He's aliiiiiveee!!!!

Hey there! Long time no type...again...I know. I really suck at this blogging thing. I think it has something to do with the fact that Ii type with so few fingers. I just finished up my first official month of medicine as a full-fledged MD. Scary stuff. I was on the regular medicine wards, which for me is a kind of personal hell. Thank God there are people who enjoy internal medicine, but it is definitely not for me. Everything moves at such a slow pace, and it is amazing how much freaking time is spent with paperwork and documentation, and how little is spent with the patient.

I did have one moment that made my butt pucker though. It was my first night on call by myself on cross-cover, which means that for all practical purposes, I was the doc uin charge of all the patients on the floors. I got called at 3:30 in the morning when I had just laid down after working nonstop for 22 hours. The voice on the other end of the phone said, "Dr. Sample, come quick, on the run." I jumped into my shoes thinking, "oh my God, somebody's gonna die." I got to the room, and it was a man who I had just hung blood for a transfusion on about 45 minutes before. His blood pressures had jumped from the 110s over 70s to 245 over 135 whrn I walked in. He was also having difficulty breathing, and there was nasty neon green stuff coming out of his trach hole. "What should we do?" the nurse asked. "Call a real doctor!" was the first thought that came to mind, thought I didn't say it. I had been a doctor for 5 days at this point, and hadn't taken care of a patient at all in several months. I trated every possible thing I could think of. First, I had them suction his trach. In case he was having a transfusion reaction, I gave steroids and benadryl. I also pushed Lopressor, a blood pressure medicine, to get his pressure down, and gave him a nebulized breathing treatment. He got better, but a few minutes later I found that he had a feeding tube in his intestines, and that the stuff they were feeding him was the same neon green that was coming out of his breathing hole. This is not supposed to happen, and likely means that he vomited, and then aspirated the vomit into his airway. He probably was silently choking, and my big life-saving maneuver was to have the nurses suck the stuff out of his airway. The drugs were all probably useless. Oh well, he's still alive and he went home a couple of days later.

I start in the ER on Saturday, which is a relief and scary at the same time. This is where it counts, and my program is notoriously hardcore. I think that this whole year is going to be one new stress after another. I am thankful that I have my family here with me. I think being alone during this time would be pretty stressful.

I will do my best to start updating this site more regularly...I promise! Until next time...don't get sick and come to my ER!!

Getting settled

No post in weeks, I know. I only recently got my computer up and running here in Texas. I have also been slammed with military in-processing, as well as 3 different life support classes. We are (almost) fully out of boxes and nto our new home. It is great. By far the nicest place I have lived in my life.
I am getting excited/scared/nervous/freaked about having to start taking care of patients again soon, this time with responsibility. Hard to believe that the time has come.
Can't write much now... have to be up for 2 days of field training in a few hours. Just writing to let you know that I'm not dead, and that all is so far well...
Steve
P.S. San Antonio is freaking HOT!!!!

Friends....

T minus 2 hours and 20 minutes and counting...
I can't believe that this part of the journey is actually coming to an end. It comes with a very bittersweet feeling. The bond formed by people under the rigors of medical school is not one that is easily broken, especially when the class is splitting to 27 states. Realistically, after today there are probably only 2-4 people that I will ever see in any meaningful way again. I am the world's worst when it comes to long distance friendships, moreso now that I have a full family of 4 to spend time with in my rare off time. No more road trips for me.
I want to use this space today to say goodbye to a couple of very special people from class. Their pics are below.

Jason- you are a friend that is different than any I have had in my life. You are, in a word, good. You bring out the best in those around you, believe it or not, even me. When life's pressures start to close in, you are strong enough to fall back on your faith, and those who love you. You are going to be an amazing surgeon, because I know that you will not let the stresses of the job you have chosen change your inner self. You will have devoted friends, colleagues and patients. You helped me with some tough times during school, and I will never forget the quiet support that you provided. (Great, now I'm starting to cry...) Though we will be 2000 miles away, we will stay tight, because I cannot imagine going through the upcoming years without my buddy. Thank you.

Erica- my study buddy from way back in first year. You have also seen me through some good and bad times, and often had insights into situations that seemed far more mature that your years. With you, I have always felt that I had someone that I could unburden myself on whenever I needed, and I will always be grateful for that. You are a beautiful person, inside and out, no matter how many damn times you changed your hair. Through you I have made a new friend and golf buddy in Michael. I am glad you chose him, because I know that he will love you and treat you the way you deserve to be treated. I am fortunate that we will only be a few hours by car away from each other, so I hope to actually stay in social contact with you all as our schedules allow. Thanks for being my friend. I don't know how I would have made it through without you.

