Friday, July 18, 2014

The Green Heron

We have one on our pond almost daily.


posted by joe @ 7/18/2014 07:19:00 PM   0 comments

The Green Heron

From a distance, the Green Heron is a dark, stocky bird hunched on slender yellow legs at the water’s edge, often hidden behind a tangle of leaves. Seen up close, it is a striking bird with a velvet-green back, rich chestnut body, and a dark cap often raised into a short crest. These small herons crouch patiently to surprise fish with a snatch of their daggerlike bill. They sometimes lure in fish using small items such as twigs or insects as bait.

posted by joe @ 7/18/2014 07:16:00 PM   0 comments

Wednesday, July 16, 2014

Summer Mystery

Summer Mystery....what happened here?

posted by joe @ 7/16/2014 07:31:00 AM   10 comments

Monday, July 14, 2014

Andy Weir

Andy Weir has a background in computer science. He began writing the book in 2009, researching the book to be as realistic as possible based on existing technology.[5]Weir studied orbital mechanics, astronomy, and the history of manned spaceflight.[7]
Having been rebuffed by literary agents, Weir put the book online for free at his website.[5] At the request of fans he made a Amazon Kindle version available throughAmazon.com at 99 cents (the minimum he could set the price).[

posted by joe @ 7/14/2014 07:01:00 PM   2 comments

Saturday, July 05, 2014

Now into The Martian...thanks 
CS...I think I like it.

posted by joe @ 7/05/2014 07:17:00 PM   0 comments

Finished Gaiman's Anansi Boys, nice wild ride, look up anansi before reading.

posted by joe @ 7/05/2014 07:15:00 PM   0 comments


This Aqua, a skyscraper in Chicago. I watched it go up during my yearly visit to Chi-town. I knew I liked it and it was confirmed by a recent article in the New Yorker about Jeanne Gang the architect who with her team designed and built it. We ate dinner at the restaurant which is Italian and very good...except I spilled red wine all over the table and MA's white pants.  I love the Chicago buildings...sure NYC has great buildings but they seem to be so close that they are hard to appreciate. Not Chi-town.

posted by joe @ 7/05/2014 07:06:00 PM   0 comments

not Granuloma Annulare

Granuloma Annulare not.
I had multiple opinions...first dermatologist thought it was GA, I was agreeable because at first it did look like GA...no good treatment for GA but I tried any one I could find.  2nd and 3rd dermatologists fungal skin slide...no organisms seen.  Treated myself anyway with Lamsil and now( not above ) it is gone...not before it got in the follicles of my eye lashes and eye brows....which also cleared with the anti fungal.

posted by joe @ 7/05/2014 06:45:00 PM   0 comments

Sunday, September 22, 2013

Transient Neonatal Pustular Melanosis

Transient Neonatal Pustular Melanosis  very good article. This is not uncommon and is NOT herpes. Usually leaves pigmented(melanosis) lesions where the vesicles were.

posted by joe @ 9/22/2013 06:04:00 PM   0 comments

Thursday, September 12, 2013

Newborn rash

Newborn nurses concerned that it has Herpes!

posted by joe @ 9/12/2013 04:06:00 PM   1 comments

Thursday, September 05, 2013

Black Widow Spider - Latrodectus mactans


I got tired of seeing that bloody eye looking back at me every time I open this site so here is a picture of a black widow spider, Latrodectus mactans that I took at my house a couple of years ago.

posted by Clay @ 9/05/2013 05:39:00 AM   1 comments

Friday, March 08, 2013


Don't rub your eyeball! The second most common cause of subconjunctival hemorrhage!

posted by joe @ 3/08/2013 08:36:00 AM   4 comments

Saturday, November 03, 2012

Loss of Nails Following Hand Foot and Mouth Disease Infection in 2 Children

I present an unusual case of 2 unrelated children who coincidentally presented to me on the same day with Hand, Foot, and Mouth Disease and then returned 7 and 8 weeks later with the same uncommon complication of this disease.

The first was an otherwise healthy 3 year old boy whose symptoms at presentation were a 2 day history of fever up to 102 degrees, and a vesicular rash on the hands, feet, buttocks and around the mouth.  A diagnosis of hand, foot and mouth disease was made, he and mom were sent home with reassurance.  No further contact was made until he presented 7 weeks later with his mother who was complaining that his nails were peeling off.  He had no other symptoms.  I had no specific explanation for this, so I inquired about any recent systemic illnesses.  She reminded me of the recent HFM infection so I did some quick research - Google Search:  "hand foot mouth disease onycholysis" and I found this article.  It describes 4 cases of onycholysis and/or onychomadesis following HFM infection.


 
 The second case involved a 20 month old girl who had initally presented with 2 day history of temp. up to 99.8 and vesicular rash on hands, feet and groin area.  The diagnosis of hand, foot and mouth disease was made and reassurance was given.  A few days later she returned with worsening of the rash but had no significant feeding problems.  There were no signs of dehydration or fever at that time, but the child now was extensively covered with the vesicular rash over all extremities, trunk and external lips.  No further treatment was recommended at that time and f/u by telephone a few days later revealed that she was finally improving and further follow up for this was planned on an as needed basis.  Our next encounter was just under 8 weeks later for an unrelated minor problem.  As we were finishing the visit, the mom said "All her fingernails and toenails fell off after she had that hand foot and mouth disease".  Indeed, on her exam, all of her fingernails had shed and were growing back with some small irregularities and indentations and the same was true for her toenails except the nail of each great toe which had not completely lost the older portions of the nails.
 



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posted by Clay @ 11/03/2012 03:57:00 PM   34 comments

Thursday, September 06, 2012

A Large Brown Recluse

Most of the times I am able to get a picture of a brown recluse (Loxosceles reclusa), the subject is already pretty smashed up.  I found this one on a bag in my garage and pulled it out on the driveway where I knew it could not escape so I could get pictures.  I have been seeing more of  these here recently.  This one was rather large for a brown recluse.  Of course the characteristic marking on the dorsum of its cephalothorax which resembles a violin is the best known identifying feature.

Here is a good article on the bite of a brown recluse spider from Wikipedia.  It mentions that an estimated 80% of reported brown recluse spider bites are misdiagnosed and it gives a nice list of infectious and noninfectious conditions that have previously been misdiagnosed as brown recluse bites.  I do find this portion lacking in that it does not mention specifically the classic case of an attack from 'The Methicorn'.

posted by Clay @ 9/06/2012 06:03:00 AM   1 comments

Thursday, July 26, 2012

Crazy Hunters!

posted by joe @ 7/26/2012 05:49:00 PM   1 comments

Disclaimer: This blog is for entertainment purposes. If you are a doctor, practice at your own risk.