Wednesday, December 31, 2014


                                                                    happy new year.


Sunday, December 21, 2014

no Christmas bonuses

I might just pull a radical act.  I may bring a red Christmas ornament and put it on one of the two pathetic excuses for Christmas trees in the lobby.

These two small trees sit in a large box that normally holds foilage.  They have these tannish looking ornaments.  Real Christmassy.  Ah...yeah.  They kind of fit our lobby with its dim lighting, mismatched furniture and 1950's TVs bolted a the corners of the room.

The rest of the hospital has these beautiful kind of old fashioned  decorations. The lobby looks like a million bucks. Its that kind of look where cherubic red faced children would be singing a rousing chorus of jingle bells, as complimentary hot cocoa is passed to the crowd along with this years large Christmas bonuses are given to happy employees....Poof!! oh...its a fantasy.  Snap out it madness!  There will be Christmas bonus. We may throw you a lunch bag embossed with the hospital logo.   Maybe...if we can get a good deal.

Christmas time in the ER is just more of the same tomfoolery of tummy aches, womitting, THE FLU (which is rampant right now).  There are no gross fruit cakes, candy canes, Christmas cookies. Santa ain't comin'.

I remember the good old days when we had a Christmas tree in back of triage that spun around in a circle. It was magical.

Monday, December 15, 2014

the harsh reality

America is a country of individuals. There is little sense of a collective identity.  Yes we are "proud to be an American" ad nauseum, but it is more a feeling of proud to be an individual American.  Its no accident there are more guns here than in any other country in the world. Its to protect us from our fear of each other.

Americans are supposed to be strong, personally responsible, able to take care of themselves and their families. If we can't do that we are considered weak, somehow defective. Whiners. Loafers.

With all that in mind, the mentally ill are considered defective. We fear them. We loathe them. We expect them to just get it together, snap out of it. Hey life is tough for all of us, buck up. So they are treated as what they are: outcasts. We pretend we care, but not really.

Having worked in the ER a long time, I have seen a big increase in mental health patients in recent years.
. It is common to have 5 or 6 at any given time. There are more and more adolescent psych patients. These days they spends hours, sometimes days in the ER.  There is a shortage of beds and psychiatrists.

They spend hours in bare rooms, stripped of the usual ER clutter, due to concern for their, and the staffs, safety.They are placed in special clothing, all of their possessions taken.  They stare at walls for hours. Most are suicidal, others are psychotic, hallucinating.  Little attention is paid to them in a busy ER. The patients with physical problems take priority.

Many times there are no beds at the hospital they have chosen to come to. Sometimes beds can be arranged at other local hospitals.  Sometimes they are sent hundreds of miles away to outstate hospitals, far from their home and family. In the last few years, commonly, there is no where to go.  They sit for hours, days waiting for a bed to open up.

So imagine this: You are psychotic, perhaps bi polar or schizophrenic. You sit on an ER cart for hours, occasionally being given a meal, being watched by a camera or security.  You are hallucinating. You are alone. Your family ain't coming. Eventually, you lose it. You get out of control, shouting, perhaps threatening. Maybe you will be restrained. You will most definitely be sedated.  You are now in a stupor, no longer a problem.

Like an animal, you are tranquilized because in the end, we don't really care.  Its easier for us when you are quiet.  We don't want to deal with you anyway, as a society or an ER.

Wednesday, December 10, 2014

medical school students stage die-ins to protest michael brown, eric garner decisions

This is Harvard medical school.  It is one of 70 schools across the country who staged die-ins to protest the 
recent decisions in Ferguson and NYC. 

Would you do this?

Thursday, December 04, 2014


A black guy lies unconscious on the ground after being choked unconscious by a police officer after being accused of selling cigarettes for 50 cents.  EMTs are called. They do nothing. They don't apply oxygen, a monitor, anything. Everybody throws him onto a cart. The ambulance leaves.

He dies. He dies because he was choked. He also died because EMTs failed to do their job. They assumed he was a low life probably faking it. They didn't care.

Tuesday, December 02, 2014

Pet peeves # 567-569

pet peeve #567 -  "Well I used to be 5'8", but I shrunk..."

pet peeve #568 - "I normally run low, so 98.6 is a high temp for me..."

pet peeve #569 - "This is my hospital...I don't like the treatment at (fill in the blank hospital)".