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Thursday, 26 April 2012

  • Why I'm happy

    I have a saying.

    "Glark, book-ook, munganga-ka dee!!!"

     

    That is not my saying.  Those are the noises I made when I learned how to barefoot water-ski for the first time and 2000 gallons of water rushed into my crotch at 38 miles per hour.

     

    As I sat, floating on the water, the life jacket, trying it's darnedest to keep me afloat despite my desire to empty my stomach into the already slime and Swan filled waters, I realized that sometimes things don't always go as planned.  You see, despite many years of being the youngest in the family, I somehow maintain the attitude (or delusion) that optimism is still the way to go.

     

    I know, all you realists, and pessimists, and conservationists out there may disagree... but that's your nature, right?  I actually find that even if being an optimist doesn't really help me in everyday circumstances, it can help others.  People think being a pessimist is edgy.  Hah, get real.

    You want to confuse people?  You want people to really think you're nuts?  Have a few bad days and STILL have a positive attitude.  Nothing makes a pessimist cringe like having a bad day and being able to shrug it off.  We've ALL had bad days.  All of us.  Every single person reading this can rattle off 5 things in under a minute that gets them down.  Likely 5things that happened just today.  Now list 5things you have to be happy about.  

    I'll wait.

    ...

    You want me to still wait?  Cause it's actually easier than you might think...  Look at the first 10 you listed that are bad things... they are all behind you.  They are over (well, unless you listed chronic pain or 2000 gallons in your crotch, cause that takes longer than a few seconds to go away (especially if swans are in the water (little know fact, swans are friggin' jerks (seriously, I hate swans (you would too if after 2000 crotch-gallons one came hunting you for no reason!))))).

     

    Let me pretend I'm you for a minute (ooh, don't I feel so sexy all of a sudden).

     

    1.  I stubbed my toe when I woke up (you list as bad thing, I list as "hey, now it doesn't hurt anymore and I'm over it)

    2.  I woke up late for work and had to rush (I list as whew, though a crazy rushed morning, I still made it in time, who rules, I do!)

    3.  Had to make coffee b/c Janice (friggin' Janice!) took the last cup (I list as meh, no big, fresh coffee is  better any ways)

    4.  Had to poop at work (I have the advantage here, I can poop like a ninja and be in and out in less time than you can pee, so, sorry, I'm just better at this than you, don't take it personally, (we all have our superpowers <--click))

    5.  Forgot the to-go breakfast you left on the counter (but now it's later, and you got to eat whereas thousands today did not (feel guilty yet?  check out Mr. Wet Owl, he also had a bad day)

     

    So, to recap...

     

    Everyone has reasons to be pessimistic or optimistic.  I think the world might just be a happier place with more optimists, but again, that's just my opinion happy

Sunday, 15 April 2012

  • You're wrong, no you are, uhn-uuuh, YOU are!

    I  took care of several wonderful caring, hard working people who happened to unfortunately be sick.  I'm sure they're all getting better... but who cares about them, I want to vent about the chaos!

     

    One of my wonderful nurses came up to me and stated she was a little frustrated.  The reason she was frustrated was that she and a family member were arguing about the pain scale.  You see, the nurse explained that, on a level of 0 to 10, 0 being no pain and 10 being the worst possible pain anyone can have, where was her pain level.  The The patients family member explained that this scale simply was wrong.

    Him: "Pain can get much worse than a 10/10,"

    Her: Um, the scale only goes up to 10.  10 IS the worst possible pain.  10 is the max.

    Him: Yeah, but pain can get worse than that, so the scale is wrong.

    Her: What?

    And it was at that time, both people were confused that the other one was not getting it.

     

    I think maybe we need to change it from a 1-10 scale to something more abstract.  

    Me:  Sir on a scale of purple to the letter M, where would rate your pain?  Would you call it a light chocolate, or a glib button?

    Him:  Huh?

    Me: Great, I'll just write a 2, thanks.

     

     

    I'll give this guy at least a 7.

     

Friday, 13 April 2012

  • Daughter poop

    I normally (on any given day) get pretty excited about a good dump.

