Right brain oozings from a left brain dominant physician
1st Block Exam week.
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This is what this week has felt like. Three more tests tomorrow. Unfortunately one of them is the anatomy practical, for which I am not prepared as I should be. One way or another tomorrow night will get here though.
Turned 40 a few weeks ago. Over a month ago, I guess. I mean, basically I may as well be 50. At that point retirement is looming. Golden years. Do you know many 40 year olds who still have two grandparents around? Well, I do. Both of my maternal grandparents are alive, but this past week almost saw that number halved. My grandmother had another small bowel obstruction, and from what I've heard from my Mother, there was a suspicion of volvulus -- a twisting of the bowel on its axis. Imagine a tootsie roll, how the ends are twisted, it's like this. You may think, well, big deal, so what if the guts twist around? The blood supply is cut off when this happens. When blood supply is cut off, death is close behind. Gett'n ahead of ourselves, though. This, the sixth edition of Doctor, Doctor, Give Me The News will address something near and dear to my heart, and that is small bowel obstruction (SBO.) We'll use this for a jumping off point to discuss how to mana...
I roasted coffee for many years. Kaladi Bros Coffee, in Denver Colorado was a job that was much more than a job, in many ways. Since the day I started working at KBC, in August of 2003, I have been a daily coffee drinker. Perhaps the number of days without coffee, or, at least caffeine of some kind can be counted on one hand. Out of all the vices available for perusement in the world, coffee drinking, if even a vice, would the one I would least want to be rid of. These days there are not many other vices I have either the time nor the capacity to indulge in. In the hospital, the consequence of a given vice are glaringly apparent. This is less a discussion of the psychology and pathology of how a person is given to a certain vice, but a frank examination of the disease processes that I deal with as a direct consequence of the small, but powerful list below. Gluttony Definitely the most widely engaged in deadly sin, and usually the one with the most hard to hide consequences. ...
In 1976, when the NBA season started, the Portland Trail Blazers were not considered contenders at all. The team won the championship, and with a player like Bill Walton on the roster, the future was bright. Then Mr Walton had foot issues. Injuries sidelined him and he was never the same player again. In 1984 Sam Bowie was drafted by the Portland Trail Blazers. Famously, he was drafted at position two, one selection prior to the GOAT, Michael Jordan. Sam Bowie soon had a fractured femur, and never developed into a franchise cornerstone. The draft of 2007 the 'Zers selected Greg Oden, ahead of Kevin Durant. Greg Oden showed us enough flashes of brilliance to know what we missed out on. He had leg injuries too, of various kinds. Three of the most impactful decisions the Portland franchise have made concerning drafting players resulted, ultimately, much too short of success secondary to lower leg injuries. It feels like the franchise has been snakebit, b...
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