fast train

Tips: How to Perform a Spinal Tap on a Moving Train

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I have to admit: spinal taps (lumbar punctures) are not one of my favorite procedures to perform.  I’m fairly certain our patients don’t enjoy...
angry man

Tips: How to Manage Your Pent-Up, Work-Related Rage

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Many jobs, in particular ones involving working at the hospital, have a certain way of… how do you say… taking you there.  One of the...
burnout

An Administrator’s Tips to Health Care Providers for Curing Burnout

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Burnout is prevalent.  Most of you reading this are burned out.  What can we do?  How can we preserve our sanity?  We sat down...
brain stem biopsy

Physical Exam Tips: The Nervous System

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The physical exam of the brain and nervous system can be broken down into two parts: the lumbar puncture and everything else. Lumbar Puncture The lumbar...
new england journal of medicine

Tips: How to Read the New England Journal of Medicine

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STEP 1: Grab copy of New England Journal of Medicine (NEJM) from mailbox. STEP 2: Pretend to read through the cover contents, enough to cause...
roller skate injury

ICD-10 Primer, Lesson 2: Roller-Skate Documentation

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A minute doesn’t go by at work without someone talking about yet another patient involved in some roller-skating injury.  ICD-9 codes for roller-skating were...
nursing call light

Tips for Patients: How to Use a Call Light

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Nurses are incredibly busy.  And by busy we mean doing endless charting.  So much so that they're contractually not allowed to eat or urinate....
doctors teaching

Tips for Interns: How to Respond to Your Attending’s Questions

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Here are a few short cases to help out our new interns! CASE 1 Your attending asks you during floor rounds: “What can you tell me about...
toliet flushing medications

So You Dropped Your Pager into the Toilet, What to Do Next

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You're on-call, but before sh*t hits the fan, you hit the toilet.  Just when you're pulling up your pants or fixing your belt, you...