Mar

3

Some Simple Math and other Random Thoughts from a Harmless Asian Bear-Mammal

March 3, 2008 | 29 Comments

I’m Better, Thanks
Like I said, it’s only in residency training where one could be happy to be sick while on vacation. I am just getting over a bout of what was probably the flu and as there is no practical way to take any time off as a resident, about the only time we can [...]

Feb

1

A Real Question From A Real Reader: Panda, Can I Hack It?

February 1, 2008 | 21 Comments

(Another real question from a real reader, really sent to my real email address. -PB)
Ian writes: “You’ve described what Emergency Medicine is like but what would you say are the ideal qualities of Emergency Medicine doctors? (I seem to handle stress and emotions very well and can easily remain calm in pressing moments)”
Let me back [...]

Jan

24

What I Do, Part Two

January 24, 2008 | 7 Comments

(This is an another article directed more to people who are interested in a medical career than to those already involved.  Feel free to read along but I again offer my usual warning that there is nothing profound or exciting to follow and I cannot be held responsible for your boredom. I’m going to try [...]

Jan

11

What I Do

January 11, 2008 | 13 Comments

(With a hat-tip to the Happy Hospitalist.Nothing new or profound here so my regular readers may, if they desire, ignores this article completely or read on and forgive the basic level of information presented. -PB)
A young reader writes, “Dear Dr. Bear, I am a senior in high school and am thinking about being a doctor. [...]

Nov

23

Poodle Circus and Other Things (Real Questions From Real Readers)

November 23, 2007 | 17 Comments

You seem a little less bitter about residency.  How are things going?
Fine, thanks for asking.  I haven’t had call in about five months and I am gradually starting to forget all about it.  Sleep deprivation has always been my biggest complaint about residency and now that I am getting regular sleep I am pleased to report that [...]

Nov

18

Stealth Medicine and Other Topics

November 18, 2007 | 28 Comments

An Apology
I want to apologize to the distinguished elderly gentleman sitting on the hall bed. It was a little insensitive of me to stand at the coffee machine taking my time making a cup of coffee not five feet away from you and your wife while you waited to be seen by a doctor. [...]

Sep

28

Emergency Medicine Residency (Part 2: Event Horizon)

September 28, 2007 | 5 Comments

(Once again, a caveat: I am a resident in a medium-sized Emergency Medicine program in an academic setting. Not as academic as Duke or USC but we have most of the players. I have never worked in private practice in Emergency Medicine so while I welcome the comments of those who have, I [...]

Sep

22

Emergency Medicine Residency (Part 1.75 A Parable About Trauma and Perception)

September 22, 2007 | 18 Comments

Perspective
Consider two separate rooms in the same Emergency Department. In one lies a young man who has been shot in the chest and arrived in full cardiac arrest with the paramedics frantically giving CPR. Red frothy bubbles come out of the gaping hole over his heart whenever the bag attached to his endotracheal tube [...]

Sep

21

Emergency Medicine Residency (Part 1.5: Answering an Important Reader Question)

September 21, 2007 | 4 Comments

Whenever you get a major trauma, do you get your fair share of procedures (chest tubes, central lines, etc..) or do the surgical residents tend to take them?
.
At our program, because it is a Level I trauma center, trauma surgery is in charge of most of the traumas. The EM residents manage the airway [...]

Sep

20

Emergency Medicine Residency (Part 1)

September 20, 2007 | 10 Comments

(The following article is directed primarily at those contemplating matching into Emergency Medicine. Those of you who are not may read it but I make no apologies for targeting a particular group of readers. Emergency Medicine has become a very popular specialty lately so I’m sure there is some interest out there. Most of my [...]

Aug

23

In Which Your Uncle Panda Rips Off the Lid, Rolls it in a Tube, and Places it (Politely) Where the Sun Doesn’t Shine

August 23, 2007 | 37 Comments

Why Don’t We Starve Them Too?
As my regular readers know, I am opposed to the use of sleep deprivation as an educational tool during residency training. The fact that residents are deprived of sleep as a requirement of their job is undeniable especially given the typical call schedules and the obvious fact that [...]

Jul

9

Tell It To The Marines

July 9, 2007 | 46 Comments

The Good Old Days

As some of you know, I spent a considerable part of my misspent youth in the Marines. I enlisted in 1983. Back then they still had something called “mess duty” which many of you probably know as “KP.” Periodically, non-rated Marines would be pulled from the company to work [...]

Jul

4

Welcome to Intern Year

July 4, 2007 | 46 Comments

(Gentle readers, I present the following which is mostly written in Marine-speak. You have nothing to fear and yet, if you have a weak constitution or are easily upset I implore you to skip this article, perhaps using the time saved to peruse the latest Peanuts comic strip in the newspaper or anything else that [...]

May

11

Sink or Swim: Call and The New Intern

May 11, 2007 | 21 Comments

(I had call on my first night as an intern almost two years ago and as of last week I am officially and forever done with call. It’s been a long two years and I won’t miss it. I’m working the 11PM to 9AM shift in the Emergency Department this month and I marvel at [...]

May

4

The Monkey’s Other Paw and Other Random Things

May 4, 2007 | 24 Comments

Grow a Pair
There he lies, six-foot-five inches of corn-fed American manhood, a horizontal slab of sinew and muscle with a chiseled chin, tousled hair, and perfect teeth whining like a little girl because the nurse is late with his pain medications.
For God’s sake buddy, didn’t you get the memo? Of manhood, stoicism is the [...]

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