Well, enough sad stuff. For now, It's time to party hard, and enjoy the new letters at the end of our names. It's now T-minus 1 hour and 55 minutes and counting...

Goofball!

My girl Erica and I, New year's 2004.

Two Days to Doctor!!!

But who's counting, right?
Tick, tock, tick, tock.....

IVs for dummies...taught by the local addict

Maddog has a cool post about the experience he had trying to start an IV in a junkie in the ED over at Central Dispatch. It sounds like the doctor as well as the patient learned something. Nice when that can happen...
Steve

5 Days and Counting...

Five days to graduation!!
I can't believe that this journey is finally coming to an end. No more school! ( More learning than ever before to come, though.)
The move seems to be rushing towards me like a runaway freight train Tobi and I just got back from San Antonio, where we spent the last week house-hunting. We finally found a great house, in a nice gated community with a community pool and clubhouse. We will be even more excited if we could sell the godforsaken house we are in! We fired our realtor today, and are going to cut the price and do it ourselves.

Tomorrow we have Senior Skits, which is basically a goofy sketch show that we put on every year. This year, we added talent, so I am singing a song making fun of one of our Nazi professors, as well as a duet with a family friend. It should be fun.

More updates soon, sis- I promise.
Steve

I hate people...

Well, the our home inspector never showed up today, and we found out (after calling them) that they had been canceled by the buyers because they couldn't get financing. It turns out, that this has happened with the same couple before! They are idiots.
Nice. Since their realtor SAID she had a pre-approval letter, and those are supposed to be as good as cash, we asumed it was sold. The Remax realtor representing the buyers sucks. She was unreachable by our realtor all week, and never gave so much as a hint that there was a problem. Now our house has been off the market for damn near two weeks, and 2 open houses have been canceled for these idiots. (Did I mention that I thought my wife had an ulcer in the last post? Make that a perfed ulcer by now.)
We did show the house today, but haven't received word on if they want it or not. I have a great letter all typed up to mail to Remax and the BBB. We have received approval on the purchase of our next house on the assumption that our house was gone. Now I guess we'll have to get creative.
Grr....
Steve

Busy times...

Lots has happened since my last post. I started my last rotation in medical school (yee-haw!!), went to Atlanta to take the clinical skills portion of Step 2 boards, visited family on the way back, and finally sold the house (probably).
I am working in a family practice clinic right now, and my decision to go into a faster paced field like EM is validated daily. The continuity of care is pretty nice, as I 've only worked 6 shifts and I've already seen several patients twice. 2/3 of our visits have been allergies this past week. The Ohio Valley is the allergy capital of the universe. Today seemed to be non-descript rash day. Steroids anyone?
The clinical skills exam was a long, miserable day. I see now why some great students are failing. It is a totally subjective exam, focusing on a preset checklist that the fake patients have, and in many ways resembles a real visit not at all. I went down with my buddy Jason, and we made it an OK time.
He was kind enough to stop by for 2 days in a town called Rome, about 75 miles or so from Atlantaand accompany me while I visited all my parents brothers and sisters. He is a great friend. I was semi-miserable, and I know he was dying, but he didn't utter a peep. I did get to see my cousin Haley, who I named my first daughter after,(and who I had the secret hots for as a child) and that was great. The rest of my family down there is.....unique to say the least.
We sold the house the day I left for Georgia, contingent on passing the dreaded home inspection tomorrow. That's one less thing, at least. Now we can buy a place in San Antonio when we go down in a couple of weeks.
I can't believe the move is coming so soon! It's getting really nerve-wracking, and I think Tobi's giving herself an ulcer. I know everything will fall into place, but it sucks having to pull my family 1200 miles from their entire support system and then do the dreaded intern year, where I will be basically absent. That is weighing on me pretty badly. It's too late to change things now, so I hope we can pull together as a family and make an adventure out of it. After all, there are worse places than San Antonio!
Well that catches me up to today...will write soon!
Steve
Viva el Alamo!!

Man, I suck at Blogging....

It must have something to do with the fact that I type with three fingers...

Oh well- I got back from St Louis on Monday night, in time to see the great Illini fall. I spent the weekend in the city. I had a ticket to the games, but it was a solo seat. I unloaded them and made 650 bucks, and drank a lot of beer with my friends. It was crazy there. Illini fans outnumbered all others at least 10-15 to 1. They totally owned the city, and they acted like it. It would have been worth staying until after the last game just to see how the mood in the town had changed.

