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Wednesday, 24 June 2009

  • Sorry for the inconvienience.

    * * * "This is Paramedic741, we have a multiple stabbing victim coming in, be there in less than 2 minutes" * * * *

    Sorry to interrupt you sir, but you are in the Emergency Room right now.  Yes I do realize that it is probably a VERY important cell phone call that you are having right now.  I am sure that your girlfriend wants to know what the inside of the ambulance looks like, and also that some idiot doctor really is pestering you right now.

    I apologize for my irrational behavior, but could you please at least let me know how many times you were stabbed?  Oh, it was five times?  Ok, thank you.  Please continue with your important call, I will patiently wait while you continue to bleed all over the floor.  I am sure discussing which bars you went to last night is infinitely more important than finding out if any vital organs were sliced open.  You're right, I am being a prick for interrupting you. 

    Yipes!  Yes, you are right.  It is completely Fu*#(@&*  malpractice for us to try to put an IV in you.  We would not want to accidentally give you some IV fluid and maybe give you life-saving medication.  Yes, please continue to test message all of your friends instead of answering any of our questions.  I understand, you have a very busy life, and at 3:50am many people want to be woken up so they can get that important information. 

    Interesting perspective.  Though I don't agree that the nurse is a F*$@ing B*#%, thank you for screaming it at the top of your lungs.  I'm sure the family with the sick children next door appreciate your perspective.  These new people are from the surgery team, they have to evaluate you as well.  No, I'm sure they won't interupt your busy schedule of swearing, peeing on the floor (despite the urinal literally 5 inches from your hand) and texting on your phone. 

    Sir!  SIR!  Please refrain from taking a swing at our staff.  Though you were no where close to hitting them, likely since you are amazingly drunk and uncoordinated, we try to refrain from punching people in here.  Thank you.

    No.  I actually think that leaving the ER right now to go outside and have a cigarrette is a bad idea.  Sometimes, when people get stabbed several times, that is actually a bad thing.  Yes, I know, I am a stuck up F*#@.  I do have crazy demands.  Again sorry for the inconvienience.  We would like to run a few tests though.  Yes, I know that you ARE SURE nothing is wrong.

    Oh, guess what.  Somehow, despite your extensive medical training, you were actually wrong.  It turns out that you actually do have serious medical problems after being stabbed multiple times.  What's that?  Ah, I see.  Yes, you are right, I just ran all of those test since I am greedy.  Even though you informed me several times that you are not going to pay for any of this Sh*#, and I am sure you won't, that is my main reason for ordering all of the test.  By some weird cooincidence we managed to keep you alive and find serious problems though.

    You are going to have to be admitted to the hospital overnight.  Yes, we are all F&#*ing A&&holes.  It is unreasonable for us to admit you to the hospital and not let you smoke while you are on oxygen and not let you go back to the bars draging your intestines behind you.  No, we don't let you drink vodka in the hospital.  We're kind of jerks that way. 

    Sorry for the inconvienience.  
     

    Currently
    Just After Sunset: Stories
    By Stephen King
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Monday, 08 June 2009

  • My Beautiful Drunk Baby

    For a while I have been trying to explain what a baby is like.  Other people have described having one a form of brainwashing.  You wake up at random intervals repeatedly to perform trivial tasks.  Or, actually, sometimes to perform no task at all.  Sometimes you get to sleep 3 hours, sometimes 20 minutes.  There is no way to tell.  If you don't get up the punishment will be swift and severe.  Not only that, but it's only going to prolong your agony and increase the time that you must stay awake and miserable. 

    Want to have a kid yet?

    On the plus side, the kid grows out of this stage, and I am quite pleased to announce that Sam has actually slept for over 4 hours straight.  This may not sound like much to you without children, but those of you with children I can feel you nodding your heads to my weary triumph.

    Also on the plus side, when your little peanut smiles at you, it makes it all worth it.  At least that's what I keep telling myself over and over.

    Back to the point at hand.  I was trying to figure out what a baby is like.  I am somewhat surprised it took me this long, but after a quick discussion with my friend, we'll call him Superman, I realize that babies are just like the amazingly drunk people.  Let's take a look at the facts.


    WHY BABIES ARE LIKE DRUNKS.

    1.  Both babies and drunks will puke anywhere, including on you.  Both of them will do so with a smile and without an apology.

    2.  Both are needy.  They are certain, without a single doubt, that they are the most important creature that has ever been put on the earth.  They know what they want (baby = milk!   Drunk = Booze/sammich!) and they want it now!

    3.  Both will pee at any given time, even if they have just peed 3 minutes ago.  Also, they have no problem peeing on the floor, even if you leave a perfectly good container right next to them.

