iPhone: turn off Amber Alerts
Yes, I’m a terrible human being. I turned off my Amber alerts. (You can too).
Here’s the thing: If I were on the road a whole lot, Amber Alerts would be much more relevant: X is missing in Y vehicle from Z town. As I’m nearly always a) asleep or b) in my very remote near hideaway where nothing scary or even interesting happens, it’s literally alarming when these alerts come screaming through my iPhone. Disturbing, actually, in a literal sense. I feel like I should apologize more for this decision, so, I cannot imagine the heartbreak and fear involved in wondering where your child is, and I mean th...
Source: GruntDoc - May 3, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: from the iPhone Web/Tech Source Type: blogs
GruntDoc.com turns 11
11 years of nothingness, punctuated by inanity.
Thanks to my 11 readers. I appreciate nearly all of you.
Here’s to twice the fun for the next 11 years!
No related posts. (Source: GruntDoc)
Source: GruntDoc - May 2, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Amusements Source Type: blogs
An open letter to central line packaging engineers
Dear Sirs,
First, thank you for putting all the tools I need into one sterile package, minimizing the amout of running around finding little pieces to start central lines on my patients. (A central line goes into the central venous circulation, allowing the use of hypertonic medications and monitoring of venous pressures to guide fluid resuscitation).
Now, to my gripe: apparently none of you have thought about the order in which these devices are used when starting a line. Yes, everything has a special place, but it tells me you haven’t thought out the actual use of the kit when I have to dig the Seldinger wire out o...
Source: GruntDoc - April 29, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Amusements Emergency Source Type: blogs
What to Say to a Friend Who’s Ill – WSJ.com
Well done.
‘A closed mouth gathers no feet.” It’s a charming axiom, but silence isn’t always an option when we’re dealing with a friend who’s sick or in despair. The natural human reaction is to feel awkward and upset in the face of illness, but unless we control those feelings and come up with an appropriate response, there’s a good chance that we’ll blurt out some cringe-worthy cliché, craven remark or blunt question that, in retrospect, we’ll regret.
via What to Say to a Friend Who’s Ill – WSJ.com.
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Health-Care Costs: A State-by-State Com...
Source: GruntDoc - April 15, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Medical Source Type: blogs
Health-Care Costs: A State-by-State Comparison – WSJ.com
Nice graphs of spending by state, then another breakdown of where the money goes per state. Click through and enjoy the graphics.
Health-care spending in the U.S. averaged $6,815 per person in 2009. But that figure varies significantly across the country, for reasons that go beyond the relative healthiness, or unhealthiness, of residents in each state.
via Health-Care Costs: A State-by-State Comparison – WSJ.com.
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Source: GruntDoc - April 14, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Policy Source Type: blogs
Physicians: Don’t take UAE jobs
Via @Skepticscalpel on Twitter:
JOHANNESBURG — For Dr. Cyril Karabus, it was a routine job, albeit in an exotic location. For six weeks in 2002, he filled in for another doctor in Abu Dhabi, lured like many other foreign professionals by the big paychecks that doctors, bankers, lawyers and architects can earn in the United Arab Emirates and other Persian Gulf nations.
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A decade later, while Dr. Karabus was passing through Dubai on his way home to South Africa after attendin...
Source: GruntDoc - April 12, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Medical Source Type: blogs
An open letter to UnitedHealth Group CEO Stephen Hemsley about my family’s canceled COBRA insurance | Mike Holden’s blog
It’s stuff like this that makes even trying to support the idea of private insurance untenable.
Mr. Stephen Hemsley:
I made an honest mistake, wasn’t given a fair opportunity to correct it and now my family’s COBRA coverage has been canceled by your company.
via An open letter to UnitedHealth Group CEO Stephen Hemsley about my family’s canceled COBRA insurance | Mike Holden’s blog.
UnitedHealth, fix this!
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Source: GruntDoc - April 12, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Policy Source Type: blogs
Obamacare Incompetence | TIME.com
I link to Ezra Klein approvingly about one a decade, so…
Let me try to understand this: the key incentive for small businesses to support Obamacare was that they would be able to shop for the best deals in health care superstores — called exchanges. The Administration has had three years to set up these exchanges. It has failed to do so.
