Some of you may know I am an amateur Shakespeare scholar. I pursue the study of the Bard during my spare time, which means I don't pursue it very deeply. Medicine and blogging seem to be the great consumers of time lately, but this week's Grand Rounds gives me the chance to marry the three subjects together. I present to you a Shakespearean Grand Rounds, and I begin with a literary digression.
Dr Smak will make you laugh with this post on Pelvic Dyslexia.I recently received from a friend, Deb, this great news about US troops at CSC Scania(that's Convoy Support Center) south of Baghdad who are volunteering their time to run a clinic for Iraqis in need of medical care. These aren't people who were sent to Iraq as medical providers. Their official duty is to refuel trucks and keep them running on the convoy line running north and south through Mesopotamia. They treat up to 80 patients a day, many of them burned children. They report that they are seeing the same burns I saw so commonly: scald and oil spill burns from uncovered cooking sources in the home. They rely on donated service hours and donated supplies. If ever anyone needed a reason to be proud of our military, look no further than these troops.
A Gory Eye Picture from Marianas Eye (you are forewarned).
When a physician has an equity stake in a medical practice and he or she is unexpectedly disabled or dies, the consequences for the rest of the partners (or the physician's heirs) can be severe. Failing to adequately prepare for forced transitions may seriously impair a successful practice and may even result in lawsuits................Whether you're just beginning to write your story or you're already deep into the storyline, make updating your buy/sell agreement a priority. Establishing, structuring, and funding an adequate arrangement is a team effort. You should always have the involvement of a tax advisor and legal counsel.Plan well and ensure for yourself, your family, and your practice, a very happy
Although one would hope the symptoms wouldn't get to this extreme, the ad makes the point that heart attacks aren't really just about chest pain: but also chest or arm tightness or a discomfort, dizziness, shortness of breath, nausea, vomiting, sweating, and the like..............And one more thing to consider: if a friend wants to call an ambulance for you, let them. Remember they are objective observers, and might just save your life even despite yourself.
The patient's daughter had discovered a condition known as Herpes Zoster Oticus -- also called Ramsay Hunt syndrome. It is basically shingles of the geniculate ganglion, and it explains every single one of the patient's symptoms!Essentially zoster of the ear, Ramsay Hunt consists of a painful vesicular rash in the external ear canal associated with a facial nerve palsy, vertigo, oral vesicles and taste disturbance. Treatment is with antivirals directed against herpes zoster, which I had already initiated, and steroids.
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