Kevin and Leslie have two beautiful boys Isaac and Austin. Recently Austin suffered a seizure and the exact cause is still pending some testing that is being done. I spoke with Kevin today and asked him if it would be OK if I posted this on the blog. He and Leslie said that would be great.
I also told him that all those Mormon guys he hung out with know how important family is and that we would be more than happy to remember him and his family in our prayers. And if needed rent an RV and drive out to help.
Acutally Kevin and Leslie were able to come to our home on memorial day weekend for what you ask, a Bar-b-que. We grilled steaks and played with Austin, looks and acts just like Kevin. But I blabber on. So Kevin and Leslie please know that you will be in all of our prayers and we will be ready to help if and when needed. Thanks to all.
Saturday, May 30, 2009
Wednesday, February 25, 2009
Housekeeping
A few quick thoughts:
1. Priceless 360 degree post by Dr. Glover.
2. Looks like I'm going to pursue Vascular Surgery. Love them diabetic feet.
3. I have a lead on a urology spot for any interested individuals. Especially those serving our country in the dangerous battlegrounds of North Dakota.
4. Detroit is a rotting carcass of a city, but pretty fun to train in.
5. Hope Jeremy's hernia is OK. Must be tough falling apart, old man.
6. Ann and I were talking about heading to Hawaii some time next winter (got to moonlight and make some $$$ first). Anyone interested?
7. Also still thinking about going to New Orleans for the BYU/Tulane game this fall.
1. Priceless 360 degree post by Dr. Glover.
2. Looks like I'm going to pursue Vascular Surgery. Love them diabetic feet.
3. I have a lead on a urology spot for any interested individuals. Especially those serving our country in the dangerous battlegrounds of North Dakota.
4. Detroit is a rotting carcass of a city, but pretty fun to train in.
5. Hope Jeremy's hernia is OK. Must be tough falling apart, old man.
6. Ann and I were talking about heading to Hawaii some time next winter (got to moonlight and make some $$$ first). Anyone interested?
7. Also still thinking about going to New Orleans for the BYU/Tulane game this fall.
Tuesday, February 10, 2009
"360 Evaluations"
Don't know if anybody is still reading but I noticed last week not much traffic. Anyway you all here would appreciate this story the most.
Just finished our 6 month evalutions. Called 360, meaning you get evaluated from all sides. You know the nursing staff, PACU nurses, Cafeteria workers, cleaning staff, and your attendings. So I am reading through my reviews which I must say were all pretty good. My program director and I are laughing about a few things but no problems. I notice she is holding one last evaluation, she said she wanted to save the best for last. It is from a PACU nurse. Apparently I wronged her a few months ago, when I did not comments on her new pattern for her scub top, or forgot to tell her that her new "crocks" were the bomb. I have a sneaking suspicion that the comments relate to the fact that I do not just give her dilaudid at her request and occasionaly ask such silly things as what the urine output is, what the last hemoglobin was, what is the BP, how much dilaudid has the patient recieved?? You know silly, stupid things like that.
Anyway in her evaluation of me it stated that Dr. Glover is "arrogant" and "belitteling". Her spelling. My program director was laughing and asked if I had a response. I told her to tell the nurse she has'nt seen anything yet. And come June 30, 2011 she would be wise to not be in the PACU because I will proceed to open a can of arrogant, the likes of which she has not seen before.
So you Family Practice guys get to open that can a year earlier. Would you please yell at some old overinflated ego of nurse for me. You know kind of like a shout out to all of us still in the treches. If any others have had the sublime opportunity of 360 evaluations please share. Especially Dr. Caywood and Koth.
Just finished our 6 month evalutions. Called 360, meaning you get evaluated from all sides. You know the nursing staff, PACU nurses, Cafeteria workers, cleaning staff, and your attendings. So I am reading through my reviews which I must say were all pretty good. My program director and I are laughing about a few things but no problems. I notice she is holding one last evaluation, she said she wanted to save the best for last. It is from a PACU nurse. Apparently I wronged her a few months ago, when I did not comments on her new pattern for her scub top, or forgot to tell her that her new "crocks" were the bomb. I have a sneaking suspicion that the comments relate to the fact that I do not just give her dilaudid at her request and occasionaly ask such silly things as what the urine output is, what the last hemoglobin was, what is the BP, how much dilaudid has the patient recieved?? You know silly, stupid things like that.
