Author: Edwin

Highlights of a Day in the ER

  Highlights of a day in the ER: A Reflection   Sleepy, waking, coffee, breakfast. It’s just a cold, don’t worry about the fever. You need a work excuse? I guess. Someone told you to come here for that? Ok then. There aren’t any more tests we can do. We’re out of tests for you today. I’m very sorry. I know it hurts. It’s not a heart attack! It’s a heart attack. Thought: ‘And He had compassion on them for they were like sheep without a shepherd.’ Holding on the phone. Holding. Holding. Telling story four times for transfer....

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The Pervocalypse is no Surprise; but What Don’t we Know?

  I am absolutely not a conspiracy theorist.  I have way to much to do trying to figure out the mysteries of my own existence and caring for my family. I hardly have time try and figure out if chemtrails are real, who killed JFK or whether or not a cabal of evil actors including Bigfoot and Mothman planted the charges that brought down the Twin Towers. But in light of what some have called the ‘pervocalypse,’ (the daily unveiling of new and terrible behaviors by politicians and entertainers, from pedophilia to sexual harassment and back again), I have...

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You are Good, Even When you Make Mistakes

My October EM News column. http://journals.lww.com/em-news/Fulltext/2017/10000/Life_in_Emergistan__You_Are_Good__Even_When_You.11.aspx So you made a mistake. I know you’re busy beating yourself up about it. I know that after years and years of training in life-saving medicine you’ve also trained yourself to accept the blame for all sorts of things beyond your control. You’re asking, ‘how could I have missed that,’ or ‘why didn’t I think about that?’ You’re wondering why you didn’t give a different drug, order another test or do a different procedure. You may be replaying the whole scene in your mind; the nightmare intubation, the pediatric trauma, the young family,...

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Disappointment is Subtle Censorship

I’m a columnist.  I’m a blogger.  And I’ve fallen victim to a bad habit.  That habit is the tendency to be upset when a reader says something like this:  ‘I usually like your work, but I’m very disappointed in what you said recently.’ Or ‘you really let me down.’ Or ‘I thought better of you until now.’ Those phrases elicit a very visceral response in me.  They remind me of emotions I had in my adolescence when an adult would say something similar and it struck like a hammer-blow. ‘Disappointed?  I can’t disappoint anyone!  I have to reconsider.  I...

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