    However, when my daughter pooped in the toilet for the first time, that was time to celebrate.  

    She pooped!

    She dumped!

    She crapped!

    She dropped her very first load!  

    She pinched her first loaf!  

    She plopped her first squat!  

    She gave Fozzy bear the old Wacka-Wacka

    She dunked some stinky oreos!

    She liquidated some Snickers!

    She submerged her first colon submarine!

    She released the bowel hounds!

    She relaxed her anal sphincter in order to expel solid liquid waste residing in her colon!

    She sent the muddy pigs to the abattoir 

    She parked the brown car at the splashmart

    She released Pooh Bear back into the Wild

    She told the wicked monkeys to go home

    She shot Chewbacca out of the cannon

    She paddled the stank-canoe out of the tunnel

    She gave the Tazmanian Devil the slip

    She threw wood chips down the Slip-N-Slide

     

    K, that's all I can come up with for now.  Yay!

     

    In other news, it was not the normal bribes to get your kid to poop that did it.  Nope, she did it so she could play with mom's computer (that's my girl!).

     

      

    She's finally out of this stage, moving to the next...

     

     

    Next phase... fun shapes!!!

     

Monday, 09 April 2012

  • Rough night

    I think I have a contender for one of my roughest shifts ever.

     

    1.  Emergent Priority 1 with a patient who inhaled toxic gas... subsequently needing and open trach in the ER (rough start)

    2.  Emergent Priority 1 with COPD & crashing

    3.  Emergent Priority 1 with heart rate in the low 20's

    4.  Emergent Priority 1 baby in cardiopulmonary arrest who subsequently died.

     

    I could give more details, but look again at #4 up there and ask yourself if you really need/want them.  This pretty much took the wind out of my sails.  When something like that happens, everyone in the ER collapses a bit mentally.  Then, after trying to comprehend that, I get to relive it by telling the parents that their little baby died.  I'm sure there's worse things to do than this, but off the top of my head I can't think of a single one.  

    It has been a little bit since this happened, yet I can still (quite clearly) see the child's mother rocking her dead child back and fourth, over and over in my mind.  There definitely was nothing I could have done to save the baby.  It doesn't matter. 

     

    Ever had a day at work that made you rethink what you do for a living?  

     

     

Wednesday, 28 March 2012

  • Stop kissing pavement at high rates of speed!

    There are certain things in life that go up and down at very high rates of speed.  Sometimes these things make you nauseated and sometimes terrified, but often, you can enjoy them.  These things are called roller-coasters, and that is not what this entry is all about.

    This entry is about gravity.  I have made a breakthrough discovery which will likely change the world as we know it, and possibly save humankind.  You're welcome.  Let me explain.

     

    For those of you who currently live on earth, or who have put down the meth long enough at least to visit for a bit, you likely know two things about gravity.

    1st factor: Gravity is directly proportional to the mass of an object.  Thus if we are on the moon, it has a much smaller mass, and Neil Armstrong can jump much farther and hit a golf ball 700 yards.

    2nd factor: Gravity is INVERSELY proportional to the distance of the objects squared.  Thus, as something gets farther away from the planet, the gravitational pull decreases quickly.

    These are facts based in science which you may or may not chose to believe.  If not, please test your own gravity theory by jumping off the nearest 50 story building and willing yourself to float around.  

    For many years, these two facts served as the basis for how gravity worked.  Some of the aggressively dorky in the class may point out the quantum theory of gravity as well, to which I say shut up, no one cares about graviton particles but you.  

    Back to my theory.

    Assuming point 1 and 2 above are true, there is also a third factor which can drastically effect the magnitude of gravity.  That, of course, is alcohol.

    You see, as one consumes alcohol, the power of gravity directly on the brain increases with every drink.  Now when I say gravity on the brain, I mean exactly that.  Though some so-called "doctors" might tell you that alcohol is absorbed in the GI system and acts as a central nervous system depressant.  This is of course idiocy.  Alcohol has multiple magical food demons that hide inside while you drink them and make you temporarily feel awesome, until they die, at which time you also feel like you wish you were draped over a boat and left to sea, or "hung-over."

