tag:blogger.com,1999:blog-43300418265128998772024-03-13T08:21:13.524-07:00Level 1 Drama Centera comic/commentary about life in emergency medical services. everything said here is true, only the facts have been change to make the stories more interestingUnknownnoreply@blogger.comBlogger37125tag:blogger.com,1999:blog-4330041826512899877.post-91790727277675106412013-01-19T08:55:00.002-08:002013-01-19T08:55:32.300-08:00I Swallowed a Pear<span id="internal-source-marker_0.08172594965435565"><span style="font-family: Arial; font-size: 15px; vertical-align: baseline; white-space: pre-wrap;">Pt brought to ED by BLS presents with what appears to be a partial airway obstruction. Pt is unable to speak clearly, coughing profusely but O2 stats are fine. According to EMT pt “swallowed a pear”. Upon further questioning it </span><span style="font-family: Arial; font-size: 15px; font-style: italic; vertical-align: baseline; white-space: pre-wrap;">sounds </span><span style="vertical-align: baseline;"><span style="font-family: Arial;"><span style="font-size: 15px; white-space: pre-wrap;">as if the pt is stating he swallowed a pear. When asked to clarify pt denies swallowing a pear and then makes a lewd gesture with his hands and tongue. As it turns out pt was performing </span></span><span style="font-family: Arial;"><span style="font-size: 15px; white-space: pre-wrap;">cunnilingus</span></span><span style="font-family: Arial;"><span style="font-size: 15px; white-space: pre-wrap;"> and </span><span style="font-size: 15px; white-space: pre-wrap;">swallowed</span><span style="font-size: 15px; white-space: pre-wrap;"> a “pubic hair” which is now caught in his throat.</span></span></span></span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-36711939643840114652013-01-15T09:08:00.001-08:002013-01-15T09:09:02.320-08:00Really, work release?Last week while working in the ED I wore dark blue scrub pants and light blue scrub top. A pt stopped me in the hall and said, "Those are Lardo (a local prison) colours. You on work release or something?"Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-56120080114005172622013-01-13T07:44:00.004-08:002013-01-15T12:17:01.642-08:00'DBS' or Douche Bag SyndromeI am going to coin a new medical diagnosis. It will be called 'DBS' or Douche Bag Syndrome.<br />
Signs and symptoms will include, but not limited to;<br />
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<ul>
<li>using the cell phone while medical providers are trying to perform care, </li>
<li>Stating that their minor pain is "10 out of 10", or even higher. </li>
<li>Demanding to be moved via wheelchair even if they are ambulatory. </li>
<li>Listing every non-narcotic pain medication on their allergy list. </li>
<li>Demanding specific tests, procedures or medications that are contraindicated based on their condition.</li>
<li>wears pajama pants in public</li>
<li>Fingers are orange from Flaming Hot Cheetos, while complaining about abd pain</li>
</ul>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-11718541525597819572013-01-13T07:41:00.001-08:002013-01-13T07:41:35.937-08:00arachnid-injectousI get pt with abscesses all the time. Often people confuse these skin infections with spider bites, specifically brown recluse spider bites. THERE ARE NO BROWN RECLUSES IN CALIFORNIA. that being said the most common cause of abscesses, that are blamed on spiders, from a certain demographic are actually from this specimen, the "arachnid-injectous"<br />