    4.  They speak the exact same language.  Truth be told the drunks are much more long-winded, but it is the same language.  (Me:  Good morning Sam!  Her: blblblaah!  Ah-gah!  Ble-ble-ble.  And when I speak to my daughter it is nearly the same)

    5.  They can both poop everywhere, which may shock and disgust you, but you still have to deal with it.

    6.  All you want to do is keep them quiet, and you will do just about anything to make it happen.

    7.  They are incredibly unstable on their feet, while at the same time seem to seek out dangerous places to hurt themselves.

    8.  Screams at maximum volume despite social situation.

    9.  If either gets even a slight bump on the head, you get worried that they might have an intracranial bleed.

    10.  They will both cry.  For no reason.

    Though, to my baby's credit, she does smell much better than any of the drunks I have taken care of.  Even during a dirty diaper change.  However, I'm told this changes when we start adding solid food.  Thus, she gets breast milk till she's potty trained.



    Currently
    Complications: A Surgeon's Notes on an Imperfect Science
    By Atul Gawande
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Friday, 05 June 2009

  • I can see clearly now, the rain is gone

    Ever looked directly into a laser for 45 seconds while smelling your own eyeball flesh burning?  Really?  Me too!

    I officially went under the knife.  Well, actually there was no knife, only lasers.  I got LASIK.  Now, I'm invincible.  Well, maybe that's a little far, but it is cool to wake up in the middle of the night and be able to read the alarm clock.  But I'm sure you're wondering what LASIK is all about, lets go on a journey together to make you less dumb.  But, let me make it sound waaay scarier than it is so that you think I'm a stud.

    First, a bunch of drops are put in your eyes so that you can't feel anything.  These drops burn.  Suck it up and quit whining.  This will be the total of your anesthesia for the procedure.  Thus, I suggest you make sure those drops get in, otherwise the whole laser in the eyes thing might sting a bit.

    The doctor then puts super-mega-suction cups on your eye so that it stays in place.  This may seem trivial, but it is the reason that I have two horrible subconjunctival hematomas on my eyes even 10 days after the procedure.

        I should have clicked on red-eye reduction...


    Then, they make a flap in your outer eyeball with a laser.  Think of it as a trap-door on the surface of your eye that they flip open to get the next laser better access.  They make a large "C" on your eye and literally flip that flap to the side.  Mmm, tasty.

    Next, they ZAP the be-juju-bees out of your eye.  You are supposed to stare at a red dot while they are doing this, but they just cut open a friggin' eyeball flap so you really can't see a darn thing anyways.  The opthomologist will calmly reassure you that the burning eye smell will go away with time and that everything is going great.  Just keep staring at the giant red blur, er, I mean the small red dot.  Don't worry about the fact that if you glance even one millimeter to either side you will surely be blinded forever.  Fortunately they have the super-suction to prevent you from looking around.

    Now, for  a split second, you can actually see a clear, tiny red dot, which is cool.

    Then they repeat the process for the other eye.

    Then you leave and the doc looks at your eyes under a scope to be sure he didn't just accidentally make eyeball pudding.

    Then you go home and sleep for 4 hours, crying like a little girl.  There is a slight burning pain, but mostly you cry since your eyes just got cut open and that's the normal response.

    Now you go back to the doctor.

    Guess what... at that 4 hour later appointment my eyes were 20/20.  Cool.

    The only part that was slightly less cool was wearing sunglasses the entire next day at work.  Also, they have a guard you wear at night (also glasses).  So I got this procedure to get rid of glasses, and now I have to wear EXTRA-DORKY glasses to remind me why I got it done in the first place.

    Currently
    Good Omens: The Nice and Accurate Prophecies of Agnes Nutter, Witch
    By Neil Gaiman, Terry Pratchett
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Saturday, 23 May 2009

  • Confusion in the ranks

    The Emergency Room is often a unique place.  Where else do you strip naked in front of total strangers and let them assault you with an assortment of needles, probes and devices? 

    During a typical shift I have to do rectal exams, pelvic exams, inject people with needles and sew wounds together.  I have seen more people naked (note: for those of you who have seen the Seinfeld episode, this is invariably the "bad" naked, not the good naked) than I care to count.

    All of this is done with the single intention of figuring out what ailment a person may have and to try to make them better.  I don't like to do rectal or pelvic exams, but it is a necessary part of the job in order to find out what is wrong, and the general public understands this.  It is a place that you do what you have to do to help people to the best of your abilities.  It is a place where critical decisions must be made quickly with incomplete information.

    Similarly, I never order tests unless I think it will aid me in discovering what is wrong with a person.  However, I do order lots of test.

    Sometimes though, I have patients that confuse me.  For example...

    Some time ago I took care of  a person with an entire laundry list of problems.  Sore back, sore throat, toe pain, chest pain, short of breath, cough, on and on it went.  From the ER standpoint, not too much of this would be categorized as an "emergency."  That being said I always get worried about shortness of breath + chest pain.  The patient stated they also worried about this.

