Dr. Horrible

I Love Dr. Horrible!!

I just stumbled upon this funny, funny video on hulu.
Dr. Horrible's Sing Along Blog

The singing is great and Neil Patrick Harris is such a cutie.

But I want more! Another episode - more, more, more!!

On Y'mark

On your mark-get set-GO!
Tomorrow is a BIG fluoro day - 24 pts and counting!
Keep your fingers crossed for me that it's better than last week!

Goodbye Finger

Hello Saw! Goodbye Finger!!
This guy partially amputated his finger on a circular saw. "I stopped paying attention for one second!" he said.

El Bow

Saturday was a dislocated elbow night. Two in one night - how often does that happen?


This pt was very, very drunk. They gave her 8 of morphine and she was still writhing around on the cart. She also threatened to murder me if I touched her elbow and it hurt her. I couldn't really do a lateral (or an AP or anything that looked right), but I tried and she didn't kill me, so fairly successful.
This next pt dislocated and fractured his radius. He also wanted to kill me. The student I was working with said he looked like he was going to punch me when I was positioning his arm. Hey- if you come to the ER, you're in a lot of pain and you want x-rays done, it might hurt. Boo hoo. Would you rather not know what is wrong with you?
He wouldn't let me move his arm for the AP, so the x-ray below was done with tube/film angle magic. I was pretty close to AP all things considered.
Then I spent an hour in surgery workin' the C-arm.
And ta da- post op films. Looks a lot better, right? (ignore the yellow arrow-it's not pointing at anything)

Post Mortem

AP skull: 39 y/o male suicide - shotgun

*This post will be updated periodically*

Tripped Up

I had a really awful day today. It was a fluoro day, my first in over a month, and it really sucked. We didn't have a ton of patients, but I kept making mistakes, embarrassing myself and saying things I shouldn't say out loud.
I did one gigantically stupid thing (erase part of a pt's digitally archived exam) and tried to make up for it the whole day. Everyone was really nice to me and supportive, which makes me think that they are probably ripping me down behind my back (that is what they usually do).
And to finish off the day, on my way out, I tripped over a box in the hallway and looked like a retard.
Bad. Day.

An Update

I updated Groin Shot with pics.

Diaper Up

Last night at work I put a diaper on a little old lady with explosive diarrhea. Fun. Fun.

When she tried to stand up for the x-ray she grabbed her rear end, "Oh, oh it's coming out again!"
Me - "Ok. Well, I have this diaper-sort-of-thing(that is a diaper). Should we use that?"
Her-"Ok. I guess so."

After the x-ray she went to sit back down, "Oh NO! It's really coming out now! What should I do?!?"
A very pungent stink starts to fill the room.
Me-"Well....hmm....I don't really have anything to clean you up with here....hmm."
She rode back to the ER sitting in her stinky diaper.

I felt bad for her.

Summer's End

I know this post is a little late - it's the middle of Sept., but I wanted to show off some of my garden........again.
Cheddar Cauliflower

Squash

Royal Golden Melon - It grew twice as big as this and turned bright orangy-gold. Mmmm and so sweet too!

Veronica Broccoli

Lincoln Peas with clotted cream

Purple Cauliflower

Kale, Cucumbers, ect.

Watermelon-growing


Watermelon- ripe

Doctor Notes

I stole this from the furry monkey
It's so funny!

Real Doctors Notes

1. Patient has two teenage children, but no other abnormalities.
2. Patient has chest pain if she lies on her left side for over a year.
3. On the second day, the knee was better, and then on the third day it disappeared.
4. The patient is tearful and crying constantly. She also appears to be depressed.
5. Discharge status: Alive, but without my permission.
6. Healthy-appearing decrepit, 69-year-old male, mentally alert but forgetful.
7. The patient refused autopsy.
8. The patient has no previous history of suicides.
9. Patient has left white blood cells at another hospital.
10. Patient's medical history has been remarkably insignificant with only a 40-pound weight gain in the last three days.
11. She is numb from her toes down.
12. Occasional, constant, infrequent headaches.
13. I saw your patient today, who is still under our car for physical therapy.
14. Skin: somewhat pale but present.
15. The patient has been depressed since she began seeing me in 1993.

Tomorrow at work they are "going live" with a new computer system in the ER. They plan on "phasing out" the ward clerks/secretaries. Now with this new system the Dr. has to enter the info on all the pts and order all the tests - by himself - no I'm NOT kidding. Ridiculous. They don't spend enough time with the pts right now. Personally, if I were a pt I would rather have my Dr suturing my hand or something instead of entering orders!!!

Adventure Chick

Warning:Chicken Heavy Picture Post!!!

Lavender isn't broody any more! And she's almost done with her molt. Lookin' good.
She likes to hop up on this chair and eat the green bean leaves that are growing through the fence. She's the only girl who is light enough to do it and brave enough.

Big Blob

The big white blob, in these CT images, is not supposed to be there.

This 36y/o patient went to the ER twice, complaining of headaches and dizziness. The Dr. told him it was just a migraine, because he was under a lot of stress. He gave the pt. a prescription for some pain meds. Finally, the pt. made a third ER visit, because his wife woke up in the middle of the night and the pt. was screaming and convulsing on the bedroom floor. The ER Dr. (finally) ordered a CT.


An acute hemorrhage with coarse calcification, suggesting an underlying neoplasm. In other words, blood and cancer.
There is also an 11mm midline shift from left to right.
He was transferred out and had surgery to remove the blood and as much of the cancer as they could get to. He is now taking radiation and chemotherapy, but he has lost the use of his left arm and leg.

Full Moon

Whoa!
This Saturday I broke the department record for most x-rays done by a single person in one shift.
The previous record was 17. I did 22!
My previous best was 15, but now I'm the new record holder!
And I didn't have to call in my back-up person.
Although, I did call her in on Sunday.
We had 2 traumas come in at once and I decided I couldn't do everything.

This week-end I did 52 patients total in 3 - 8 hour shifts. I think the total for all shifts was well over 100 patients. Plus I answered a million phone calls, refaxed ultrasound paperwork to the radiologist( the US tech couldn't get her paperwork to the right place, ever), entered all the orders for each exam (plus the CT and US exams) and made exam copies for patients.

What a week-end.