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-75083335865146253062013-01-13T07:37:00.002-08:002013-01-13T07:37:56.784-08:00Sticks and Stones<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyLWhbYjBdNIcHAJTaArGwPpAMwc6_6bD2L41OJ7BjlPNu7xLjUhGg_3LPYztIFSVsT-30W780NITEjmga3n85JR0O25AMakfen5b2QfADJCeT384yxMv93UIFopvA4N7_P362cS307qE/s1600/426939_10151235068013233_251116100_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="147" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyLWhbYjBdNIcHAJTaArGwPpAMwc6_6bD2L41OJ7BjlPNu7xLjUhGg_3LPYztIFSVsT-30W780NITEjmga3n85JR0O25AMakfen5b2QfADJCeT384yxMv93UIFopvA4N7_P362cS307qE/s320/426939_10151235068013233_251116100_n.jpg" width="320" /></a></div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-60751012933882062132013-01-13T07:32:00.002-08:002013-01-13T07:32:31.504-08:00New Medical Diagnosis: Wheelchair Induced Drama<span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;">New Medical Diagnosis: Wheelchair Induced Drama (WID)</span><br style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;">Signs and symptoms include: Pt is ambulatory until placed in a wheelchair, at this point the pt is unable to even stand up w/o significant assistance. Pt's minor symptoms often become much more aggravated and magnified. Pt often begins to complain of needing to “lie down” and of requiring additional narcotic pain medications. Allowing the patient to lie down, even temporarily, usually results in “nesting”, in which the pt then refuses to exit the gurney w/o the administration of pain medication and/or talking to the doctor. </span><br style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;">WID seems to be directly related to WCA (White Coat Angina) and Triple I (aye, aye, aye!)</span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-91702154282585252242012-07-20T10:09:00.001-07:002012-07-20T10:09:30.300-07:00protocols<div class="separator" style="clear: both; text-align: center;">
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i understand that certain protocols are in place to protect both the patients and the staff, but sometimes common sense needs to prevail.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-75633505537366371142012-06-12T14:19:00.002-07:002012-06-12T14:19:48.032-07:00Karate<div class="separator" style="clear: both; text-align: center;">
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I don't know what it is like in other areas but you don't screw around with the Sheriff Deputies in this county. They got in trouble for changing the lettering on one of the patrol cars from "Protect and Serve" to "We Will Kick Your Ass". No joke, they really did that.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-64786316040405228302012-05-05T21:28:00.001-07:002012-05-05T21:28:21.701-07:00potbelly<div class="separator" style="clear: both; text-align: center;">
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true story. new years day 2012.<br />
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and now for something completely different.a friend was reminding me that i hadn't posted any comics in a long time. the truth is i went back to school and organic chemistry is kicking my bum. maybe there is a comic in that...Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-9045313193351401042012-02-12T15:24:00.000-08:002012-02-12T15:24:01.223-08:00necrotising fasciitis<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2ZUoWnz35TlEz-ftRHPPBlTTeORTALfTnJA6aWxVuUtY86VfWxcBLHTB9gggumEuI1V3kSjWY81jZ68_F-6yKeKPUEJsBs9Y4JY6Gp4hdsnT8U8fuMpfqF5QvohgF3dicG2h8ldX1V7Y/s1600/necrotising_fasciitis.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="106" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2ZUoWnz35TlEz-ftRHPPBlTTeORTALfTnJA6aWxVuUtY86VfWxcBLHTB9gggumEuI1V3kSjWY81jZ68_F-6yKeKPUEJsBs9Y4JY6Gp4hdsnT8U8fuMpfqF5QvohgF3dicG2h8ldX1V7Y/s320/necrotising_fasciitis.jpg" width="320" /></a></div>
i prefer the name "chompers"Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-51621667560185431602012-02-07T13:35:00.000-08:002012-02-07T13:35:48.729-08:00personal massager<div class="separator" style="clear: both; text-align: center;">
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true story told to me by the RN present. The pt was just trying to lighten the mood. She really, really wanted the "object" out.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-39065304390721362552012-01-23T10:59:00.000-08:002012-02-01T21:42:57.354-08:00code dog<div class="separator" style="clear: both; text-align: center;">