    Here's the kicker... the patient didn't want any tests performed.

    The patient had done "research" on the internet and was scared of tests, since sometimes tests could be wrong, and other tests could actually cause problems.

    This really confused me.  It was like taking your car to the mechanic but not letting them look at the engine.  Or like going to the dentist and not opening your mouth.  Or like going to the breakdance coordinator and not letting them see your headspin.  Wait, maybe not the last one.

    After doing a thorough history and a physical, most doctors have a decent idea what is going on, but to know for sure we do tests.  There are hundreds of causes for chest pain.  Could it be a strained muscle?  Could it be a bronchitis?  Pneumonia?  Heart Attack?  Pneumothorax?  Esophageal tear?  Acid reflux?  Cancer?  Nothing?

    Fortunately I had the secret weapon that this patient needed.  I don't like to reveal my secrets to the general public (or do I?).  What this patient needed was the secret that I take out for many of my patients... buttering up.  I complement their research and their choices.  Ultimately he let me do a few test, all of which were negative.

    You know a patient is tough when I find myself missing the drunk guy who was walking naked down the hall to try to find the beer that the cops took away from him.  Though, to his credit, he did offer me some of the beer (which was in police custody).  Quite nice of him.

Thursday, 14 May 2009

  • Swine Flu

    Swine flu.  Who wants to hear me whine.  I don't care.  I'm whining anyways.

    Heard about it?

    Ever been an ER doctor when these something like this comes out?

    Emergency rooms all over the country are shutting down because people are coming in with sore throat and sniffles instead of doing what they would normally do which is stay home, drink fluids and sleep.  Not only that, but everyone is in such an uproar about it that personnel in the ER have to wear giant Hazmat suits just to see patients.

    Fortunately for you, I found the ultimate source of the swine flu and I have begun the eradication process...

    Don't use any tissue-paper dispensed by pigs, just to be safe.

     

    Please Stay Away From the Swine Flu! 

Sunday, 03 May 2009

  • The bellybutton

    I used to read about people who had a kid and ALL of their entries became about their kids and the stupid little things that they did.  I did not want all my entries to become about things I thought were amusing about my child.  Now here's an observation about my child that I find amusing.

    What does the term "blow-out" mean for you.

    Let me tell you what it used to mean to me.

    It used to mean that when I was driving one of the tires just exploded.  A blowout would mean I would have to pull over, change the tire.  Also I would have to get the other tire fixed or replaced.  This would be a bit of a hassle, but nothing that would strike fear into my very soul.

    Things have changed.

    Now, the word "blow-out" means something completely different.

    This means that the super absorbent diaper reached critical mass and was unable to hold the load that my daughter provided.  This happens only rarely (so far).  However, when it did happen, it blew my mind.  It was everyone.  Up her back, down the leg, and in her belly button.

    Think about that.  Think just about the logistics.  Where does poop come out of and where is the belly button.  We are talking about opposite hemispheres here.  North vs South pole so to speak.  Yet, despite the incredible odds my beautiful daughter found a way to poo her way around to her belly button.

    I was so proud.

    If you are new to the show, I tend to talk about poo probably 3,493% more than the average human.  I think it stems from the fact that as the rest of the boys in the playground grew out of fart jokes, I continued to write them professionally.  I don't know.  Either way, I am glad to see that my daughter is at least taking after her father in some small ways.

    Currently
    Good Omens: The Nice and Accurate Prophecies of Agnes Nutter, Witch
    By Neil Gaiman, Terry Pratchett
    see related

Tuesday, 14 April 2009

  • Poops, there it is: The real story of a 9 day old

    My beautiful 9 day old daughter will look up at me with what I can only hope is love and adoration while I feed her and she takes a dump right in my arms.

    This is fatherdom.  You just don't care about the little things, like getting any sleep anymore.  OK, that's a lie.  I still want sleep.  Badly.  But priorities have been adjusted so rapidly and so drastically that I hardly remember how life was just a mere 11 days ago. 

    All the other parents keep telling me that this is the most wonderful, magical, and greatest thing anyone can do with their lives.  I am sure with time I will agree, though now my wife and I are so sleep deprived it seems almost inhumane. 

    One of our friends, Hoosh, stated that "it borders on torture.  Waking up every hour to either, feed, change, console, or just responding to a cry that quickly goes away." 

    Today, my wife let me sleep in... I got to sleep at 5am and slept till 10:30.  I woke up and felt great.  So weird, since I usually would try to get a solid eight hours.  She on the other hand is currently passed out on the couch.  Though she says she is better prepared for this, since she has had interrupted sleep for the last three months or so with pregnancy. 

