Thursday, September 18, 2008

applying for privileges

I just spent a frustrating last 2 hours completing a 2 inch stack of papers for CHO privileges. is there anything more redundant and frustrating?

I don't know what my primary malpractice carrier or coverage amount will be
I don't know my UPIN, NPI, Medical #, blah blah blah, or all these other acronyms.
I can't remember my undergraduate school address
I can't believe after writing a $300 check, sending in all my letters of reference, photocopies of all my most important documents, the CFMG requires me to do another application????
I don't understand why they cant just get the same freakin' info from the Med Staff Office at CHO....jeez
And if I am gonna sign some document, I'm gonna try to answer everything. So, hopefully "unknown" is an acceptable answer for CFMG, Blue Shield, Medical, etc.

Wednesday, September 17, 2008

The current view of our candidates

Sorry, more political stuff I found funny.

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I'm a little confused. Let me see if I have this straight.....

* If you grow up in Hawaii, raised by your grandparents, you're 'exotic, different.'
* Grow up in Alaska eating mooseburgers, a quintessential American story.

* If your name is Barack you're a radical, unpatriotic Muslim.
* Name your kids Willow, Trig and Track, you're a maverick.

* Graduate from Harvard law School and you are unstable.
* Attend 5 different small colleges before graduating, you're well grounded.

* If you spend 3 years as a brilliant community organizer, become the first black President of the Harvard Law Review, create a voter registration drive that registers 150,000 new voters, spend 12 years as a Constitutional Law professor, spend 8 years as a State Senator representing a district with over 750,000 people, become chairman of the state Senate's Health and Human Services committee, spend 4 years in the United States Senate representing a state of 13 million people while sponsoring 131 bills and serving on the Foreign Affairs, Environment and Public Works and Veteran's Affairs committees, you don't have any real leadership experience.
* If your total resume is: local weather girl, 4 years on the city council and 6 years as the mayor of a town with less than 7,000 people, 20 months as the governor of a state with only 650,000 people, then you're qualified to become the country's second highest ranking executive.

* If you have been married to the same woman for 19 years while raising 2 beautiful daughters, all within Protestant churches, you're not a real Christian.
* If you cheated on your first wife with a rich heiress, and left your disfigured wife and married the heiress the next month, you're a Christian.

* If you teach responsible, age appropriate sex education, including the proper use of birth control, you are eroding the fiber of society.
* If , while governor, you staunchly advocate abstinence only, with no other option in sex education in your state's school system while your unwed teen daughter ends up pregnant , you're very responsible.

* If your wife is a Harvard graduate laywer who gave up a position in a prestigious law firm to work for the betterment of her inner city community, then gave that up to raise a family, your family's values don't represent America's.
* If you're husband is nicknamed 'First Dude', with at least one DWI conviction and no college education, who didn't register to vote until age 25 and once was a member of a group that advocated the secession of Alaska from the USA, your family is extremely admirable.

OK, much clearer now.

just as I'm about to sign out....

Sunday 4:45PM
- waiting for Mia to give her sign-out on my little nuggets in the NICU.
- "Code Blue" rings over head.
- hmmm... am I supposed to go to this? Well the charge RN went so I'll hang back.
- a minute later, "Code Blue. OR C."
- hm... a code in the delivery OR? This can't be good. They probably need like a peds person there right? I better go.
- turns out it was the wrong overhead announcement. It was an asystolic infant and they were supposed to call the Neonatology staff on their respective phones.
- as I come in with the Neo (Lily) and Elaina Oteyza (PL-2), it was a crash C-section, coding baby with ALS RNs, intubated. Gave 2 rds of ET Epi, 3 rds of IV Epi after getting a UVC inplace, several mls of LR. 17 minutes go by and still no heart rate. Called code. Had to help deliver the news to the spanish speaking father.
- hopefully not foreboding the rest of the year.

hope everyone is doing well...

Tuesday, September 16, 2008

dude i dunno wanna work anymore

dude i don't want to work no more a list of recent dx i have had to make from my clinic in the last two days
appy
periorbital cellulitis
some eye ball growth thing i don't know what the heck it is
psoriasis
bipolar mania with psychotic features new onset
bb in foot
scabies

I should have been a lotto winner or race car driver.

Tuesday, September 9, 2008

working for the man

So hi all from so cal. hope you all are doing well, sorry to the folks who kept calling me from LA, but i was stuck working. So far work has been good, my clinic is in shall we say the boonies. My patients atv and shoot things for fun. As long as they aren't shootin at me I don't really mind. the nurses at my clinic are the nicest people on earth. They shower me with affection and attend to my every need. one even gave me a snoopy mug, nice score free loot.

The down side is that I am working like a ton. I guess we are short of pediatricans in this region, which explains why i got this job so easily, beware greeks bearing gifts. basically i'm almost working six days a week. but i guess that's ok because i get paid overtime for that stuff and it's mainly urgent care stuff. Urgent care without certain annoying attendings is a pure joy.

Project six pack is progessing, while i'm probably not as good as mike and brad tx99 (whatever that mumbo jumbo thing is) i do see the early signs of definition. I bet by oct i'll have a 1-2 pack. My butt is also becoming a thing of glory.
See you all soon.

Friday, September 5, 2008

Idiots for McCain

hahahahahahaha....





sort of reminds me of this one....

Hello from the unemployment line...

Hi everyone,

I am on the complete opposite spectrum to Tony who is a full-fledged "doctor". Been doing a whole lot of nothing. Alta Bates starts on Sept 13 and John Muir Sept 21. Otherwise, I've been sleeping, working out (infrequently), and studying for the boards (also infrequently). Honestly, I'm getting antsy and can't wait to start working. Especially hearing about Karen and Tony getting gift baskets.

Heading out to San Diego for the weekend and then Chicago for next week.

Anyone catch the political conventions? I don't know why I bother watching as it was basically a condensed collection of meaningless and self-congratulatory speeches.

This was a pretty funny video of Jon Stewart destroying Sen. Palin's pundits.