Monthly Archives: August 2013

Medical Informatics and Godel, Escher, Bach

In college I read (about half of) Godel, Escher, Bach by Douglas Hofstadter.  I understood less than 50% of what I read, and remember little now.  But I remember the challenge of trying to understand the “interweaving” of mathematics, art … Continue reading

Posted in Coding, Uncategorized

By the Way of the Door

“By the way”, as we are leaving the exam room, “I just wish my headache was not so much worse with coughing.” Brain stem mass. “No doc, not in this part of the neck. I mean the swelling is here.” … Continue reading

Posted in Medicine, Uncategorized

FPNotebook Update Highlights – August 2013

A few highlights from my August reading: Tourniquets and Topical hemostatic agents from August 2013 Critical Decisions in Emergency Medicine (both links have the reference). I do not see much in the way of massive uncontrolled bleeding, but better to … Continue reading

Posted in Medicine, Uncategorized

FPNotebook Update Highlights – A New Series

I started taking medical notes on a handheld device (HP200LX) in 1994-1995, during my residency intern year. Throughout residency I took notes on everything: seminars, CMEs, rotation cheat-sheets, guidelines, articles, clinical pearls, books. By 1998, I created the fpnotebook website … Continue reading

Posted in Medicine, Uncategorized

Direct Evidence

I became more comfortable with nasal laryngoscopy when I was stationed at the Naval Hospital at Twentynine Palms, CA. We ran a satellite ENT telemedicine clinic, where an ENT in San Diego would watch us nasolaryngoscope patients 3 hours away. … Continue reading

Posted in Medicine, Uncategorized

The FP-ED Chimera

Between ED shifts today, my daughter and I had an outing. The off-hour ED shifts have limited our time together – especially this July and August, when I’ve had shifts on most days and weekends. So we need to plan … Continue reading

Posted in Medicine, Uncategorized

Back to the Blog

The last year has been eventful.  After 15 years of straddling the clinic, inpatient, obstetrics and the emergency department, I have moved to full-time in the emergency department.  I continue to systematically review the same primary care literature I have … Continue reading

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