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real story, Kern County, CA. although, I'm sure this has also happened elsewhere. people get really attached to their pets. but still don't expect the ambulance crew to perform mouth to muzzle on your pitbullUnknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-1655790219602929552012-01-07T15:07:00.000-08:002012-01-07T15:07:11.210-08:00Suppository<div class="separator" style="clear: both; text-align: center;">
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true story... i wonder about people that know about iv narcotics but have never heard of a suppositoryUnknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-65817309647970239942011-12-12T08:20:00.000-08:002011-12-12T08:20:23.147-08:00HCG (+)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhezM6vEQew1c6J4MM0jDmURefQROpJiI-QCxqKK4Xnw2RtTLzDXyxfmYZg55ZijB7aFXANcOwnxcdNwGxBXFQurTwC9WrECPDIR2SPIFy2F5ehG8wqo9PueuyLBmauDYcuidW0WsApBYc/s1600/hcg%252B.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="106" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhezM6vEQew1c6J4MM0jDmURefQROpJiI-QCxqKK4Xnw2RtTLzDXyxfmYZg55ZijB7aFXANcOwnxcdNwGxBXFQurTwC9WrECPDIR2SPIFy2F5ehG8wqo9PueuyLBmauDYcuidW0WsApBYc/s320/hcg%252B.JPG" width="320" /></a></div>
recently i had a pt that was complaining of abd pain. i asked her if she was pregnant and she said no way, no how, she just had a baby a 7 months ago, was still breast feeding & hadn't started having periods yet. after the positive HCG and ultrasound we discovered that not only is she pregnant but she was 22 weeks alongUnknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-66626430474165928562011-11-29T09:56:00.001-08:002011-11-29T10:38:13.557-08:00beer bottle Christmas<div class="separator" style="clear: both; text-align: center;">
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this male, 53+ y/o arrived via ambulance on Christmas eve. i asked him what happened and he told me, "my girlfriend and i got drunk and she got a little carried away."Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-39440291211138355502011-11-17T10:06:00.001-08:002011-11-17T10:28:09.286-08:00Hx of Szr<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRHDQaf3qJ1iuraI_k_Jiv0PzEQlmnsYdvmFrqiZY_rCmiZMM7dA_oX_CtJya2xz4EP2etwQxm2ZsCGHZOtJJneqYxRVsm9Vu6p8YLFgbsHZaDruajNuXUkCgi4G0qMbvMXWZTareA16U/s1600/Hx_Szr.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 267px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRHDQaf3qJ1iuraI_k_Jiv0PzEQlmnsYdvmFrqiZY_rCmiZMM7dA_oX_CtJya2xz4EP2etwQxm2ZsCGHZOtJJneqYxRVsm9Vu6p8YLFgbsHZaDruajNuXUkCgi4G0qMbvMXWZTareA16U/s400/Hx_Szr.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5676027908313315746" /></a><div style="text-align: left;"><span class="Apple-style-span" ><u><br /></u></span>there were so many things wrong with this incident that i will prolly end up writing several articles about the difference between taxis and ambulances, pt.s faking seizures to get attention, and pt.s that try to dictate their care.</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-61332343284639677482011-11-10T20:23:00.000-08:002011-11-10T20:30:51.735-08:00Diluadid Deficiency<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4hIZ3xmG250OxxZe4Kq6_GS9DxBifpOxmi4qPW1tdpJcjBABg6WB9ZRHIJ7jxm2YdZyoalT1x6VSTdQmm7PN4wST5o0BboiRqpfnzsulV0wathHsqWLlESQPs8XZvcNHAuMgg-3aVh-Y/s1600/Photo+Nov+10%252C+8+17+13+PM.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 133px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4hIZ3xmG250OxxZe4Kq6_GS9DxBifpOxmi4qPW1tdpJcjBABg6WB9ZRHIJ7jxm2YdZyoalT1x6VSTdQmm7PN4wST5o0BboiRqpfnzsulV0wathHsqWLlESQPs8XZvcNHAuMgg-3aVh-Y/s400/Photo+Nov+10%252C+8+17+13+PM.