    The formula goes something like this:

    Gravity (3rd factor) = brain x (D x 10%) x (TT>5 + T<20)

    For every drink >1 that you consume, the earths gravitational pull on your brain increases by 10%.  Thus after a few drinks, you  might feel a little heavy, but, after 10 or more drinks, trying to keep your head from colliding with the pavement at exponentially increasing rates of speed becomes an impossibility.  Also, the TT>5 is the fact that for each tattoo on your body more than 5, added to the amount of Teeth you currently possess less than 20, can greatly increase your chances of having the gravity pull your face into the ground with drinking.

    I site exhibits a,b,c,d below as just a few examples of my theory.

     

    Have you ever had excessive gravity attack you before??

     

     

     

Tuesday, 20 March 2012

  • Sorethroat

    Time to vent.

     

    How many times have you taken an ambulance?  If you are like most people, the number is less than 5.

    Before I became a physician, whenever I saw an ambulance what I imagined inside was a person struggling to stay alive just long enough to get to the hospital to be resuscitated.  I imagined some poor soul on the edge of death, minutes away from the great check out.  

    Now lets recap a few friends I've had lately.

    One is a lady who I'm pretty sure every ER doctor within 100 miles knows very well.  She comes in about every two days for her anxiety.  She complains she is short of breath, when clearly she is not.  She gets seen and discharged over and over and over again.  This is frustrating especially because we have tried multiple counselors and case workers and interventions to help her.  She continues to call 911 and come in.

    This is not as bad as the guy who comes in for his cold.  He had a runny nose and a cough.  No fever, no productive sputum, no shortness of breath.  He pretty much called it a cold.  He also came in by ambulance.  What made this especially irritating was that this fine gentleman had already been seen earlier in the day, he was prescribed different medicines to help with his symptoms, he tried none of them and came back to the ER 7 hours later.  I checked up on him days later and everything was fine, as we all had figured it would be.

    But the most frustrating was the young guy who came in for his sore throat... by ambulance of course.  Now, don't get me wrong, there actually ARE reasons to come into the ER by ambulance for a sore throat; this guy had none of those reasons.  I'm not convinced he actually had a sore throat... or a soul.

    What he did have was a VERY pissed off attitude that he did not get seen immediately.  Then he became irate that I did not treat his sore throat with heavy duty narcotics ("the only thing that helps!").  Then he became enraged when I told him I was not prescribing Vicodin for his alleged sore throat.  Then I showed him his MAPS report (which shows the last years worth of narcotic prescriptions he had obtained from different pharmacies across the entire state).  Apparently our fine friend had been very busy going from place to place to get narcotic prescriptions.

    It was at this time he miraculously got much better and left.

     

     

    Mmm... that's your tax dollars hard at work. 

     

    What have you taken an ambulance for?

Thursday, 08 March 2012

  • Juggling Chainsaws

    "Hmm, I think I'll break my leg today, they do have cable in the ER, and after that, maybe I'll see if I can juggle running chainsaws."  No one does this.  No one actively chooses to come into the ER.  Well, usually they don't.  

    Let me tell you a story.

    It's a story about someone who can chose his customers.

    A friend of mine owns his own business.  He washes windows for a living.  

    He works hard.  Very hard.  He is ridiculously hard working.  You know when you come home from work, and say, 'man, that was a hard days work.'  He will not be there to hear you because he has not gotten home yet.  Also he left earlier than you did this morning.

    He told me about a potential customer of his.  The person called and demanded that he come over and wash his windows.  My friend saw where the potential customers house was and pretty much denied him on that.  He said that he had been mugged in that neighborhood before and he no longer worked in that area.  

    Now this is where it gets interesting.  He owns his own business.  In my mind, he should be able to say:

    "Nope, not going to wash your windows, sorry."

    He is the owner.  He can do that, right?

