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Sometimes it just ain’t in ya…

There are days when it just isn’t in you.  I know everyone has these days, but somehow as a doctor you just aren’t supposed to.  There is an expectation that if you’re any good you will rise above all BS, never let it suck you in, and never let it bring you down.  Even if [...]

Doing the right thing can be costly.

There are few decisions in life that are black or white.  Our entire society seems to live in shades of grey.  At some point in every physician’s career one must decide which shade of grey is most comfortable for him or herself.  It is actually impossible to do “the right thing” everyday and with every [...]

So What’s the ‘Craziest’ thing you’ve seen in the Emergency Department?

This is probably the most common thing people ask me when they find out I’m an ED doctor, and I can totally understand the curiosity.  The ED is a crazy world.  Fascinating things happen everyday. 

Does it really need to be this hard?

I saw a patient today who has become a semi-frequent flyer.  She has been in for chest pain, had MI’s ruled out, received, narcotics, reassurance, the run around, etc on several occasions.  When I first saw her come in I was planning to do more of the same. 

Electronic Medical Records (EMR’s)

We ran out of blank physician charts in the ED today, so we photocopied one and used those copies until the new order came in. As I used the photocopied “chart” today over and over again for each patient I repeatedly noticed the crooked angle of the lines and boxes that occured as a [...]

Death by a Million Small Frustrations and a Dozen Night Shifts.

If it is possible to die from a million paper cuts then the Emergency Department is where it’s going to happen. This is literally true considering MRSA and figuratively true considering the mounting obligations piled upon emergency professionals.

You saved his life Dr. Mallon and Dr. Herbert….

Yesterday I had the gut-wretching experience of caring for that asthmatic you all talk about.  He was the patient you have dedicated so much time to teaching us about. 

A C-Booth Tale……

At 3 AM a man presented to C-Booth (the critical care section of the Emergency Department) vomiting massive amounts of blood and nearly choking to death.  He was going downhill fast, and needed to be intubated (placing a breathing tube).  The intubation was not going well, and his blood-oxygen levels were dropping as repeated attempts [...]

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