February, 2006 Archive

February 28, 2006, 11:19 am

Grand Rounds Information for March 7, 2006



I call this composition “Homeless Man Diagnoses Appendicitis in ER Waiting Room With Mother Draped in Blanket While Child Freezes With Wreath on Head”.

There was no HIPPA back then, you know.

Now, regarding next week’s Grand Rounds here at Emergiblog.

I will be doing the majority of work on the submissions over the weekend and would appreciate all submissions by Monday morning, 1700 (5:00pm) Pacific time.

Please don’t wait until the last minute or visions of Eneman will haunt your dreams forever!

The theme will be “Grand Rounds in the Emergency Department” and because no one is ever turned away from the ED, all posts will be included in one of the triage categories.

I shall say no more.

Except that you should send all submissions to: kmcallister911 at yahoo dot com.

By the way, that is Hippocrates up there.


I was going to ask for pity on myself because I have to do three twelve-hour shifts in a row this week to make up for the time I was in Portland.

Then I thought of all the residents and registrars out there who would split a gut laughing at someone complaining about twelve-hour shifts with actual sleep in between each one.

Guess I don’t have it so bad after all!

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11:13 am

How To Freak Yourself Out Via the World Wide Web

Write what on the chart?

She’s in love with the neuro surgeon who doesn’t know she exists?

That she’d rather be waxing her bikini line than working at this particular moment?

That she’d like to dot her “i”s with tiny hearts but they told her to stop?

Would you believe this was actually part of an ad for razor blades?

It was.

All she has to do is write “Patient states less pain and skin irritation when “x” razor is used.”

There, problem solved.

What a wimp.


Some advice from a person who has been there, read it all and freaked out.

Do NOT search the entire known world via the internet if you or a loved one is diagnosed with a medical problem.

An abbreviated search is fine. Stick with WebMD, perhaps the site of a national organization devoted to patients with that specific diagnosis (with their approved links) or a patient oriented medical site that will give you the information you need without giving you every nasty statistic, horror story, photo or urban legend that will scare the hell out of you.

You CAN have too much information.

I did. And I had needless anxiety for weeks.

If it can happen to a nurse, it can happen to you.

An informed patient is a knowledgable patient. An over-informed family member is a heart attack waiting to happen.

On the upside, I am now an self-designated expert on any possible cyst your gonads can produce (and what’s inside them), but it came with a virtual encyclopedia of unnecessary, frightening information on ovarian cancer, testicular cancer, cancer staging, wigs for cancer patients.

You get the picture.

By the time I was done I was pretty sure every living thing in the house had ovarian cancer, including my husband.

All for two ovarian dermoid cysts the size of quarters.

The moral of the story? If you need information, look at a few sites and talk to your doc if you have questions. Don’t go searching for information you don’t need to have.

Trust me.

Oh, and by the way, I am also quite an “expert” on parasitic twins!

Don’t ask…..

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1:52 am

Grand Rounds Makes a Blog Call

No riffing on this photo.

It kind of made me melancholy for the “old days”. “A symbol of American strength.” Wow!

I actually had a primary physician who would take care of generations of patients in the same family. They called them “general practicioners” back then. He delivered me and took out my tonsils 5 years later.

My parents had to switch to Kaiser when I was six and I became a medical record number.

My old doc is still around, albeit in a very reduced practice. His son followed in his footsteps and is now also a popular doctor in this area.


Speaking of tradition, it is Tuesday!

And Tuesday means it’s time for Grand Rounds ! This week Dr. Bard Parker is hosting at A Chance to Cut Is A Chance to Cure and I am honored that an Emergiblog post is included.


Guess what?

Next week I’m the host for Grand Rounds!

I guess you could say I’m just a wee bit excited with a bit of nerves thrown in! LOL!

This is going to be a blast – I’ll be posting information regarding where to send your submissions and the theme and when the party starts.

Hey, what can I say? I love this stuff!

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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