Monday, January 10, 2005


Back to the grind. Back in the ICU. Sick sick patients, but it does come down to the basics of medicine and physiology. Hemodynamics, respiratory function, how to keep a person alive in the most basic terms. None of this alcohol detox lets spend half a day on the phone with social work or trying to discharge the vented vegetative chronically infected 95 yr old whom the nursing home and ED have been playing ping pong with 8 times in the past 3 months.

There's a 30 year old 3rd year tall blond attractive female medical student on the service now. She is considering medicine or pediatrics. I am trying to talk her out of a life of misery. Too bad I didn't catch her 4 years earlier and strongly advise her to marry a rich dude instead.


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