Who links to me? X-ray Rocks: November 2008

Saturday, November 29, 2008

Pressure Cooker

I canned vegetable soup.

And Peach/Mango/Passion fruit marmalade.

And Sugar cookies!

Friday, November 28, 2008

Monkey Bread

Today I felt like monkey bread, in that everyone wanted a little piece of me.
Or maybe like Brad Pitt in his underwear.
Or a million dollars.

Anyway- I was very busy.
We were (of course) short staffed and swamped with old people. Every holiday it's the same way.
"Grandma, what! you look so old! I can't believe you've aged in a year! When did that happen!?!"
"And Grandpa you banged your knee four weeks ago and it's bruised? Your old skin hasn't healed rapidly like my young healthy skin!?! That can't be! To the ER we must flee! With the entire family! All 50 of us."

So....when we have actual sick, DYING patients, the faux sickies (semi-sickies) get upset that they have to wait and their 50 relatives complain and argue with the million other relatives in the waiting room and the fighting spills out the front door and the police come and arrest everyone and finally - - - - there is peace.

OK it wasn't quite that bad.

At one point I was the only tech in the hospital (the other person was out to get lunch). I was in the recovery room doing post op xrays on a hip and ER called with a stat port chest on a baby. I hung up and anesthesia called for a port chest for line placement.
It was that kind of day.
Everyone wanted everything STAT.

And everything was portable and none of the patients could stand or move themselves.

Honestly, I had a really great day.
It was fun.
I love crazy.

Monday, November 24, 2008


So, here's something new.
I had to look this up.
The Rad read this as "post maxillary LeFort BSSO".

A quick google -"Surgery to the maxilla is carried out at three levels named after a French Surgeon René Le Fort.

The Le Fort I osteotomy involves separating the maxilla and the palate from the skull above the roots of the upper teeth through an incision inside the upper lip. The maxilla is fixed in its new position with titanium screws and plates. Surgery time is around three hours. The operation is frequently carried out with the mandibular Sagittal split osteotomy when it is termed a Bimaxillary Osteotomy.

Bimaxillary osteotomies take around five hours to complete and may be carried out in conjunction with chin surgery and liposuction/liposculpture. On occasions bone grafting is required in the Le Fort I osteotomy to ensure bone healing and union across the bone cuts. The graft is frequently harvested from the hip. Bone graft material may be harvested from the chin or lower jaw in bimaxillary cases – leaving the hip intact.

Cosmetic improvement is startling for those individuals requiring these procedures, and with proper planning it is unusual for patients not to be delighted with outcome.

Interesting.....gross, painful, but very interesting.


NPO 4 U!!

Sunday, November 23, 2008

Contact Sports

I'm getting really sick of x-raying little ( 7-10y/o) kids injured in contact sports. This little boy was playing tackle football and he was wearing all the right protective equipment. It wasn't a pick-up game in someones backyard.
His parents were surprised that he had a broken femur. "It was just a little kid. (that tackled their son and broke his femur)" the dad said.
When you go to a Mighty Midgets' (or whatever their team is called) game and there's an ambulance and paramedic crew parked on the sideline it indicates that this might be a dangerous sport.

This is the fifth femur fx on a child under 10 that I have done in the last 2 months.

Wednesday, November 19, 2008

Robin Hood

I'm so excited. League sign-ups for the local archery club are next week. Because of the old job, I worked on league nights, I couldn't sign up. But this year I can sign up!!!
My bow is strung, my fletchings are glued and my nocks are tight. I'm ready - and I hope the next time I post Robin Hood, it's means I've actually shot a robin hood* (like that will ever happen!).

*The term "Robin Hood" refers to splitting the shaft of an arrow already in the target with another arrow.

Shepard's Pie

I made a Shepard's Pie last week. The recipe's from the Sunday's At Moosewood cookbook. Every vegetarian should have a copy. The book is divided into regional sections - vegetarian recipes from Africa, British Isles, Italy, China, Mexico, ect. ect.
I used a prepared tofu "sausage" instead of the frozen, shredded tofu called for in the recipe and pre-packaged mashed potatoes, because they were free with a purchase at the grocery store.

Tofu Layer -

Tofu "sausage" 16 oz pkg
1 large onion chopped
2 med carrots sliced
1/2 cup celery sliced (or any root veg. of your choice, parsnips,beets,ect.)
2 Tbs veg. oil
1/4 tsp thyme
1/2 tsp coriander/cumin seeds
pinch freshly ground black pepper
1 Tbs lemon juice
2 Tbs soy sauce

Saute the onions, sliced vegetables, and spices in the oil until the onions are translucent. Stir in the tofu, lemon juice, soy sauce, and black pepper. When heated through, remove from heat and set aside. Place this first layer in a well greased 9x9 inch baking dish.

Potato Layer

Use pre-packaged mash potatoes (like me) OR

4 large potatoes, peeled and cubed
3 Tbs butter
1/2 cup milk
salt to taste

Place cubed potatoes in saucepan and cover with lightly salted water. Bring to boil, simmer until potatoes are soft. Drain - saving hot potato water to use in gravy. Mash potatoes with butter and milk. Salt to taste. Set aside.

Mushroom Gravy

2 Tbs veg. oil
1/2 lb mushrooms, sliced
3 Tbs soy sauce
pinch black pepper
1 1/2 cups hot potato water
2 Tbs corn starch dissolved in 1/2 cup water

Heat oil in a skillet, stir in mushrooms, soy sauce and black pepper. Saute until mushrooms are tender. Add 1 1/2 cups hot potato water and bring to a boil. Slowly stir in cornstarch mixture and cook at a low boil, stirring continuously, until gravy in clear and thick.

Pour mushroom gravy over veg./onion layer in baking dish.

Cover with mashed potatoes, dot the top with butter and bake at 400 degrees for 15 to 20 mins - until top becomes golden.

If I made in again I wouldn't bother with the tofu "sausage". I used portabella mushrooms and they are 'meaty' enough.

Wii Mii

I'm addicted to Wii. It's sad, but true. That's my mii hanging out with Mario and Princess Peach. I got a gold on every level in Mario Cart and they took a commemorative picture.
This is the first video game I have ever played and I can see why people become addicted.
"Just one more game. Ok. One more. Now just one more...."
Well, excuse me, now I have to get back to Rock Band.
The Wii is calling.

Tuesday, November 11, 2008

Down Fall

This patient fell 15 feet from a roof and broke his radius and ulna. Another tech did the x-rays (and hung this first one upside down).

The bones are so crushed that this lateral looks almost like an AP.

Vet Visit

So I took my cats to the Vet today.

Did you think this post was about Veteran's Day? :)

Catty, the 8 y/o, is doing fine, but Saveta, 15 y/o, has all the symptoms of hyperthyroidism. Ugh. They took blood and urine and now I'm waiting for the Vet to call with the results. He said he would probably prescribe pills for her and see how she reacts to them. She also has an icky tooth that needs to come out.

I hate the idea of giving her pills everyday. She is a cat. Just a pet...but still. She runs around and plays with her toys. She doesn't act sick.

I've had her since I was 10. I watched her birth and was the first person to touch her, so I guess it's hard to think about her dying, because she's a part of my childhood. And a part that hasn't really changed - cats don't get wrinkles!

Sunday, November 9, 2008

Ouch Eww

Nicely dislocated finger on a 50ish woman. "Caught finger in sweater and fell over onto hand." Ouch! It looked really messed up from the outside too. I felt like telling the woman to take a pic of it with her cell phone. She could show it to her friends. The 4th digit was almost perpendicular to her other fingers! So weird.