Don't shave your PUBS!!

Following the last 2 posts I must now relate a case and thus the admonition.
A large woman treated on 2 occasions at a local er, on the 3rd visit was found to have cellulitis of her entire mons--extending into abd. and lt. leg. She had no pubic hair(didn't ask about underwear). She spent a week in hospital. Knowing that most ID specialists reccommend clipping rather than shaving prior to surgery(microcuts lead to infections), I have concluded that the current "fashion" of pubic hair removal and the epidemic of MRSA are combining to cause us more trouble. I have polled 3 ID people and they all agree--that if the hair must go---clip don't shave.

Underwear Allergy

Yesterday I saw a patient who receives her care at both "the program" and at my clinic. She was following up on an ER visit, in which she was treated for a "spider bite" on her buttocks. Amazingly, this spider bite looked like the abcesses on the surrounding areas of her ass. All she needed from me was narcotics for the pain and a note explaining the seriousness of her condition, so that she could get out of doing her community service work. Somehow in the process of explaining the reasoning for all this, she informed me that she was allergic to underwear. I have no idea what she said after that, because I immediately began dreaming of all the good aspects of women with allergies to underwear, followed by the unpleasant contrast of the reality of THIS woman with an allergy to underwear.

I know, I know latex allergy, elastic, blah blah blah.....It was still an exceptional moment.

Man Kicked by Donkey!!

Man kicked by donkey!! Many times a patient may say "it feels like I was kicked in the belly by a ----"mule, horse, and now really a donkey. This friend actually raises donkeys and was attending to a newborn donkette and the mother tried to take him out.
If a patient says the magic words then you MUST think ruptured aorta or at least a tear of the intima from the muscularis in the aorta. Or a real kick.

Cacoethes Cognitum, Gizoogle Style

This is what happens when you Gizoogle Cacoethes Cognitum:

Cacoethes Cognitum. The irrational yet irrestible urge ta know or makes K-N-to-tha-izzown . Keep the party crackin while I'm steady rappin'. The CC is a "club" founded by a smizzall group of medical professizzles ...

Every thing makes sense to me now. I just thought I was dyslexic.

Movie Recommendation

Okay, every sucker whose name is over on the right listed as "contributor" must answer the quiz and figure out how to post their results just like I have. If you are a visitor, then feel free to make a comment somewhere as to how you scored or make a link to your post with your results.

You scored as Mindf**k. Congratulations, you scored Mindf**k. You've probably seen a lot of movies, and have grown to hate mainstream crap. You're looking for the movie that will leave you breathless, and with 21 questions to think about. Check out: Donnie Darko, Being John Malkovich, Pulp Fiction, Memento. Mindf**k 85% Sadistic Humour 80% Artistic 75% Drama/Suspense 75% Sci-Fi/Fantasy 50% Romantic Comedy 30% Mindless Action Flick 25% Movie Recommendation. created with QuizFarm.com

If you do post your results, please go in to edit html mode and find the part at the beginning where it says (table border='0' cellpadding='5' cellspacing='0' width='600') and change the width to 400 so it does't throw the whole blog off kilter.

By the way I have already seen and enjoyed all the movies recommended above.

Bonus Movie Quote:
Don: Hey, Napoleon. What did you do last summer again?
Napoleon Dynamite: I told you! I spent it with my uncle in Alaska hunting wolverines!
Don: Did you shoot any?
Napoleon Dynamite: Yes, like 50 of 'em! They kept trying to attack my cousins, what the heck would you do in a situation like that?
Don: What kind of gun did you use?
Napoleon Dynamite: A freakin' 12-gauge, what do you think?

Consumer Reports' Recommendations for ACEI's and Beta Blockers

From Kevin MD I found Consumer Reports' recommendations for ACEI's and Beta Blockers. I didn't even realize they had a series on Best Buy Drugs.

First Annual Art of Science Competition

Check out the First Annual Art of Science Competition at Princeton University. There are some amazing photos and computer generated images.

New Drug Offers Jitter-free Mental Boost

Something new on the horizon for those of us who want a smoother transition to psychosis, without uneasy side effects of caffeine and without the risk of a surprise visit from the Methicorn

A new class of drug may increase alertness without any of the jitteriness of over-stimulation, suggest the results of a small clinical trial released this week.....Read more from NewScientist

The Darth Side

I got this from Respectful Insolence, The Darth Side: Memoirs of a Monster, Just in case anyone wonders what Darth Vader Blogs about.

Cyberchondriac

Here is another good word from Wordspy: Cyberchondriac-The meaning is self explanatory, but I think the citations are worth looking at, especially the earliest citation.

I have seen a few cyberchondriacs, but nothing too serious yet. I think I have had a worse time trying to get certain patients to take their meds after they read the long list of possible side effects printed out by some of the larger chain pharmacies.

Also check out a related word, Pierre Salinger syndrome.

Send Us Your Music

Okay, last chance for someone to keep this series alive. All I need is a comment or a link-bad or good, to keep it going. If you continue to ignore it, it will go away.

On Sunday I will post links to sites that have entries related to music from this past week.

Leave a comment on this post with the address of your post and I will add it to the list.

Its a little late and I did have to go find it myself but this is an example of what I was talking about.
A Little Musicology and Some Other Random Thoughts from Mike the Mad Biologist