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5673589315692140354" /></a><div><br /></div><div><br /></div><div><span class="Apple-style-span">taken from <b style="font-size: 13px; text-align: -webkit-auto; background-color: rgb(255, 255, 255); "><a href="http://tinyurl.com/6skm3mr">http://tinyurl.com/6skm3mr</a></b></span></div><div><b style="font-size: 13px; text-align: -webkit-auto; background-color: rgb(255, 255, 255); "><span class="Apple-style-span"><br /></span></b></div><div><span class="Apple-style-span">The symptoms can vary but include:</span></div><div><ol><li><span class="Apple-style-span">Chest pain that is difficult to describe that radiates through your back, down your flank, to your left ankle, and back up your right leg to your neck, and back to your back.</span></li><li><span class="Apple-style-span">Often times, the pain may radiate from the chest through the outer layers of your scalp to the other side of your neck.</span></li><li><span class="Apple-style-span">The pain may also not be described as a "chest pain", but rather a non-descript "pressure" sensation that does not match any physiological or anatomical possibilities.</span></li><li><span class="Apple-style-span">The patient will usually say that the pain is similar to a previous episode of DDA chest pain that was only relieved by diluadid.</span></li><li><span class="Apple-style-span">Patients will also state that the oral/pill form of diluadid has not worked in the past and that they need large IV doses.</span></li><li><span class="Apple-style-span">Patients normally know the exact dose that would relieve their pain.</span></li><li><span class="Apple-style-span">Patients may appear comfortable and not distressed, but as soon as a nurse or physician walks by, the pain becomes excruciating and the patient may writhe and scream in pain. You don't want to miss this finding, similar to white coat hypertension. But it's white coat DDA.</span></li></ol></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-63935129189616733182011-11-04T19:06:00.000-07:002011-11-04T19:18:59.391-07:00i've seen scrubs on TV<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEZ4fxu32ZFyyp8osDw3ujnRHTo8z8VPBN8ewyKeYRnJ3-CEesj8eRJowE_Rm2Q3O4VaLic3h2iveYX3xKBYhSrb2zuISGyqiZARxdqMsLCCpce0PkXsXuikYclZdlbglInR_yegTy5A4/s1600/Photo+Nov+02%252C+9+25+59+PM.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 133px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEZ4fxu32ZFyyp8osDw3ujnRHTo8z8VPBN8ewyKeYRnJ3-CEesj8eRJowE_Rm2Q3O4VaLic3h2iveYX3xKBYhSrb2zuISGyqiZARxdqMsLCCpce0PkXsXuikYclZdlbglInR_yegTy5A4/s400/Photo+Nov+02%252C+9+25+59+PM.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5671327619245243458" /></a>i often hear pts dropping "key words/phrases" i suppose they think that if they know the lingo we will press the magic button that allows them fast an helpful service. unfortunately the misuse of medical terminology usually delays care; also it makes them look foolish. once i had a pt comment on my use of a sphygmomanometer, i told her, "in the real world, we call this a blood pressure cuff".Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-8911677744875176022011-11-01T19:56:00.000-07:002011-11-01T20:02:41.554-07:00I'm not sure what it's called something like...Dilaudid<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimHSBVI_j4nJKP6CKmdMECCciJEqMuSKIPao32Xy8p4IVOalxyEFGAWFVgO8pNZG3j5IOXCdvgMAMjLUOzvidW1sM2XS9eGG_HVY331qT8RMjlszl65PqD6QXsv_-aoSqmCV0VqNiJeTQ/s1600/Photo+Nov+01%252C+7+51+08+PM.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 133px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimHSBVI_j4nJKP6CKmdMECCciJEqMuSKIPao32Xy8p4IVOalxyEFGAWFVgO8pNZG3j5IOXCdvgMAMjLUOzvidW1sM2XS9eGG_HVY331qT8RMjlszl65PqD6QXsv_-aoSqmCV0VqNiJeTQ/s400/Photo+Nov+01%252C+7+51+08+PM.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5670227685603119826" /></a>i also like it when the pt is bent over in pain during the initial assessment, can't ambulate and screaming in pain who then storm out after realizing we aren't going to give them a narcotic script.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-71982753399385402612011-10-24T20:54:00.001-07:002011-10-24T20:54:12.879-07:00two days laterfrom our young man who swallowed a key. i don't know why he swallowed that key. i guess he'll be... fine<div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihRWtUuK6s-xx3kG-ZPyQ5SOj2vtsIUIbRxLyNPhX-r7DkZQR7JoXqjkXrMKU3aqKPcE_RzccmPt1Hfh2KehnK1tYVLahJ3s3P3sKrPwNxw8L9YC5zv3vUTGInY5Xy_Puy0yKWcM_SUz8/s640/blogger-image--1853666117.