Author: Edwin

Doctor Outspoken (A poem about doctors and free speech)

Doctor Outspoken Dedicated to all the docs who pay for their opinions with harassment and sometimes with firing. Oh doctor dear, we need you here! We need you day and night! We need your skills At treating ills So sick folks are alright. Oh doctor wise, we need your eyes! We need your healing touch! We need your knowledge From med school and college, Your training all matters so much! But doctor loud, doctor proud we need not hear your thoughts. You tend to complain And you’re always a pain, Remember that you have been bought! Doctor mad and...

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Sleeping Around in Odd Places

I used to practice locums medicine; which for the lay-person means traveling to different jobs, sometimes several states at a time.   During that time I stayed in a lot of hotels.  But, occasionally, I had more unique accomodations.  Obviously, if you travel enough you’ll sleep in an airport here and there. No big deal.  I actually like sleeping in airports occasionally.  When you’re stuck, you’re stuck.  Weather or mechanical issues, it’s fun to watch everyone freak out.  I’ve put my carry-on under my head and passed out cold in the waiting area.  Probably snored like a freight-train. I...

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College kids should know you love them…no matter what.

My column in today’s Greenville News.  Love on your kids when they’re in college! http://www.greenvilleonline.com/story/opinion/2017/08/30/send-college-students-off-tears-and-joy/607968001/ Two of our sons began university classes last week; one a freshman, one a junior. After spending a wonderful Summer with them, Jan and I always find this a difficult time. It requires that we adjust to walking past empty rooms and accept the fact that they aren’t coming back home at the end of each day to scavenge food and tell us stories. Even their high-school junior sister misses them, although she is under the delusion that the house will be neater with...

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Mid-sized ER Madness; Thoughts?

I know, I know, I spend way too much time ranting about work in the emergency department.  But after some recent shifts, my box of rants is full once more.  And what I want to point out is the enormous struggle of the mid-sized emergency departments in America today. I know this is a problem; I work in them, and I know and talk with people who work in them.  It’s getting harder all the time.  So what is that ‘mid-sized’ ED?  For purposes of my discussion, I’d say (depending on coverage) somewhere from 16,000 to 40,000 visits per year.  Now that’s not scientific, that’s just for the sake of discussion, and based on personal experience. I’d love to hear commentary from readers, because I’m trying to figure it all out.  But let me start with a story.  When I was fresh out of residency, I worked at dear old Oconee Memorial Hospital in Seneca, SC.  Our volume as I recall was around 23-25K per year.  We had pretty good coverage at first, with three 12 hour physician shifts a day.  Patients were sick but we moved them through.  And when I worked nights, I remember that it wasn’t unusual for me to lie down about 3 am and sleep till 7 am. Fast forward.  Even at my current job where I see 19K per year, there’s barely a...

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Pushing the President off a Virtual Cliff Isn’t an Answer

This is my Greenville News column from August 1. I forgot to post it to the blog until today. http://www.greenvilleonline.com/story/opinion/2017/08/01/pushing-president-off-virtual-cliff-isnt-answer/514120001/ Have you seen the charming computer game that allows you to push President Trump off of a cliff, into a volcano or to some other unpleasant location? It allows tolerant, caring individuals to vent their spleens against the man who they typically say is ‘not my president.’ Of course, it’s only the faintest tip of the iceberg, beneath which is a large mass of angry, violent, eliminationist rhetoric. Not to be outdone (and certainly not new), I recently saw...

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