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An Earful And A Mouthful: Insulted Woman Bites Off Man’s Ear

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So I’m listening to the radio [yesterday] when I hear a story about a woman who was called “fat” by a 24-year-old man at a party. What does she do?

The Omaha World Herald is reporting that she bit off more than she could chew by literally biting off his ear.

Police at a Lincoln, Nebraska hospital responded to a call in the emergency room at 3:25AM on April 28th when the unnamed, one-eared man claimed 21-year-old Anna Godfrey bit off his ear for calling her “fat” at a party. The ear chunk is missing in action. Read more »

*This blog post was originally published at The Happy Hospitalist*

Romance, Hypotension, And The Little Blue Patch

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A patient was brought in around midnight as a “possible stroke.” She was a 60-something woman who had suddenly become unresponsive.

She and her husband had been making love at the time, and he noticed that she was no longer conscious. Unable to revive her, he had called 911. She looked bad — but it was strange. Read more »

*This blog post was originally published at Movin' Meat*

Becoming A Doctor And An American All At Once

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I [recently] attended a fascinating session offering advice to international medical graduates (IMGs) on how to fit in and succeed in U.S. medical practice. Here’s a slightly-silly example of the kind of cultural differences that can cause confusion for IMGs:

Speaker Vijay Rajput, FACP, started to make a point using the good-old analogy of Lake Wobegon. Then he paused and asked how many attendees knew about Lake Wobegon. Only two raised their hands.

“That’s the problem right there,” he said, only half-jokingly. “You need to be listening to NPR!”

Clearly it takes a lot to become an American and a doctor at the same time.

*This blog post was originally published at ACP Internist*

Descriptive Charting And The Physical Exam

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Our relatively new electronic medical record (EMR) product has prompts and clicks for everything imaginable. One of them, which we can use during the physical exam, is the long list of “constitutional” findings that we perceive on generally looking over the patient.

They include things like: Obviously ill, comfortable, uncomfortable, pale, well-nourished, well-hydrated, well-dressed, alert, chronically ill, contracted, emaciated — and so on.

But these descriptors don’t always cut it. I mean, people are both amazing and annoying, so why not add a few more to the list? Read more »

*This blog post was originally published at edwinleap.com*

Should Doctors Retire At A Certain Age?

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Many people like to make a comparison between the airline industry and the medical industry when it comes to protocols.

Is there a maximum age restriction for commercial pilots in the United States? Yes, there is. In 2007, Congress raised the age of forced retirement for commercial pilots from 60 to 65 years old.

In light of that, should physicians be forced to retire after a certain age as well? Should we trust our health to the abilities of a physician who is 70, 75, 80 years or older? Read more »

*This blog post was originally published at The Happy Hospitalist*

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