Monday, November 28, 2011

And then God laughs when you tell Him your plans...

I rode down a street, which turned into a road.  This road then turned into a Highway...

There was a mountain in front of me for the first part, it somehow drifted off to my left, no longer an obstacle, as I continued down the road.

And as hard as I searched, random turns to the left, then right...after almost an hour, I finally saw it.

I found the end of a road.  A dead end.  Luckily there was a sign that warned me, so I turned away from it and strarted home.  But I found it!

I know where it is...

Saturday, November 26, 2011

A Ride!

To be completely honest, the idea generated in 2003.

It resurfaced a year ago,but this year, has now become a mission!

I will keep posting, as I begin the preparations, yes it takes a lot of planning!

Tuesday, November 22, 2011

Really! Is there some hope?

I cared for my very first patient that was allergic to morphine and dilaudid!!!

Expecting something else perhaps?  Who knows... but to say that they have an allergy to these two drugs... wow!

Sunday, November 06, 2011

I need a change...

Seems I have become cynical in my grand age..

A curse, passed on by elders.  They saw it, they recognized it, they got it.

I admit, I am a little late in recognizing it...

I just admitted to myself...

I am a drug pusher!

I went to Haiti, just a month after the devastating earthquake.  I wish there was dilaudid there, nothing but morphine and fentanyl.  And every morning I opened up the "ED,"  I was missing all of the ibuprofen and baby diapers!  But a patient population that was not exposed to narcotics... a 2 mg dose of morphine was more than enough!

But now, here in the US, when a patient comes in with a chief complaint of pain... wherever... and they are allergic to Toradol, Ibuprofen, Compazine, Phenergan, Vicoden, Ultram, Fioricet, Acetaminophen, and Morphine... I raise my eyebrow.  Seems Zofran is still a good drug!

No one is ever allergic to Percocet or dilaudid... seems "allergies" are related to what one does not want...

Whatever!

Waste my time, waste resources, get your fix...

There used to be a time when people came to the ED when they were dead or dying...

If you are dying, we'll save your life... if we have a bed available...