I was on my last career spring break this week. My last rotation starts Monday, with an outpatient family med guy in the country. He doesn't know it yet, but i will be gone a lot this month. I have to drive to Atlanta to take the USMLE's 1000 dollar raping of the class of 2005 that they like to call the clinical skills exam. Then Tobi and I are spending the last week before graduation in San Antonio looking for a house. (If we could just sell the godforsaken one we are in!!!) We have another open house tomorrow, this one with a realtor, so hopefully it will be busy.

I can't believe I am one short month from MD. That is crazy. Be afraid, be very afraid...
Steve

St. Louis, Here I Come!!

Well, I found out today that I am one of 300 students in my whole university that got student tickets for all 3 games this weekend. I am the only medical student who gets to go- at least on the 30 dollar for all 3 games tix!! I am an Indiana fan through and through, but I have to go root thr Louisville Cards on to victory! (Even though I think Ilinois will win by 8) Sue me, I'm a realist. I just wanted to gloat a little- this is the first time I have EVER put my name in a lottery for anything and actually won!
My wife has some family in town, so I have a free place to crash. Hopefully I can hook up with some fun fans while I'm down there. Anybody who reads this going? Shoot me an email- we'll hook up!
Well, I have to go to bed. My last exam of Medical school is tomorrow morning. One last Medicine shelf exam, then party under the arch!
Steve

Central Dispatch is open

There is a cool new group blog called Central Dispatch that is geared towards people in the area of Emergency Medicine. Most of the posters seem to be EMTs and paramedics, but yours truly hopes to change that by adding his 2 cents from time to time. My medical type stories will be posted over there, and maybe here as well depending on my level of forgetfulness. Just add it to your bookmarks, so you can get me either place!
Steve

I suck

Got into a religious discussion (read: argument) with my dad at the dinner table tonight. It was concerning prayer in schools, but the topic is irrelevant. Dad is a very religious man, and is extrordinary in his faith. He also happens to be the best man I have ever known. If somehow I could be half of the person that he is, I would be pretty satisfied with how I turned out. If you've read my earlier posts on my thoughts on religion and God, you know I am searching, and still trying to figure out what I think. I have a problem expressing faith publicly, because I feel like a hypocrite. I barely even remember saying this, but apparently I said that he drives me further from God with his constant talk about the subject. The context was people that constantly evangilize in every coversation, but the pronoun you somehow entered the sentence. So, of course my dad, who works only to make his family happy heard this...."...blah, blah You are driving me away from God, blah, blah." Very nice. Needless to say, I ruined his night, and now am left to find the way to apologize and make him understand that my issues have nothing to do with him. Joy. I hate hurting people, intentionally or not. I wish I could just have him read this and give him a hug, but I guess that would be a cop out. Any suggestions?
Steve

The power of the mind is truly amazing....

Check out this article in the UK Guardian. Scientists are developing a brain implant that has allowed a quadriplegic to move a robotic arm. The goal is to have people walking and functioning in society again. Awesome. Stay tuned kids, the future is going to hold some unbelievable stuff...
Steve

A Used Car Salesman I am Not

Well, two more things are out of the way for our upcoming move to Texas. We sold our 2 old cars today. To say we took deep discounts is a gross understatement, but at least they are gone. We may have even helped out a couple of families in need in the process.
One was a young Mexican family who have spent the last 4 months living in Children's Hospital with their baby, who almost died and had to get a colostomy. Only one spoke English, and there were about 3 brothers rushing to ATMs to get money out. I said 1250 was my bottom dollar, but they could only come up with 1180. What was I supposed to do? I couldn't say no to a family who is working hard, trying to live the American Dream that most of us take so for granted. Call me a sucker, but it still feels good.
Steve

Long time no post....

Sorry it's been so long since my last post. I know all three of you who read this regularly ( and you, too Mom) have been waiting with bated breath as to what brilliance would next spew forth from these 2 fingers that I type with.
I've been working on my last inpatient rotation at the VA Medical Center. (My interns are great, but my chief is a psychopath. Seriously.) If that isn't bad enough, I am stuck on the team that admits all cancer patients. A full 2/3 of our census is either being followed by Hospice or will soon be. Very depressing, giving bad news all day long. I have learned what an amazing tolerance to opiates one can build up. A man on our team with diffuse B-cell lymphoma was proving very difficult to keep pain-free, so we made a palliative care consult. He is now on 300 micrograms of fentanyl via patch, and 50mg of morphine every 30 minutes!! That is by far the largest dosing schedule I have seen thus far.