    Well it turns out that the person who lived in that house happened to be an angry man.  He thus tried to sue my friend for discriminating against him.  My friend refused to pay him money based on discriminating against him.  It ultimately went to court.  The judge, who apparently knew this slime-ball person suing my friend told him to "get the hell out of my courtroom and stop bothering hard working people!"  

    Apparently this guy had done this type of thing multiple times before.  This was his living.  He made money by suing people.  Despite my friend "winning" the case, he had still accumulated $30,000 in legal fees in order to protect his business and his name.  Cost to the other guy... $0.  

    Thus, even when you can chose your customers, it can be harsh.

    I can't chose my customers (they are not patients any more, they are customers, as if they are coming into the Emergency Department to buy a gallon of milk and some Listerine (though one of the drunkest patients I have ever seen did get blitzed off Listerine (cool mint Listerine no less (such fresh breath for a drunk! (though it didn't mask the feet)))) though I really would like to.

    There are certain draw backs to my job.  No one comes to me on a good day.  The simple fact that you are going to the ER to be seen means something went wrong, unless you are insane.  

    There are times (oh so many) where I wish I could pick my clients.  But, what most people don't realize is that it's not the sick ones most ER docs dread.  Oh no, not at all.  Give me a patient having a big heart attack any day.  I can help them and get them to the cath lab and make a difference.  You got a patient with horrible pneumonia?  Bring it on!

    However, if you have a 22 year-old patient with chronic back pain, and been feeling 'off' for the last 6 months, and also has eyelash pain as well as chronic fatigue syndrome with a side order of fibromyalgia?   I'm sorry, ma'am, I'll be in to help you as soon as I'm done juggling these chainsaws.

Sunday, 04 March 2012

  • The perfect hiding place for a baby... your uterus

    So this happened.  I have heard of it happening to others, but for me, it was the first time.

     

    Me: Here with abdominal pain and vaginal bleeding?

    Her: Yes.

    Me: Any chance you could be pregnant?

    Her: No

    Me: Last period?  

    Her: Two months ago

    Me: And absolutely NO chance you could be pregnant

    Her: No

    Me: Gotcha.  Ok

    ...Here's where I do a physical exam on her.  She is obese.  She has a large mass in her abdomen about the size of a bowling ball...

    Me: I'll be right back

    ...I go get the bedside ultrasound.  I come to her bedside.  I get ready to put the ultrasound on her.  She immediately gets out of bed...

    Her:  I have to go to the bathroom.

    Me:  Now?

    Her: NOW!

    Me: ...?

    ...so on the way to the bathroom  she tells me that not only is she pregnant, but nine months pregnant.  However, she didn't want the new boyfriend to find out.  Read that last sentence again.  Yeah.  Um... About that...

    Her: So I'm 9 months pregnant but don't want him to find out

    Me:  You have to go to the OB floor NOW!  

    ...Thus I explained how she was not going to slyly have her baby in the ER without her new boyfriend finding out.  She could tell him whatever she wanted... but she is going to go upstairs.

     

    Ah the sweet delicious drama.  When I was younger I used to think that the people on Maury and Springer and shows like that were fake.  No one could be that ridiculous, right.  Those were the days of pure, happy naivete, and I miss them a little bit.  Oh well, I have to get back to my drunk friend screaming "GLOCK 44! GLOCK 44! GLOCK 44!  GLOOOOOOOOCK 44!"  

    I think I'm still an optimist... but slowly over time, I may also becoming a surrealist.

     

     

Thursday, 23 February 2012

  • You'd better HOPE it's a heart attack!

    In Washington the brilliant leaders have come up with an idea to solve all of the Medicaid woes for the state.  

    It's simple (says the politicians),  All we need to do is have people not go to the Emergency Department for things that are not emergencies.  So, if they do go to the ER for something that is not an emergency, then we are not going to reimburse the doctors or hospitals for taking care of them.

    Now I will agree wholeheartedly that people come into the ER all the time for non-emergencies.  I see people with colds, earaches, toothaches, diaper rash, nausea/vomiting, and everything rotten that you can possibly think of.  Much of the time these are not true emergencies.  However, sometimes they are.  Sometimes a cold is actually a pneumonia requiring treatment.  But I have to run tests to figure this out.  The politicians would like you to know your diagnosis before you have been tested so that you don't go to the ER unnecessarily.  Yes, you have chest pain.  Yes, it could be a heart attack.  But just think, it might just be a cold, right?