Anyway in her evaluation of me it stated that Dr. Glover is "arrogant" and "belitteling". Her spelling. My program director was laughing and asked if I had a response. I told her to tell the nurse she has'nt seen anything yet. And come June 30, 2011 she would be wise to not be in the PACU because I will proceed to open a can of arrogant, the likes of which she has not seen before.
So you Family Practice guys get to open that can a year earlier. Would you please yell at some old overinflated ego of nurse for me. You know kind of like a shout out to all of us still in the treches. If any others have had the sublime opportunity of 360 evaluations please share. Especially Dr. Caywood and Koth.
Wednesday, December 3, 2008
Case Presentation
The setting: MS-2 year, Sahuaro Hall.
Present: MS-2 class, Dr. Finch in a sweet blue Hawaiian button-up shirt and his wavy blonde hair that needed to be cut about six months ago.
Dr. Finch: Ok guys, it's time to do another ICM case. This was submitted to me from a Dr. Jensen in Wray, Colorado. I'll start out by giving you guys some pertinent information, and I want you guys to come up with a differential diagnosis.
CC: "I can't poop"
HPI: 32 year old Mexican male with no past medical history is brought into the ED by his wife and family in moderate distress. He states that he awoke this morning around 2 AM with abdominal pain in his LLQ. It comes and goes, he is unable to describe the character of the pain. It's worse with standing upright, relieved by lying down. He notes that the pain has moved from his LLQ to his RLQ over time. He admits to some rectal bleeding this morning when attempting a bowel movement. He also admits to some nausea, but no vomiting.
PMH: None
PSH: None
Meds: None
Allergies: None
Social: No tobacco, had some drinks at a friend's home last evening.
ROS: No fever, chills, otherwise as above.
Dr. Finch: Okay guys, what is your differential?
Number 2: GI Bleed
Finch: Ok, good
Damon: (says to Jeremy, "That number 2 is a real prude. It's clearly appendicitis.") Appendicitis
Finch: Good Damon, what else can we come up with?
Caywood: How about a butt tumor?
Finch: You mean like an adenocarcinoma?
Caywood: Sure.
Kevin: Tapeworm
Finch: How do you figure a tapeworm into your differential?
Kevin: When I was a cop up in the Northwest I saw a guy with this same presentation who we did a drug bust on and we ended up hauling him in to the ED and he had a tapeworm.
Finch: Okay, if you say so.
(Kevin shakes his head in disgust)
Slice and Dice: What about a diverticulosis or diverticulitis? See, I spent nine years in the OR and I saw this kind of thing all the time. We cut guys open all the time for abdominal pain; maybe he needs surgery.
Jeremy: How about an abnormal skin lesion?
Brizzee: Psoriasis?
Finch: All right, you guys are getting way out in left field here, let's redirect. LLQ pain moving to the RLQ, nausea, comes and goes, what else do you guys want to know?
Trent: It could be a kidney stone or even a testicular torsion.
Finch: True.
Fake Tarmac: How about a Suave deodorant bottle stuck in this guy's rectum?
Finch: How in the crap did you guess that?
Fake Tarmac: Just a feeling I've got.
Finch: Yup, that's right. And here's the x-ray to prove it.
So what's the rest of the story? I went through a 15 minute HPI with this freaking guy on the interpreter phone and finally at the end of it he said, "Last night I went over to a gay friend's house and we had some drinks. I passed out and I think he put something up there."
Ok, so if only he had come into the ED and said, "I think I have a deodorant bottle shoved up my butt" it would have made things a lot easier. Needless to say, the rectal exam revealed a round plastic object high up in the rectum. I tried like the dickens to get the sucker removed, but ended up needing to transfer him so that GI could do the dirty deed.
If anyone really wants to see the x-ray, just email me, not sure if I should post it on the web.
Have you ever met a proctologist? Well, they usually have a very good sense of humor. You meet a proctologist at a party, don't walk away. Plant yourself there, because you will hear the funniest stories you've ever heard. See, no one wants to admit to them that they stuck something up there. Never! It's always an accident. Every proctologist story ends in the same way: "It was a million to one shot, Doc. Million to one."
Present: MS-2 class, Dr. Finch in a sweet blue Hawaiian button-up shirt and his wavy blonde hair that needed to be cut about six months ago.
Dr. Finch: Ok guys, it's time to do another ICM case. This was submitted to me from a Dr. Jensen in Wray, Colorado. I'll start out by giving you guys some pertinent information, and I want you guys to come up with a differential diagnosis.
