October, 2006 Archive

October 7, 2006, 11:43 pm

Hey There! Hi There! Ho There! You’re As Welcome As Can Be…To Pediatric Rounds, Spell It G-R-A-N-D!


Welcome to the Clubhouse!

Emergiblog is proud to host this week’s Pediatric Grand Rounds!

Volume One, Edition Thirteen!

And hopefully most of you recognize that mouthful of a title as a take-off on the old Mickey Mouse Club theme.

If you are too young to remember it, you missed a fun old show.

Of course, I was just a baby when it was on….


A pediatric code in the hospital is a gut-wrenching experience. A pediatic code in the field is unfathomable…unless you happen to be the EMT on scene. PDXEMT recalls the emotions (and the outcome) at his blog, Drug Induced Hallucinations. Check out the story, entitled Gone Too Long.

Neonatal Nurse (and fellow fan of James Lileks!) Marcia recounts her feelings in caring for premature babies in What I Do. But don’t stop there. Her blog, Ants Marching, is full of posts that grab you by the gut. Go get a box of Kleenex. Got it? Good . Now follow the link and read Everything For Everybody – Part 2. Marcia, you are so linked on my sidebar!

Parent know their child better than anyone and dealing with hospital bureaucracy can be frustrating. Awesome Mom gives us an example in The Coumadin Nightmare, found at The Adventures of An Awesome (Sometimes) Mother. But don’t stop there! Click on the sidebar links for the amazing story of her son Evan and what life is like when you are only working with one heart ventricle. Amazing!


She’s cool, she’s tanned, she’s an ER nurse, she’s….Urban Mom! And she weighs in with her first experience with pediatric respiratory distress in Croup Is A Bitch, Especially When You’ve Got Things To Do. This is Urban Mom’s first entry into a carnival/rounds and here’s hoping there are many more!

Alyson from RN Wannbe talks about her personal experiences with ear infections and the “watchful waiting” vs. antibiotic debate in A Parent’s Take On Ear Infections (note: Blogger is being a bugger and will not link to the appropriate post. Just go to the main site and scroll down to find post) and a great post on Nasal Lacrimal Duct Obstruction. “Yellow gunk”. I think that should become an official medical term!

Dr. Joel Fuhrman of diseaseproof.com tackles the topic of flu immunizations in the pediatric population. Are they necessary? What exactly can you expect them to cover? What is the risk to benefit ratio? Batton down the hatches, The Flu Is Coming!


Dr. Clark Bartram at Unintelligent Design submits a fascinating case study/explanation of a complex disease in a two-part post. Elementary, My Dear Bartram sets the stage. Elementary, My Dear Bartram, Part II fleshes out the mystery. No, I won’t tell you what the disease is, you have to read it!

Dr. Kavokin, our Grand Rounds host from last week presents a SIDS Quiz posted at RDoctor Medical Syndication. Now, I had some trouble with this – it may be that I am working on a Mac using Safari and Firefox. I’ve let Dr. K know, so hopefully we can find out just how much we know about SIDS!

Laura, an NICU nurse presents a personal story of what it is like to be the parent of a preemie in Normal Vertigo posted at Adventures in Juggling. This is the first blog I have seen with a “film loop”, amazing to watch. While you are there, click over on the sidebar on the name “Daniel” to hear the beginning of his story.


Dr. Flea takes on the history of pediatrics in his review of a book on the same topic. In As ususal, a lively discussion follows. Has pediatrics taken on the medicalization of societal and emotional problems or are pediatricians now able to focus on treating the entire patient? You’ll enjoy reading Fleas As Claimsmakers and the discussion that follows!

Dr. Deborah Serani reminds us about World Mental Health Day ~ October 10th posted at Dr. Deborah Serani. No matter what the age of our patients, we all need to focus on the importance of mental health. Thanks Dr. Deb – I would have put this in Change of Shift if I had known!

Neonatal Doc writes from the gut, and the heart, as he describes the emotionally draining process of trying to help parents understand just how ill their child really is in Eighteen II, posted at Neonatal Doc. Be sure to read the entire post.


Have you ever heard of the “Triple A Triad”? This was new to me and so it was with interest that I checked out TheTundraPAs post on Really Bad Eczema at Tundra Medicine Dreams. My heart goes out to her little patient.

This post appeared earlier this week in Change of Shift. As this particular issue can be rather pressing in the case of neonates and pediatrics, I felt it to appropriate here in Pediatric Grand Rounds. You don’t have to be a chaplain to perform a baptism. Susan Palwick, our resident volunteer ER Chaplain, explains the situation in Emergency Baptism for Everybody at Rickety Contivances of Doing Good.


Those of you who follow Grand Rounds may have noticed a couple of duplicates in the submissions. I included them here on the chance that

  • (1) Some readers may not have had a chance to see them and
  • (2) the possibility that PGR may attract a different subset of readers.

Both were excellent, and so they were included this week.


And so ends this edition of Pediatric Grand Rounds. I leave you to ponder the lyrics of “Rhymes and Reasons” (John Denver, 1969)

“…It is here we must begin
To seek the wisdom of the children
And the graceful way of flowers in the wind…

…Like the music of the mountains
And the colours of the rainbow
They’re a promise of the future
And a blessing for today.”

I definitely was not a baby when that was written…..

The next Pediatric Grand Rounds will be hosted by Moreena at The Wait and the Wonder on October 22nd.

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2:47 pm

They Played Like Champions Today


Well Stanford went to South Bend,

Their will to win was fire-ish,

But all that they went home with,

Was a big loss to the Irish!


They have a fancy stadium, it’s not too far from me.

But I prefer the Irish, to a “bird house in the trees”.