    Hmm...

    Here's the great part.  As an ER doctor, I am also required by law to see every single person who comes through the door.  I am NOT allowed to refuse service.  So, if someone comes in with a complaint that is not emergent, I am still required by law to do a screening exam and check them out.  That's the law.  So now if I worked in Washington I would be required to evaluate people that come in, determine if they are sick or not, then if I determine they are not sick I would not be reimbursed for my effort. 

    Does this sound weird to only me?

    Let's do some fun and exciting role playing.

    Let's say your computer is broken and you take it to the technician to get fixed.  

    You: "I think it's a virus in my computer, I'm scared that that's the problem,"

    Techno-dude: "Alrighty I'll check it out and get it fixed.

    You: "Good.  Now I want you to fix it, regardless of the problem, however, if it is NOT a virus, then I'm not going to pay you for your time and effort."

    Techno-dude: "Uh, that doesn't seem fair"

    You: "Shut your face-hole!  Fix it!"

     

    Yeah, that's kinda how this works.  Still missing it, well, don't worry, I'm loaded with analogies like the potato skins at TGIF.

     

    You: Hey Mr. Mechanic-man, my cars making a gnaaark'gnaaark'gnaaark noise (note: this noise is also made by Orcs from various video games (WOW)).

    Him: Sure, I'll check it out.

    You: Hold up.  I'm worried that it's my brakes and they might go out and something dangerously bad could happen.

    Him: Yeah, well, like I said, I'll  check it out.

    You: Right, so could you fix it, but if it's not the brakes, I'm not paying, k?

    Him: That sounds like a completely reasonable and fair way to practice business, but I'm afraid I have to punch you now

     

    What if it was with other physicians as well?

     

    Homicide detective: Hey there Mrs. Pathologist... I need you to do and autopsy on this corpse and determine how he died and if it was due to murder.  

    Doc-O-the-dead: Will do.

    Homicide detective: One thing though.  If, after you do all that work and determine the cause, it turns out that it was NOT foul play, we're not paying for your work.

    Doc-O-the-dead: ...reeeeeally?

     

    I guess getting forced to work for free is not a bad thing.  I suppose we should just do the same with the politician.  You have 2 years in office.  You said that unemployment would be down, the economy would be up, there would be less taxes and more programs for the poor.  The opposite of all of that has happened... So now you don't get paid.  Yeah, I know you were trying your best and tried to do what you thought was right, but we're not paying, sorry.

     

    If only I had a comic with a squid that conveyed my frustration.

    Oh well, here's another comic with a squid

     

Sunday, 12 February 2012

  • Deer Poop

    So we have had a group of 3-7 deer that have periodically been living in our backyard.

    Oh the majesty, oh the beauty, oh my goodness do they poop a lot!  I mean, I don't want to aggressively detract from their natural grace, but I have about 200 small mounds of deer poop all over my yard.  

    My brother hunts.  I don't hunt.  This is not really due to anything I have against hunting, I just don't think it's my thing.  However, the more I look over my ever increasing mound of stool, I think that maybe I'll be cheering for the wrong side next time I watch Bambi.

    You know when it gets really interesting?

    It's when you get a nice snow cover and you want to build a snowman with your daughter.  The white covering turned into an experience in the dangers of non-explosive land mines.  It reminds me of a song...

    "Frosty the poop-man, was a jolly, goopy ghoul,

    with a corn-cob pipe and a button nose and two eyes made out of stool..."

    "There must have been some magic in that deer-poop that we used,

    for when we rolled it in a ball, he began to melt and ooze..."

     

    Venison anyone?

     

     

slicy

  • Visit slicy's Xanga Site
    • Name: slicy
    • Location: Michigan, United States
    • Gender: Male
    • Member Since: 8/14/2004
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Me in a nutshell

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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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