CC: "I can't poop"
HPI: 32 year old Mexican male with no past medical history is brought into the ED by his wife and family in moderate distress. He states that he awoke this morning around 2 AM with abdominal pain in his LLQ. It comes and goes, he is unable to describe the character of the pain. It's worse with standing upright, relieved by lying down. He notes that the pain has moved from his LLQ to his RLQ over time. He admits to some rectal bleeding this morning when attempting a bowel movement. He also admits to some nausea, but no vomiting.
PMH: None
PSH: None
Meds: None
Allergies: None
Social: No tobacco, had some drinks at a friend's home last evening.
ROS: No fever, chills, otherwise as above.
Dr. Finch: Okay guys, what is your differential?
Number 2: GI Bleed
Finch: Ok, good
Damon: (says to Jeremy, "That number 2 is a real prude. It's clearly appendicitis.") Appendicitis
Finch: Good Damon, what else can we come up with?
Caywood: How about a butt tumor?
Finch: You mean like an adenocarcinoma?
Caywood: Sure.
Kevin: Tapeworm
Finch: How do you figure a tapeworm into your differential?
Kevin: When I was a cop up in the Northwest I saw a guy with this same presentation who we did a drug bust on and we ended up hauling him in to the ED and he had a tapeworm.
Finch: Okay, if you say so.
(Kevin shakes his head in disgust)
Slice and Dice: What about a diverticulosis or diverticulitis? See, I spent nine years in the OR and I saw this kind of thing all the time. We cut guys open all the time for abdominal pain; maybe he needs surgery.
Jeremy: How about an abnormal skin lesion?
Brizzee: Psoriasis?
Finch: All right, you guys are getting way out in left field here, let's redirect. LLQ pain moving to the RLQ, nausea, comes and goes, what else do you guys want to know?
Trent: It could be a kidney stone or even a testicular torsion.
Finch: True.
Fake Tarmac: How about a Suave deodorant bottle stuck in this guy's rectum?
Finch: How in the crap did you guess that?
Fake Tarmac: Just a feeling I've got.
Finch: Yup, that's right. And here's the x-ray to prove it.
So what's the rest of the story? I went through a 15 minute HPI with this freaking guy on the interpreter phone and finally at the end of it he said, "Last night I went over to a gay friend's house and we had some drinks. I passed out and I think he put something up there."
Ok, so if only he had come into the ED and said, "I think I have a deodorant bottle shoved up my butt" it would have made things a lot easier. Needless to say, the rectal exam revealed a round plastic object high up in the rectum. I tried like the dickens to get the sucker removed, but ended up needing to transfer him so that GI could do the dirty deed.
If anyone really wants to see the x-ray, just email me, not sure if I should post it on the web.
Have you ever met a proctologist? Well, they usually have a very good sense of humor. You meet a proctologist at a party, don't walk away. Plant yourself there, because you will hear the funniest stories you've ever heard. See, no one wants to admit to them that they stuck something up there. Never! It's always an accident. Every proctologist story ends in the same way: "It was a million to one shot, Doc. Million to one."
Saturday, November 8, 2008
passes step 3...barely
i was going to take step 3 a while ago but then i wasn't able to schedule it until recently. i got my score today and could tell by looking at the score that i must have barely passed but didn't realize by how narrow a margin until i read the score report that the minimum passing 2 digit score is a 75 and i got a 78. i would say how glad i am that i can finally forget all my omm but apparently i all ready forgot it. congrats to all of you who seem to be multiplying like crazy. hope residency is going well for you all especially my fellow gas passers. everyday in the OR i am so greatful to not be on the other side of the drapes. are you still out there shane? i think you and i are the only ones left that can go to a restaurant and fit our whole family in one booth.
Monday, October 20, 2008
It's Another Boy
Rock Thomas Kalcich
Born 10/15/08
20.5 inches
8 lb 8 oz
Delivered via C-section (no OMM required)
Mom and baby at home and doing well.
Born 10/15/08
20.5 inches
8 lb 8 oz
Delivered via C-section (no OMM required)
Mom and baby at home and doing well.
Monday, October 6, 2008
It's a Boy
Finally, we will be having a boy to end our family. The only question left is can he swing a golf club?? Early March we are expecting.
Hope everybody is having a tremendous learning experience, and keeping up on the OMM skills. There will be an exam at the end of residency. I will not be using CV4 from now on.
Hope everybody is having a tremendous learning experience, and keeping up on the OMM skills. There will be an exam at the end of residency. I will not be using CV4 from now on.
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