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Friday, February 29, 2008

Thursday, February 21, 2008

Clinic Note


PATIENT NAME: Bertha Magilicutti (name has been changed to protect the afflicted).

CHIEF COMPLAINT: See history of present illness below as there is not just one complaint.

HISTORY OF PRESENT ILLNESS: This is a 21-year-old female who presents today with a myriad of complaints. She states that since starting her job she has noticed increased itching all over. It really depends on the day but mostly when she is transcribing dermatology reports. She also describes low back pain and knee and ankle pain mostly when she is transcribing bone, spine and joint clinic notes. She states that she is worried that her kidneys are not working properly especially since she "transcribed a report of a patient who had acute chronic renal failure." When questioned further about this fear of her own kidneys failing, she stated that yes, her own kidneys do seem to bother her at times. Ms. Magilicutti asked questions regarding cholecystitis as she feels that she may have cholelithiasis. The patient coughed several times throughout the examination and stated that she is sure she is coming down with bronchopneumonia.

PAST MEDICAL HISTORY: Surprisingly unremarkable.

SOCIAL HISTORY: Patient is married and has five children. She does not smoke and denies recreational drug use. She does not drink but wonders if this might be helpful for her at times.

PHYSICAL EXAMINATION: This is a 21-year-old female in no acute distress. She appears older than stated age but otherwise looks normal. Neck is full in range of motion although examination was limited by the patient's lack of cooperation. She admits that she is afraid it might damage her spinal cord as she "thinks she has read about this happening." Speech output is within normal limits. She kept saying things like "arss" and "beaver dam". Neurologically, Ms. Magilicutti was alert and oriented to person, place and time. Lungs: Clear to auscultation bilaterally. Abdomen: Soft, nontender, nondistended, obese. Skin: Normal appearing. Extremities: Within normal limits.

MEDICATIONS: Prayeren t.i.d. and then on a p.r.n. basis, Scrpiturelyn 1-2 times daily and then on a p.r.n. basis, hugitol twice from each family member and then on a p.r.n. basis, Blogilyn read 20 posts each day and write one twice a week, Commenton 100 each day (note: any less and she believes she will not make it).

ALLERGIES: Dirty dishes, dirty laundry, dirty kids, dirty dogs.

IMPRESSION: New onset hypochondriac.

PLAN: Continue to take current medications as this will definitely ease her symptoms. I will also refer her to the loony bin. If she has any other questions she may feel free to contact my office.

Thursday, February 14, 2008

This too shall pass...

We had the snowstorm of the century last night. It was a mess! The wind was blowing snow everywhere. There was zero visibility and giant snow drifts all over. Rob was supposed to go to work and was trying to wait it out. Finally an hour after he was supposed to leave he decided to brave it and he headed out. This is what it might have been like for him as he made his way to the freeway.



As you can see in this picture the giant drifts that were created in a short amount of time. They were everywhere. There were cars that were caught in these drifts and hundreds of rescue efforts trying to get to people stuck in the snow.



As Rob was driving 25 miles an hour he was listening to reports of the chaos everywhere. They were pleading with people to stay home unless there was an emergency. They couldn't take anymore messes. Rob was trying to see the road and was spinning the front tires of the van just to get it up the hill. He called to tell me he was going to turn around at the next opportunity. That opportunity came and left as it was blocked by a snow drift. It was terrifying for him and myself as I talked to him. He finally came upon the next available exit and had to gun it through the snowdrift blocking it. As he tried to get back on the freeway heading home he saw that it was blocked also. There was a semi stuck in the snowdrift that was blocking it. He pulled into the nearest gas station to assess the situation and try to figure out how he was going to get home. He was among the thousands of stranded motorists who were not going ANYWHERE. He was gearing up to spend the night in the van at the gas station. He was only 10 treacherous miles from home but he couldn't get there. Thirty minutes later he notice a snowplow coming. He gave a sigh of relief as he realized that the snowplow was going his way. He got behind him and followed him all the way to the home exit.

As I placed myself in his shoes I thought of the agony of getting back onto that road and making that terrifying journey home. I don't know that I could have. The roads were so dark, uncertain and dangerous. But yet if Rob wouldn't have he would never have gotten back home. It was a cold and despairing thought.

There are often dark moments in life and as we face them we have to realize that we need to move forward. We may not be able to do it alone and we may need a snowplow to show the way when there is zero visibility, but if we don't take those opportunities when they come then we may become entrapped as the motorists below.



Rob and I realize that we have had many snowplows show us the way. We are grateful to each and everyone of them. We hope you know who you are.

Thursday, February 7, 2008

Just Curious

If Billary makes President...




Who will be the First Lady?

Sunday, February 3, 2008

Great Post




I had intentions of sitting down and posting tonight but not until I got my new look just right. Needless to say... I ran out of time! But I would really still love ANY and all the love you have to share! Give. Give!

Love you all!