    She also has started pumping breast milk.  We received the lectures in the hospital by the nursing Nazis who informed us that if we did not breastfeed our child would most likely grow into a serial killer by the age of 9.  That is, of course, if our child did not spontaneously combust which also comes from not breastfeeding.  Now she has brestfed for several days, and Samantha has started drinking more, she has to pump all the time.

    My wife summed it up best: "moo."

    Parents/family has come regularly dropping off food/support, which is awesome.

    Currently on the TV?  Classical music lite.  Sweet.  Great.  I was hoping to bone up on Salieri's Ericlito E Democrito/Overture.  Our house looks like a Babies R Us threw up all over the place.  But, life is sweet, since I have this to keep me going:


    Currently
    Salieri: Overtures
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Sunday, 05 April 2009

Monday, 30 March 2009

  • Ping Pong Champion

    The ping pong champion was not me, I'm sorry to say.  I'm pretty good, but just not good enough.

    In other news.  My daughter is being VERY disobedient by not being born yet.  I figured by now I would already be a pro at changing diapers and feeding and all that.  Unfortunately, she has decided that her liquid goo phase of incubation must last the full 40 weeks.  What a lazy baby.  When she gets out of there, she is Soooo grounded!

    To my wife's credit, she has tried every possible way to induce labor... except for inducing labor.  Our sister in law is a OB nurse where she is planning to deliver.  She was on vacation and came back today.  She "gave" her permission for us to have it tonight.  So help me if we do have it tonight, they are both going to be grounded.

    We also have received many helpful books and advice from our friends.  One of our friends gave us a book on what to do and what not to do...  here are a few examples

    I am relatively positive I know this guy from work...
     
    I've heard a dry baby is a happy baby...

    Currently
    Lords and Ladies
    By Terry Pratchett
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Tuesday, 24 March 2009

  • Awkwardity

    Recently I have had a bunch of patients that have required intubation in the ER.

    That is fine.  If you can't breath, and the only option you have for survival is for me to put a piece of plastic through your vocal chords to breathe for you... well then fine.  I like the procedure.  It is something that makes life in the ER quite exciting since you are taking away the on thing that keeps everyone alive... breathing and replacing that with a machine.  We have to do it to all sorts of people from the typical difficulty breathing to the people who are so drunk that they forget how to breath in the first place...  Pretty crazy stuff.

    However.

    Current trends have changed from the past.  Now, if a patient is receiving CPR, doctors are supposed to ask if family wants to watch as their family receives chest compressions, intubation, and other treatments.  I know CPR on TV can be glamorous and amazing, but in the real world it is brutal.  Ribs break, patients vomit and soil themselves, and blood can be everywhere.  It can be a total mess.  what I am told is that people want to see that the doctors/nurses/techs are all doing everything they can to save their loved ones life.  However, it seems like it might be a pretty graphic last image of a loved one.

    Recently a patients spouse asked to stay in the room while their significant other was intubated.  I did not have any problem with that, other than it was a bit awkward.  I don't think I would want to watch my wife get intubated, and I have more experience with it than the vast majority. 


    Out of curiosity, just wondering if anyone out there would want to watch CPR of a loved one?

    Would you want to watch your loved one get intubated or other invasive procedures?



    Currently
    Small Gods [SMALL GODS] [Mass Market Paperback]
    By Terry(Author) Pratchett
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slicy

  • Visit slicy's Xanga Site
    • Name: slicy
    • Country: United States
    • State: Michigan
    • Gender: Male
    • Member Since: 8/14/2004
    • Lifetime

Me in a nutshell

Quickthoughts

  • 1 day until I have to have my Christmas letter done.  Thank goodness I haven't started yet.  It wouldn't be the same without rushing thru it.
  • My pulse was 118 when I was all in holding ten/ten with a rainbow 2, 4, 8 on the board... then he callse with J/K and I lose on the turn.
  • Night Shifts for an entire month. The good: working with great people, get to see crazy crap The BAD: drunk, high, very VERY psychotic

Chatty spot (6)

  • InkBlotBlog
    I wish I had something insightful to put here, but in all truth, I'm just here for the puppy.
  • RockOfEadie
    haven't heard from ya in a while, hope everything's doing well for ya
  • slicy
    @storyslut - thx, kinda insanely crazy busy for the time being, will prolly be back in a month to post more often, nice to be missed though :)
    • Posted 5/19/2008 12:18 PM
    • by slicy
  • storyslut
    Miss ya, hope you are surviving the night shift! (no thanks on the puppy)
  • Simply_Rebecca
    Nice profil pic, kindda scary, but still, nice!!!
  • slicy
    Free puppies to the first 10 to post on the Chatboard
    • Posted 4/12/2008 8:53 PM
    • by slicy

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