Saturday, May 28, 2005

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.

posted by joe @ 5/28/2005 05:32:00 PM   6 comments

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.

posted by Clay @ 5/28/2005 12:19:00 PM   4 comments

Thursday, May 26, 2005

Infections in Sports.

Recently ive had new interests in the recent infections in major league baseball players.
I wonder if Sammy Sosa has community aquired MRSA, and Barry Bonds has pseudomonas. Then again, why were they so insistive it isnt a staph infection?

Ive quoted them to say that i didnt write this, i also deleted extra paragraphs that werent about the infections.
I've found these on ESPN.COM


": 'This isn't about baseball'By Pedro GomezSpecial to ESPN.comRelated Video:Bonds on a IV of antibiotics for his knee
SAN FRANCISCO -- In his first public comments to reporters since his infamous picnic table press conference with his oldest son Nikolai present on March 22nd in Scottsdale, Ariz., Barry Bonds said he is far more concerned with his long-term health than returning to the baseball field.
In a lengthy interview with ESPN and MLB.com, Bonds touched on a variety of subjects. But more often than not, he returned to his personal well-being now that he is fighting off a mysterious infection he and the Giants refuse to name.

Barry Bonds not only signed autographs Friday, he discussed his future with reporters."Right now, all I care about is being healthy," Bonds said inside the Giants clubhouse before San Francisco hosted Oakland Friday night. "This isn't about baseball. I want to be able to go skiing with my kids and not having my six-year-old daughter be able to outrun me. It's more of a health issue, not a baseball issue. Once the infection set in, it changed my whole perspective."
Bonds, who has not played since last season and has undergone three surgeries on his right knee since Jan. 31 -- all performed by Arthur Ting, who is serving a five-year probation with the California State Medical Board, his second since 1996 -- said he has absolutely no timetable for his return to the Giants lineup.
Bonds, who was transferred to the 60-day disabled list Friday, stopped taking intravenous antibiotics on Tuesday and said he is now taking oral medications in high dosage levels in order to continue to fight off the infection that led to his third surgery on May 2nd.
"At the beginning, when I was on the IV, I thought I was going to die," Bonds said. "It's a scary situation. With the right medications, it will get better. Technically, I could be on this medication for months."
He said he has had the knee drained twice since the May 2 surgery, though the swelling is nothing like the earlier times, when he "had to have my knee drained more times than I could count."
Bonds, who is routinely undergoing blood tests to monitor what he called a "crazy, out there," white blood cell count level, said he was told he acquired the infection while submerged in water, which could have been a whirlpool.
"I've been told it's an open water infection," Bonds said.
Giants head trainer Stan Conte, who is expected to have more control over Bonds' next rehabilitation process, is unsure of the bacteria's origin. But he did confirm it is not a staph infection, considered extremely dangerous.
"The source of the organism is under investigation," Conte said. "It could live in a lot of places. We're pretty sure it did not originate in the Giants clubhouse or trainer's room. Sometimes you can identify where it started and sometimes you can't. We're working on it."
Bonds is expected to remain on oral antibiotics for at least another 10 to 14 days. Although he was able to begin very preliminary range of motion exercises, he cannot start a more thorough rehabilitation process until he is off the medication.
"I still keep up with the team," he said, "wishing I was there. All I care about is getting back into the war with my boys."
Bonds is off crutches and walking as well as he has in weeks, though he still walks gingerly when walking up or down staircases.
"I have to be smart about my leg," Bonds said.
When asked if he was alluding to his earlier rehabilitation after his initial surgery, which sources said went awry after an especially taxing March 10th workout administered by Harvey Shields and Greg Oliver, a pair of assistant trainers the Giants were forced to hire at Bonds' behest, the left fielder said, "There isn't anything that could have been done differently."
The two assistant trainers are on the Giants payroll, but neither is listed in the club's media guide. In addition, they are the only trainers whose lockers are inside the Giants main clubhouse, each situated next to Bonds' locker.
Bonds had his second surgery just seven days after the March 10 workout, which, coincidentally, was his most extensive and last workout of spring training. The day's work included football-type drills as well as quick-burst running exercises and agility drills.
Pedro Gomez, who is a bureau reporter for ESPN, covered the Oakland A's from 1990-97 for the San Jose Mercury News and the Sacramento Bee, and was the national baseball writer for the Arizona Republic from 1997-2003. "




"Slugger's foot abscess healing slowlyAssociated PressRelated Video:Mora leads O's with 2 homers in win
BALTIMORE -- Sammy Sosa missed a fourth straight start Monday night with an abscess on his left foot, and now the Baltimore Orioles aren't sure when they'll get him back in the lineup.
Sammy Sosa Right FieldBaltimore Orioles Profile 2005 SEASON STATISTICS GM HR RBI R SB AVG 27 4 13 11 1 .269
Sosa has not played since Wednesday. Orioles manager Lee Mazzilli expected the right fielder back for Monday's game against the Minnesota Twins but learned hours before game time that he was not yet ready to return.
"It's not responding the way you'd think it should be," Mazzilli said of the injury. "It's a day-to-day thing. We'll see how it is tomorrow."
The Orioles have discussed putting Sosa on the 15-day disabled list.
"It's something we have to think about. Every day we address that issue, to see where we're at," Mazzilli said. "But right now we're not looking at that."
At this point, progress has been slow.
"The infection is draining," Mazzilli said. "That's a good sign."

posted by Sam the Blogger @ 5/26/2005 11:19:00 PM   2 comments

Tuesday, May 24, 2005

Man Kicked by Donkey!!


Man kicked by donkey!! Posted by HelloMany 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.

posted by joe @ 5/24/2005 09:27:00 PM   3 comments

Sunday, May 22, 2005

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.

posted by Clay @ 5/22/2005 09:42:00 PM   4 comments

Sunday, May 15, 2005

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?

posted by Clay @ 5/15/2005 09:57:00 PM   1 comments

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.

posted by Clay @ 5/15/2005 08:32:00 PM   0 comments

Saturday, May 07, 2005

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.

posted by Clay @ 5/07/2005 07:13:00 AM   3 comments

Thursday, May 05, 2005

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

posted by Clay @ 5/05/2005 09:16:00 PM   1 comments

Wednesday, May 04, 2005

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.

posted by Clay @ 5/04/2005 08:38:00 PM   1 comments

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.

posted by Clay @ 5/04/2005 08:00:00 PM   1 comments

Sunday, May 01, 2005

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

posted by Clay @ 5/01/2005 11:00:00 AM   3 comments

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