all too well during the birth of my first son when, after 10 hours of labor jump-started by a pitocin drip, I finally got an epidural. Nothing — and I mean nothing — has ever felt as good as the ebbing of that pain. I relearned the lesson during the birth of the second son, this time determined to go natural all the way when, after a few hours, I told the doula to “shut up” and ordered my husband to hunt down the anesthesiologist and “Get me an epidural — NOW!” He listens well.
By the time the third son was born, I had the drill down pat. I was admitted to the hospital to be induced again but this time, as soon as the IV was hooked up and before the first labor pain hit, I had the anesthesiologist in the room putting in the epidural. It was a completely painless birth — and a lot of fun.
My issues with pain extend to my issues with being sick. I simply do not like not feeling ill. I’ve been very lucky and extremely blessed in my life — the most serious thing I’ve ever had wrong with me was strep throat or a stubborn sinus infection. As a medical writer, I’m far too familiar with all the things that could go wrong with me, so I feel guilty even complaining about my minor issues. Read more »
Doug Farrago is a family physician in Maine and the editor of the entertaining Placebo Journal. He uses his Placebo Journal media platform to show his audience what primary care is all about. In this video, “Doug Unplugged,” Dr. Farrago gives us a little taste of that journey. Hollywood, take notice.
*This blog post was originally published at KevinMD.com*
Last week a trailer less than a mile from our house experienced a small explosion. Trailers, which seldom explode on their own (without undiscovered volcanoes or CIA drones with missiles) was concealing a meth lab.
What can you say? If I weren’t an emergency physician I’d say, “Shocking! Ghastly! Unbelievable!” But I do what I do so I say, “Huh, how about that.”
I’ve lost much of my capacity to be shocked. I have seen meth users, and probably meth dealers. I’ve known and enjoyed the company of alcoholics and Valium addicts. I’ve cared for murderers and the murdered (albeit briefly in the case of the latter). I’ve been involved in the evaluation of sexual assault victims, car thieves, drunk drivers and child abusers. A meth lab is, in its own way, kind of small stuff.
What does it say about me? I don’t know. It may suggest that I’m cynical. Or it may mean that I’m cold. Or it may mean, as I suspect it does, that I’m just realistic. I know the world is full of drugs and brokenness. The ER, where I work, is just the place where all of it arrives in its fermented, fully concentrated, “contents under pressure” form. Read more »
*This blog post was originally published at edwinleap.com*
I keep measuring cups in my purse so that I can measure out my dinners out to be exact. I keep a small food scale in the glove compartment of my car so I am never guessing how many ounces a certain item might be. And I have the Calorie King booklet in my pocket at all times, so that I’m never left guessing. I even sewed pockets into all my clothes, just to bring the booklet around.
(The previous paragraph is filled with lies. Big, fat ones.)
I wish I was a precision carb counter. I wish I had the patience for it, always either eating pre-packaged and factory-analyzed foods or spending my time carefully measuring and weighing any home cooked adventures. But I am not a precision carb counter. I’m a precision carb guesser. Read more »
*This blog post was originally published at Six Until Me.*
Somebody at Apple likes Goldfrapp. They’ve used her latest album for this tutorial and the sublime Seventh Tree was pictured on the first Apple descriptions of the Remote app. It’s nice when a monolithic institution shows a little personality. Of course, my interest in Goldfrapp is mostly professional: Who else has sung as well about ending up in an emergency department?
*This blog post was originally published at Blogborygmi*
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I keep measuring cups in my purse so that I can measure out my dinners out to be exact. I keep a small food scale in the glove compartment of my car so I am never guessing how many ounces a certain item might be. And I have the Calorie King booklet in my pocket at all times, so that I’m never left guessing. I even sewed pockets into all my clothes, just to bring the booklet around.
