Beer rating: 1
Daylight saving time is over (trust me there's no 's') and last night, the lucky 4 of us who worked the extra hour as we "fall back" in time really felt it. In a past life, I actually have been in a bar once or twice during the time change. Then it's not so painful... last call, no, oops, an extra hour to get that next drink or two in... ahh.
Some thoughts on last night, the first of 4 before I switch back to days to complete this rotation....
crack cocaine habit: $40 a day, ok, so that's about $1200 a month x the last 7 months = $8400. Wow. On Disability, you say? Once, again, your tax dollars at work. Admit with chest pain.
500 pounds is the maximum that our CT scanners can accommodate. Again, it's very difficult to get the proper treatment when you don't fit on the machinery. In this case, I will argue any statements regarding making accommodations for everyone. The lively discussion we had in our E.D. regarding how to go about treating this patient lead to some thoughts which included "vaccinating" patients with tapeworms; in case you didn't know, "diet pills" sold in the early 1900's actually contained tapeworm eggs. You ate what you wanted, the worm consumed all the calories, you lost weight. However, there's a rather nasty bit about worms not always sticking to the stomach and traveling to other parts of the body. Also, you have to one day "lose the worm." Snopes.com is my website of choice when it comes to matters of urban legend. They file this one under "undetermined" but I think there's enough evidence to support the story: http://www.snopes.com/horrors/vanities/tapeworm.asp Regardless, weighing 500 # does not make for ease of patient care.
One of my patients started "hearing voices" about a month ago. Most of the voices sounded like family members, but one voice was actually given a name: Michael Mahooly. They convinced her that her entire apartment was filled with video cameras to watch her every move. Unfortunately, the tumor in her brain that we found when we CT'd her head has nothing to do with the voices. She was transferred to psych.
Crack, alcohol and a big wad of cash do not always make for a fun Saturday night. They just might lead to your getting your head smashed and cut to bits by a broken off bottle as someone decides to lighten your wallet. It's going to take 2 teams of surgeons to repair the eyelid laceration and the mincemeat that once was your ear. Better for you to get sent to ECMC where they can handle traumas. Yep.
Ok... off to bed... tonight will come much too soon.
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