The big topic at work right now is the Terry Shiavo case in Florida. It looks like the tube is staying out for now. Every doctor I have talked to at work is in favor of letting her die. I have a hard time with it only for the fact that her husband seems like a total scumbag, and I would hate for my fate to be decided by a prick like that. I suspect, however, that it is for the best, and that the "expressions and reactions" her family describes are basic reflexes, and that there is no cognition involved. I have already let my wishes be known to my wife and family, as should all of you. I would have been dead a long, long time ago. I have no wish to be kept alive in that situation. I wish the politicos (mostly on my side of the aisle) would get off of their high horses and quit exploiting this sad situation. Would they want to live like that?

On a lighter note- check this video out. It cracks me up. That had to have hurt. I hope his tetanus shot is up to date.

I am home right now taking care of my daughter, Riley. She has been throwing up every 20 minutes or so. She was supposed to be at an ice skating performance with big sis Haley. She is very disappointed. I will sign off for now. It looks light a long night ahead. I still have to clean house at some point, we are showing it tomorrow.
Talk to you soon!

Open up and say ahh...

Another super weird one from Drudge.
Apparently a dentist has been charged with assault on several women after squirting his own semen into their mouths during exams. Getting rejected from medical school must have drove that fool crazy. ( Just kidding to all my DMD brothers out there! ;-) )
You can find the whole story here.
People continue to amaze me with their depravity.
More later.
Steve

Dad- You never talk to us!!

Check this article out. It seems as if some elderly siblings figured out that their father had expired on the futon. The cops say he has probably been dead for 10 FREAKIN' YEARS!!! They began to think something was wrong just recently. He must have really been the strong, silent type. Daddy turned into the mummy!
Steve

Ahh..the simple things...

I just got through doing one of my favorite things as a father...I pulled my six year old's top right front incisor. I'm sure the dental guys have a number for that tooth, but when it comes to the mouth, I'm an idiot. Haley looks so cute with it gone. It makes me proud, yet a little sad. She is growing up so fast. Right now it's lost teeth and an attitude, tomorrow cars, boys proms and an attitude, and next week marriage and children (also with an attitude!) Thinking back on my life, high school seems so near to my mind; my first attempt at college really seems like yesterday. Life goes so fast. Depressing stuff. 30 years old and already contemplating mortality...yuck.
Well, I had better sign off- I have to see several patients at the VA (yuck again) and write notes by seven AM, and I have to go watch Carnivale on HBO. Anybody else watch it? It's a weird show, but addictive. I'd be curious to hear how you guys think it will end.
Have a great day!
Steve

House fever

My wife is losing her mind over a house in San Antonio she found online. She has been scouring the internet every since I matched in December. She's talking bridge loans, flying down to Texas like right this second, and possibly killing the owners and stealing their identity. OK, I made that last part up. It's the pool in the backyard that is driving her crazy. She is somewhat of a sun goddess and a pool has always been her dream. I really hope we can sell our house soon, so we can think about it!
In other news, Tobi is scheduling an interview for a school nursing position when we go to visit San Antonio. The pay is probably crap, but it would be great as far as the kids are concerned. Hopefully everything will come together.
Steve

People are strange...

Here's a little story via Drudge that makes you feel all tingly inside. (And not in a good way!)
The first paragraph of the story says it all...
The adoptive parents of a 17-year-old boy who weighed 49 pounds when found in a home where he was forced to wear a diaper and sleep in a locked, cage-like bed have been charged with child neglect, authorities said.
Very nice... now all of you- go unlock the cages and feed your kids. or the cops may find YOU next!
More posts soon!
Steve

What IS a mahnamahna, anyway??

This little diddy cracks me up more than my kids, and I'm not even sure why!!
If you have broadband, check it out and tell me what you think! Muppets rule!
Click!

Steve

Monkeys must really hate cake...

