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Profile Information

Gender: Male
Hometown: Puyallup, Washington
Member since: 2001
Number of posts: 55,655

About Me

I truly believe that we will all live in peace and brotherhood someday. And so that I don't lose my faith in humanity, I will live my life as if that day had already happened.

Journal Archives

Justice is served.

We'll have to wait for the sentencing phase to find out at what temperature.

But justice is served...

Anyone else get the impression the cops are scared shitless, and are acting out?

Their days of cheerfully committing murder then getting a paid vacation may be coming to an end.

Loss of qualified immunity, and the prospect of being tried and convicted for things their badges used to protect them from, have got the doughnut pirates scared stiff.

They're trying to get as much extra-judicial murder under their straining gunbelts as they can...

Friday Night 'I'm on vacation' Vodka Buzz. Ask me anything

I may not answer. Iím on vacation!

I love you all...

Last day of clinic before vacation.

Lab coat. Check.

Mask. Check.

Safety goggles. Check.

Stethoscope. Check.

Bring it on...

I meant to donate to the policeman's ball, but WHOOPS!

Donated to Black Lives Matter by mistake!

My bad!

Those things are so hard to tell apart!...

Saturday Night Off-Call Celebration! Ask me anything.

I love you all...

Mrs. Aristus is drawing up a grocery shopping list. Is it just me or does she have bad handwriting?

This is what she has so far:

Cop Overalls

I don't know if the supermarket has any of those items...

Friday Night Sobriety Thread. One more night on-call.


I love you all...

Anyone know any conservative Star Trek fans?

I saw a guy recently wearing a "Don't Tread On Me" ball cap and a Star Trek United Federation Of Planets tee-shirt.

D.T.O.M. is a pretty popular right-wing symbol, and Star Trek is famous for its liberal outlook for the future of the people of Earth.

People are more complex than we usually give them credit for. I was just wondering if anyone else had seen this particular discrepancy.

"As long as I'm here..."

Ask any medical provider what phrase they dislike the most in clinical practice, chances are good the answer will be "Oh! One more thing!..." as the provider is walking out the door to move on to his next patient. It almost always throws off the day's time management, not to mention cutting into the visit-time of the next patient.

Number two on the list is likely to be "As long as I'm here...", which the patient is usually canny enough to ask at the beginning of the visit, and not when the provider is done with the chief complaint and is walking out the exam room door.

Although I'm grateful to any patient considerate enough to ask at the start of the visit, "As long as I'm here..." doesn't necessarily make for more efficient medical management on the part of the patient.

For example, if a patient is visiting for, say, a diabetes assessment, which involves lab testing, review of medication and nutritional compliance, and often a physical exam to check for neuropathy, asking "As long as I'm here, can I get an STD check?" does not mean more gets done in the same span of time. An STD check (just an example) is pretty-much its own fifteen-minute visit, requiring a history of present illness, review of symptoms, a genitourinary exam, and a lab order.

The clock is ticking the whole time, and often the patient in the next room is checking his watch and wondering what the holdup is. I dislike living by the tyranny of the clock, but if I disrespect the needs of the next patient on the schedule, then no one goes home happy.

It's always good to ask these questions when setting the appointment with the scheduler. He or she can usually tell you what can be accomplished in the time span allotted.

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