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihRWtUuK6s-xx3kG-ZPyQ5SOj2vtsIUIbRxLyNPhX-r7DkZQR7JoXqjkXrMKU3aqKPcE_RzccmPt1Hfh2KehnK1tYVLahJ3s3P3sKrPwNxw8L9YC5zv3vUTGInY5Xy_Puy0yKWcM_SUz8/s640/blogger-image--1853666117.jpg" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-81586715542587679802011-10-23T09:46:00.001-07:002011-10-23T09:46:48.753-07:00i swallowed it14 y/o male. stated he was throwing the key around and somehow it landed in his mouth and he reflexively swallowed it. <div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj9RpIE7PN6IEgWxDrHRoXfV_3zUgUXVCkM3GXkG1TUpfKkIfPW3sAAX8uHRVR2D5jE10RtvJlQKbGl2VegxVkvzITyVz_9JOOXGY5n6uK-KXursEeD3JyjTDYVnjg8Ahrzi5XTz03rOlU/s640/blogger-image--979017352.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj9RpIE7PN6IEgWxDrHRoXfV_3zUgUXVCkM3GXkG1TUpfKkIfPW3sAAX8uHRVR2D5jE10RtvJlQKbGl2VegxVkvzITyVz_9JOOXGY5n6uK-KXursEeD3JyjTDYVnjg8Ahrzi5XTz03rOlU/s640/blogger-image--979017352.jpg" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-13683849433587465322011-10-19T09:11:00.000-07:002011-10-19T09:11:57.790-07:00near syncope<div class="separator" style="clear: both; text-align: center;">
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<span class="Apple-style-span" style="background-color: white; color: #333333; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><i>"What we've got here is... failure to communicate. Some men you just can't reach. So you get what we had here last week..."</i> </span><span class="Apple-style-span" style="background-color: white; color: #333333; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Captain, Road Prison 36<b>, Cool Hand Luke </b></span><br />
<span class="Apple-style-span" style="background-color: white; color: #333333; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><b><br /></b></span><br />
<span class="Apple-style-span" style="background-color: white; color: #333333; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">"near syncope" was going to be the main title of this comic blog, but i thought it might be too hard to remember.</span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-25765817478061914692011-10-16T18:30:00.000-07:002011-10-16T18:30:26.638-07:00mystery meat<div class="separator" style="clear: both; text-align: center;">
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i am generally very happy with the food served to us in the cafeteria, but every once in a while, if you are not paying attention, they will serve something disguised as something else and that never ends well for me. it's like seeing a chocolate chip cookie and when you take a bite it, turns out to be raisins instead of chocolate chips. i hate that.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-86000076245425328382011-10-10T21:07:00.000-07:002011-10-10T21:07:43.659-07:00the impatient patient<div class="separator" style="clear: both; text-align: center;">
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i'm still not sure what she expected us to do. so we did a basic workup and told her to follow up with her primary medical provider.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4330041826512899877.post-18739884957356242782011-10-06T14:30:00.001-07:002011-10-06T14:30:55.816-07:00She likes to watchIt is a safe bet that I NEVER want to be a part of your weird nurse/doctor/patient sex fantasies <div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDI25JM6zjfJpkR8IRaDWgRQCqJLMXG1EIlWraeRQIATocLbMT_2KWcKOhYSDaTR_qKLYPBcsHNu3CvTpqNO7un04zgFrg3wz20zQafDhyphenhyphenOHqmxuGATwBdKtVV5FSiUvLbvymxdWL_vcQ/s640/blogger-image-1537771753.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDI25JM6zjfJpkR8IRaDWgRQCqJLMXG1EIlWraeRQIATocLbMT_2KWcKOhYSDaTR_qKLYPBcsHNu3CvTpqNO7un04zgFrg3wz20zQafDhyphenhyphenOHqmxuGATwBdKtVV5FSiUvLbvymxdWL_vcQ/s640/blogger-image-1537771753.jpg" /></a></div>Unknownnoreply@blogger.com0