This is a really bad sign.
via Obamacare Incompetence | TIME.com.
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Source: GruntDoc - April 4, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Policy Source Type: blogs
Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report
They’ve made a hovercraft golf cart. Very cool.
Bubba Watson, owner of brilliant pink golf clubs and provider of epic shots around trees, has a hovercraft golf cart. Yahoo! Sports spotted this video of Watson hanging out on the course in his very own hovercraft. Apparently, the vehicle is a collaboration between Watson and Oakley in an effort to make something better designed for the intricacies of the golf course.
via Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report.
Video at the link.
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Source: GruntDoc - April 2, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Amusements Source Type: blogs
2013 Top Docs | FWTX.com
Yours Truly shows up on this list, for the first time.
Fort Worth, Texas magazine sent more than 4,500 local physicians a survey, asking them to voluntarily rate their peers and name the best doctors in Tarrant County. Medical professionals willing to participate went online to cast their votes.
While Fort Worth, Texas magazine provided the fields of specialty, the physicians identified the professionals they regard as being leaders in those fields.
The final results were submitted to a select panel of physicians for review.
via 2013 Top Docs | FWTX.com.
Things are going to start happening to me now, my name in p...
Source: GruntDoc - March 31, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Announcements Source Type: blogs
Defense Department says giving Purple Heart to Fort Hood survivors would hurt Hasan trial | Fox News
Appalling decision.
The document (from the DOD) reads in part:
“Passage of this legislation could directly and indirectly influence potential court-martial panel members, witnesses, or the chain of command, all of whom exercise a critical role under the Uniform Code of Military Justice (UCMJ). Defense counsel will argue that Major Hasan cannot receive a fair trial because a branch of government has indirectly declared that Major Hasan is a terrorist — that he is criminally culpable.”
via Defense Department says giving Purple Heart to Fort Hood survivors would hurt Hasan trial | Fox News.
But saying itR...
Source: GruntDoc - March 31, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Deployed Docs Source Type: blogs
How Doctors Die | The Saturday Evening Post
Well written, and I think correct.
It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. But they go gently.
via How Doctors Die | The Saturday Evening Post.
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Source: GruntDoc - March 29, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Medical Source Type: blogs
Delusions of Benefit in the International Stroke Trial | Closer to the Truth
More TPa for stroke…
Delusions of Benefit in the International Stroke TrialResults of the largest and arguably most important trial ever of thrombolytics clot-busting drugs for acute stroke were published last week in The Lancet, and the study’s conclusions are breathtaking. Not because of the study results, which are unsurprising, but because the authors’ conclusions suggest that they have gone stark, raving mad.
via Delusions of Benefit in the International Stroke Trial | Closer to the Truth.
Well, that’s not good.
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Source: GruntDoc - March 28, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Emergency Source Type: blogs
The Favor
As a medical student in the GYN clinic in El Paso, one occasionally needed both language and female standby assistance, at the same time.
Occasionally like 80% of the time*.
I asked one of the clinic technicians to assist me with an exam; after we were done, trying to be med student charming I said “Thank you, senorita!”
She said, laughing, with the clinic staff chuckling at my discomfort, “It’s Senora, it’s only senorita until someone does you The Favor”.
Education takes many forms. Sometimes when you don’t expect it or even want it.
(This is however a family point of amusement, w...
Source: GruntDoc - March 27, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Amusements Family Source Type: blogs
NYC painkiller poster
From NPR:
Doctors who follow the advice will consider alternatives to opioids and prescribe only a few days’ worth of the drugs, if they decide that’s the best course for short-term pain relief. They’ll also avoid starting patients on long-acting opioids, like Oxycontin, and will refrain from replacing lost, or allegedly lost, opioid prescriptions without lots of due diligence first.
I like it.
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Source: GruntDoc - March 25, 2013 Category: Emergency Medicine Doctors Authors: GruntDoc Tags: Emergency Policy Source Type: blogs
