Silly Scripting Games. Yet another scourge on medicine and nursing.

This is my March EM News column Silly Scripting Games   Our nurses will soon have ‘scripting’ guidelines for their interactions with patients.  This is apparently widespread in many industries.  The idea being, patients will be more satisfied with their … Continue reading

Deciding who needs what…my latest Greenville News column.

Deciding who needs what can be risk business! http://www.greenvilleonline.com/article/20130203/OPINION/302030022/Ed-Leap-Deciding-who-needs-what-can-risky-business What do you need?  It’s an interesting question, much discussed in the wake of the current gun debate.  I frequently hear this statement:  ‘no one needs a rifle with a magazine … Continue reading

Republic of Emergistan Gear!

Dear readers, A recent column of mine told how life in the emergency department is like a mission trip to the land of Emergistan.  Here it is. http://edwinleap.com/blog/?p=2134 It seemed to strike a cord with many of my readers, and … Continue reading

Australian gun control

Here’s an interesting link about violent crime in Australia and the UK. http://voxday.blogspot.com/2012/07/mailvox-aussie-logic.html The problem with so much in politics is that there is no negative feedback loop.  When politicians institute ideas that are dysfunctional, they don’t retract.  They increase. … Continue reading

Self-evident truth in medicine

Some things in medicine are obvious.  Despite the endless worship of ‘evidence-based’ medicine, and the constant barrage of studies on every conceivable topic, we do certain things because we know they just seem right.  I take as evidence the fact … Continue reading

All doctors are equal, but…

Medicine is full of hierarchy.  We learn it in medical school.  Third and fourth  year students wear short lab coats.  Interns, residents and staff wear long coats…or no coats. Specialists are treated with favor by hospitals; non-specialists are supposed to … Continue reading

Yesterday was nearly cataclysmic.  Sitting in the emergency department, tapping merrily away on my computer (the main consumer of my time), it suddenly said:  ‘Fatal error, program will shut down.’  It happens, no big deal.  Until all of the computers … Continue reading