Category Archives: Medicine

December Fpnotebook Updates

Its been a while since the last post. November and December were busy months at the FPN homestead. I’ve started logging all Family Practice Notebook updates. 25 major topic updates in December. Not only is the list of updates more … Continue reading

Posted in Medicine

A Challenging Day in the Emergency Department

They wait outside their ED room’s doorway, with their arms crossed.  A simple visit over, all but the discharge medication faxed, patient instructions added, discharge button clicked.  The visit started well with a pleasant conversation during the examination.  Evaluation efficient … Continue reading

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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

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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

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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

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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