Thursday, March 29, 2012

Football II


I don't care for soccer. The field is way too big - so there is a ton of running around and not a lot of scoring. And the rules favor that whenever you get within 6 inches of a player on the other team, you go down to the turf and fake an injury until somebody hits you with magic spray. And there's a lot of shouting.

Want to make it better? The clock should count DOWN. Anyone who seems injured has to go sit out for 5 minutes. Make the field way smaller. And if all that doesn't work, put one guy on each team who can use his hands...

...to hit people.

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Sunday, March 25, 2012

Psi


A lot gets imbued on the humble ψ. I'm not sure there are any other fields where the whole thing can be subsumed into a single Greek letter. If you suspect 'supratentorial' issues in your ER interview, you pretty much just put a ψ in your notes, and underline it repeatedly as more supporting information comes in. Conversly though, if I suspect gallbladder causes, I don't just put ∑ or something. Maybe I should, the surgeon is going to do his whole own assessment anyway, just as we trust the ψ folks to do.

I guess the bottom line is that other fields need to pick out their own letters.

...And adopt the same hours as the Psychiatrists.

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Thursday, March 22, 2012

Conflagration


Match Day was last week tomorrow. Acceptances spread like wildfire in a blaze of mutually-acceptable position paring.

I'm really glad I ended up in that one profession where I don't really have to worry about finding a job, I just get matched in after some interviews and dinners. I imagine this is what the goal must have been in a bunch of communist societies that didn't work.

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Sunday, March 18, 2012

After Party


If I had to say, the predominant event scheme for yesterday's festivites, with respect to awareness and state of consciousness was green and inebriate, respectively. Theme in tow, I'm working on my own series of St. Patrick's PSAs. And by series, I mean just this one.

I actually also have a 'Post Match Day' Drawing all ready to go as well, but seeing as how I've already missed that day, I figure it will hold until Thursday.

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Thursday, March 15, 2012

Scatological Punctutation


Paper Chart. Electronic Chart. Different Electronic Chart. Hybrid System. Paper Chart.

I'm back on paper charting now, so naturally, I have a lot of time to think about the individual characters. I can't just type 'em out.

??????

See, that would have taken like 4 seconds with paper. Plus, I tend to make a lot of mistakes, and if I misspell 'ERROR' above my strikeouts, I'm not really sure what I'm supposed to do with that. It really is a pickle.

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Sunday, March 11, 2012

Laundry


I was supposed to do laundry today and I forgot. That is all.

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Thursday, March 8, 2012

Everything is Great...


The hospital has a channel, this is the real hospital with the sick people, a channel where it just shows pleasing nature images set to calming music. Nobody would ever choose this channel, because it is boring as frak. But it ends up on your TV a lot when you have altered mental status. I guess some care worker figures that if you're going to be unconscious, it would really suck to be unconscious and bored.

A similar finding is when somebody's grandkids or daughter has recently been in the room. I really don't think that some 82-year-old veteran cares that Kelly Ripa is in Hawaii. Maybe he would have, but if not - he's not thinking right.

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Sunday, March 4, 2012

Fun With Folstein


The exam in psych is very different than the exam in neuro - which is odd, given that the mind is so close to the brain topologically. In neuro, we periodically unload an entire 80-point exam to tease out some sort of minor sensory impairment. In psych, if we want to do something that requires a stethoscope, a special medicine doctor who rounds separately takes care of that.

A constant between the two exams is the Folstein Mini-Mental Status. There are a number of things I would like to do to freak out the medical student as a patient. This would be one of them. The best part, even if I drew exactly that, I'd only lose a single point.

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Thursday, March 1, 2012

The Pun is Mightier...


Done with Neuro, starting with psych. A lot of the symptoms I see are very similar. The major difference is that now it takes the better part of a week to turn an MRI around, whereas we were tossing them out like candy on Neuro wards.

So far so good though. No cuckoos or anything.

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