IMAO and Annika write about the ABC News Story about the chimps that mauled a couple when they went to throw their ex-pet a birthday party at an animal sanctuary in California. Two chimps escaped and attacked them as they were bringing the chimp- (that was removed from their home for biting off a woman's finger) a cake. The woman got a bite on the hand, but the man had his nose torn/bitten off and nearly lost a foot and his *gulp*- testicles! Just goes to show what happens when you lock big, strong animals up away from their natural habitat and forget to bring enough cake for everybody.
"Your cake or your boys, buddy- your call. "

Unisex Bathrooms

Begging to Differ has a post discussing the pros of unisex bathrooms, as discussed in the NY Times. The discussion was prompted by transgenders in NY and other places fearing harassment.
At the New College of California, a liberal arts college in the Mission District of San Francisco, men's and women's rooms have recently given way to "de-gendered" restrooms, devoid of urinals as well as of white stick figures with pants or a skirt. Signs on the doors proclaim the new restroom politics: "Lots of people don't fit neatly into our culture's rigid two-gender system."
Rigid indeed. How many genders do they think there are?
BTD thinks that that would make restrooms cleaner for all. Perhaps. I have seen (and cleaned) some womens bathrooms that would rival the worst of the men's. Women tend to spray pee and poo all over the place in an effort to keep their precious rear ends off of the seat. Not to mention flushed maxi's that clog up the works. I could go on...
I for one don't want to do my business in the same room with the fairer sex. Some of the sounds and smells that occur in that room are humiliating for other men to be around...but women?? Men would hide in the stall all day just to avoid being seen! I assume this would go double for the gals. Maybe I am wrong. Educate me.
Steve

Hetero-NORMATIVE??

This story, covered by Begging to Differ, highlights the reason I will never send my kids to an Ivy League school. Or one in California. Maybe I'll send them to welding school. These idiots have completely lost all touch with reality when they say that a straight woman- speaking of her own experiences and thoughts, was offensive to the gays, lesbians and transgenders (why transgenders are lumped with homosexuals I will never understand) in the audience.
Quote:“Some of the content was extremely heteronormative, and made BGLTSA members feel uncomfortable,” he said.
Read the rest of the story here.
Signing off in a totally non-offensive and hetero-abnormal way, Steve

Oh...My...God

Check this link out. I know high school boys are a horny lot, hell, I was one. This however....wow.
Link via Drudge.
Steve

The Art of Pimping

This is a funny article from JAMA that all medical students should read. It is really funny. I have been very lucky/unlucky depending on your point of view to rarely, if ever get pimped by an attending. I'm sure it's coming next year, though! Pimping is the medical profession's S and M version of the Socratic Method. It is teaching by asking questions, and is practiced in many law schools. It is medicine, though that has refined it to its rotten, humiliating core.
Enjoy!
Steve

Robbed...

Just got through watching my Indiana Hoosiers struggle back from 11 points down at Wisconsin to go up by one, only to get the game stolen by the refs. In the last 3 minutes they called three fouls on us that weren't and didn't call two obvious ones against them. We still hung tight and lost on a last second shot. Grrrr... we really needed this one, too. We are on the bottom of the bubble for the NCAA tourney, and this would have likely locked it for us. Oh well...just a game, I guess. Congrats to Mike Davis on a well coached game, no matter the outcome.
Off to bed- my last day of plastics tomorrow. We are filling a shotgun hole on the side of a face with skin from his shoulder. Crazy. G'night!
Steve

World Wide Rant

Got his from this site. Sounded like an original enough idea...let's play!

The World Wide Rant - v3.0: Easy as 123

Okies, let's play the game ...

Rules:

1. Grab the nearest book.
2. Open the book to page 123.
3. Find the fifth sentence.
4. Post the text of the next 3 sentences on your blog along with these instructions.
5. Don’t you dare dig for that "cool" or "intellectual" book in your closet! I know you were thinking about it! Just pick up whatever is closest.

"A corporation of which you are now the president."
John Cullum looked unimpressed with his putative new title. He said, "Deepneau's supposed to draw up articles of incorporation and make sure Tet's legal."


From Dark Tower VII: The Dark Tower by Stephen King

For those of you who haven't read this series....it's amazing. Wheter you think you like King or not, you should try it!

