procrastination happens here

Woodburned Anatomy

Vague title. But basically, beware of your innate biases as much as possible towards any population.

Because they always threaten to blind you to the medical and social issues of your patients vital to their care.

It's also important for your own professional progression as a provider.

Don't write things like "smells of alcohol" Or "evidently drunk." Don't be persuaded by handovers or triage notes that say the same. I fell into that trap as an intern and nearly missed a grotesque fracture.

We rather stumbled on a patient in Child Pugh C cirrhosis the other day, or really bad liver failure. The jaundice and confusion was noted on the multiple ED presentations they had over the past few weeks. No one had done even a blood test. The notes were along the lines of 'frequent presentations under the influence" or "ETOH +++" etc. or "counselling provided on ETOH cessation." No medical or gastroenterology team was ever consulted.

We finally got a referral (which we on-referred to gastro) when the patient fractured a rib from falling over.

Try to have some compassion. Even if it's a homeless bum.

Running, but make it Extra: agility, lure coursing, hoopers, canicross, joring, mushing

Simon Says: obedience, rally