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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*

MRI-Inspired Puzzle

What happens if you combine magnetic resonance imaging with games and creativity? See the idea of Neil Fraser:

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*This blog post was originally published at ScienceRoll*

X-Rays For ER Dummies?

heydummyThey’re not allowed to actually write “Hey Dummy, look here” on the x-ray report, but this is what the radiologists do when they want to make sure the idiots in the ER won’t miss the key finding on a film (in this case, a bit of glass from an automobile window):

The wonders of digital radiography allow this to appear on my computer screen.  In the old days they did it with a grease pencil and a post-it note.

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

Which Specialists Steal The Most Food From The Doctors’ Lounge?

So I went to eat my free daily  lunch offering the other day  in the doctors lounge when I noticed that a giant plate of enchiladas was just about  empty.  At 10:35 am.   It’ not every day you get a free hot meal at Happy’s hospital,  I would like to thank the Medicare National Bank for paying for my meals.

Generally,Happy’s doctors lounge offers a fine consistent assortment of cold salads, sandwich meats and several soup offerings.  I found myself wondering exactly how much money I save every year by eating lunch in the doctors lounge.  I remember Mrs Happy’s daily lunch bills when she worked in the hospital.  It can add up pretty quick for nurses without the secret handshake to get in to the doctors lounge.   Read more »

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

MRI Scanner Made Of Lego

The picture of the day award goes to the Voxel123 Flickr user who posted images of a Lego MRI scan.

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And the original one:

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*This blog post was originally published at ScienceRoll*

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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