I have to say that Stanford, they tried really hard to win,

But you cannot beat the Irish, when they’re led by Brady Quinn!


A hundred years of football, tradition is the thing,

So raises your voices high, you all,

And join me as I sing:


Cheer, cheer for Old Notre Dame
Wake up the echoes cheering her name,
Send the volley cheer on high,
Shake down the thunder from the sky,
What though the odds be great or small
Old Notre Dame will win over all,
While her loyal sons are marching
Onward to Victory.


UCLA, you have two weeks to try and get your act together.

You’ll be on our turf.

Sacred ground.

Be afraid.

Be very afraid!

Go Irish!!!!

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October 5, 2006, 11:57 pm

An Innocent Victim of a Lie Told In Silence

shhhhI’ve had some difficult assignments in my time, but this takes the cake.

Cathy, of Cathy’s Rants and Ramblin’s gave an invitation to write a blog entry/story using the title of this post.

I’m beginning to wonder if I’m not the innocent victim!

But…she didn’t lie and I’ve never been silent so I must soldier on with my duty.

I’m not ashamed to tell you that at this very moment I have no clue what to do with this topic.

What is going to follow is totally off the cuff.

I’m going to go listen to Lindsey Buckingham’s new CD, “Under the Skin” and see if I can’t get some inspiration while I clean the kitchen.

I lead such an exciting life.


The long, cold winters were long and cold in Silence, Minnesota.

The single hospital in town was the only hospital in town.

The emergency department staff were so burnt-out the snow melted off their parkas by the time they entered through the ambulance doors.

I guess you could say the staff was hot.

It was a hard job, being a nurse, because the job was hard.

People got sick.

They were called patients.


Tonight would be different for one nurse.

Bubba Bo Bob Billy Joe, RN, had a secret.

His wife had whipped him up a mess o’ cheesecake that day.

She made it from scratch.

Directly out of a Jello No-Bake Cheesecake Box.

They were the best kind, doncha know.


Bubba Bo Bob Billy Joe, or Bubba Bo Bob Billy Joe, as his friends called him, placed his substantial piece of delectable delight into the ER refrigerator.

It was cold in that refrigerator.

Just like the long, cold winters that were long and cold in Silence, Minnesota.

Why, his wife had put a slice of strawberry right in the middle of the substantial piece of graham-cracker crust encrusted cheese filling.

Bubba Bo Bob Billy Joe, well, he did love himself the occasional strawberry slice.

It was going to be a good night.


All hell broke loose that shift. Bubba Bo Bob Billy Joe must have triaged at least four patients in the first four hours.

One of them even needed an IV.

Sometimes the stress of the job weighed heavy on Bubba Bo Bob Billy Joe.

He looked forward to his big ol’ piece of vanilla Jello No-Bake Cheesecake with the single solitary strawberry slice sitting on top.


Bubba Bo Bob Billy Joe was on his break when he realized it was gone.

Dead gone.

The Jello No-Bake Cheesecake with the single solitary strawberry slice had left the refrigerator as sure as Elvis had left the building.

Assuming he had ever been there in the first place.

The Jello No-Bake Cheesecake with the single solitary strawberry slice had been there.

Somebody up an took it.


“Dang it!”

“What’s wrong Bubba Bo Bob Billy Joe?” asked his friend and co-worker, Jimmy Jack Jethro, RN, BSN, MBA, CCRN, CEN and PhDNSc, through graham cracker crumb laden lips.

“My cheesecake has been stolen, doncha know!” replied Bubba Bo Bob Billy Joe.

“Not the Jello No-Bake Vanilla Cheesecake with the single solitary strawberry slice sitting on top of it!” exclaimed Jimmy Jack Jethro.

“That’s it” said Bubba Bo Bob Billy Joe as he sat with his coffee in front of an empty plate covered in graham cracker crumbs and cream cheese smears.

“Any idea who mighta taken it?” asked Jimmy Jack Jethro.

“No idea ‘tal,” responded Bubba Bo Bob Billy Joe.

“Well, I personally think it was Lizbeth Lorraine Longaberger, mahself. She’s been known to have a thang for vanilla Jello No-Bake Cheesecake. Not sure if she likes the single solitary strawberry sitting on top, though,” mused Jimmy Jack Jethro.


There was just one problem with Jimmy Jack Jethro’s thesis.

Lizbeth Lorraine Longaberger, RN, was not at work that day. In fact she was on vacation and wouldn’t be back for two whole weeks.

And that is how Lizbeth Lorraine Longaberger, RN was an innocent victim of a lie told in Silence.



Yes, I AM thoroughly embarrassed by the above story.

It shall go down in the annals of blogistory as “Don’t Let This Happen To You”.

I blame it on Nyquil.

I haven’t taken any Nyquil, I just blame this on it.

For those of you who wish to see how blogger with a more literary bent have tackled the project, check out these links, and my deepest apology to Cathy.

Somehow I think she may have been expecting something else…..

Mary Anne from “Life in Qualicum Beach”

Dr. Jordan from In My Humble Opinion

Wolfbaby from “Dreaming and Believing”

Moof from “A Moof’s Tale”

KT from “Kt Living”

Difficult Patient from “Ripple of Hope “

Amy from Badge Bunny ?

Jasmin from Shadow Writer

Empress Bee (Of the High sea)

PK from Pearls and Dreams

The Laundress from Dirty Laundry

The Wandering Author of The Unending Journey Of The Wandering Author

Amin from Write-Now

Who Wouda Thunk It From Another Day In Paradise

Brian from Truth is Freedom

At Your Cervix (R.N.) from At Your Cervix

Dr. A. From Dr. Anonymous

Ipanema from Irish Cornwall

And last, but most definitely not least:

May From About A Nurse

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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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