Steve

Life With a Purpose Week 2

I just got back from my second week of discussion of the book The Purpose Driven Life.
The book focuses on 5 key points to living a purpose in life. This weeks topic was probably the most uncomfortable for me- worship. In a nutshell the point is that we were created by God for His pleasure, and that we are to love Him with all our hearts mind body and soul. After the tape there is a discussion time where questions are posed to the group. It started slowly tonight, with people not piping up, until the heathen of the group spoke up. That's me, in case you don't know me yet. The question was basically "how do you feel about all of this?" The one word answers were happy, comforted, blah, blah, blah. After biting my tongue for a minute, I confessed that this was a sticking point with me. The statement that we were created basically to worship makes me feel a little like God was bored and looking for amusement. I made you, now bow to me! If you are good, I'll let you into Heaven where you can worship me for all eternity!!
Now I will be the first to admit a little self-centeredness, and a bigger than average ego, so the thought of bowing FOREVER is a little off-putting to me. Granted, it does beat the alternative biblical choice, but my (sinful) pride gives me a difficult time with this. All that being said, worship time at church is when I feel closest to God. I was a professional singer in my former life before medicine, so I'm sure that has something to do with it.
After my comments, the discussion took off, and it was nice. I love a debate. I didn't resolve anything, but it felt good to get my feelings out. I have a lot of left-over Christian guilt and it sucks to have all these questions bouncing around in your head, without talking about them.
I'll be back next week with the latest installment of my search for a purpose...
Steve

Open House

We are having an open house all weekend long. Trying to sell the place so we can start seriously looking in Texas. What a pain in the ass. This is the third week in a row. We are trying to do it without a realtor for now, so we can be flexible on the price and make the offer attractive for a potential buyer. Of course the traffic is considerably less, too. Anybody out there had any experience with this? Will a realtor let me demand a higher asking price? Is the comission worth the amount of freaking hassle saved?
Oh well.. off to wait for a customer...
Steve

C,mon little buddy, you know you want it!

Bucket O' Leeches!


These are the medical leeches we got today to put on a skin flap with venous congestion that was threatening to destroy our work. The pic of them eating will follow shortly!
Steve

Life With a Purpose

Got back a little while ago from a small group meeting from my church
that my wife wants us to go to for the next 6 weeks. It is studying a book by Rick Warren called The Purpose Driven Life. It is basically a study on how to find God's true purpose for your life, and how all the little things in your daily life don't matter without a focused purpose. This is predicated on the fact that you are sure that there really IS a purpose to our existence. I struggle with this issue daily. I was raised in church and have a good solid religious family. I say my prayers most nights. I thank God for the little things as well as the big, and I ask for help and guidance when I need it. At the same time I'm doing that though, the realist/scientist or whatever in me asks if it's not all a big farce, just a way that we humans try and make sense of our pathetically short existence. I sure hope its not. I keep waiting for the thunderbolt that will take my doubt away, but so far it hasn't come. I feel a little like this guy, who blogs about his bible reading experiences as he goes. I just don't buy it all, and I feel guilty trying to pick and choose the parts that I can stomach. In the meantime, I'll keep searching.
I'll keep going with my wife because it is important to her, even if I do feel like a fraud sitting there. Hopefully by the end, I will have become a little less self-centered and material oriented, and have a newfound purpose in life. It could only help my marriage , and maybe, in the end, my soul. If not, maybe I'll at least make a few new friends. We'll see.
Steve

Plastic surgery...

I am on plastics right now, which is SUPPOSED to be a completely cush rotation. The fellow we have is really nice, but feels like we have to work the exact same schedule as he does. I spent 4o minutes the other day watching him sign dictations, when I could have actually had a decent lunch for a change!!
Today it is 70 degrees outside, sandwiched in between 2 days in the 30s-40s. We got in this AM with only one case scheduled, that was to take less than 2 hours. Nice! Should have been on the links by 11AM at the latest. At 1:30PM we finally scrubbed out. The fellow had never done the procedure before, and was taking his sweet time. Thats one big reason I love EM. I never would have seen golf as a possibility if I knew going in that I would be there until X time- therefore no disappointment. When a 10 AM day goes till 3- that sucks! Oh well... the case was cool at least.
We consulted on a guy today who was drunk messing around with his high powered hunting rifle. Long story short, drunk drops gun, gun goes off and completely blows this dude's knee away! One of the most impressive wounds I have ever seen. I assume the lesson in this is obvious, so I won't even mention it... Gotta go get my kiddos. See ya!
Steve

Me and the wife!!

One more blogger...

Well, not that the world needed it, but here is yet one more blog. My name is Steve and I am a senior medical student at the University of Louisville School of Medicine. I am 30 years old, and I have a wife of 7 years, Tobi, along with two georgous daughters, Haley and Riley. We will be uprooting in June after I graduate. We are moving to San Antonio, Texas, so I can do a residency in Emergency Medicine with the US Air Force. ( I'm sure there will be plenty more on that to come...) Hopefully this blog will be sort of a cathartic stress release. I hope to make some friends and learn a little about myself in the process. I hope to get to know lots of you!
Steve