gallahadesquire

I was downgraded from a 50 hour work week to six months out with an orthopedic disaster. I returned to an assignment of either 7 AM TO 5 PM or 8 am “until we’re done” I never made it for more than 5 o r 6 hours. I was transferred to a project that had no plans, and the people working on it had no use for me. I fell into a pretty bad depression. Eventually, I was told I was being let go. The joke, though, was that I was making about 85% of my base pay in disability income, so I didn’t have to dig into retirement for another five years ... and 2012 through 2016 were VERY lucrative. But my slowly being let go gave me the pleasure of sleazing into retirement. Plus 3 1/2 months in hospital / rehab made transition easier.

A friend of mine caught a 1982 performance of A. by ? Dallas opera. It was amazing. I eventually bought it for him on Vinyl, THEN ON CD. I’ve seen it live (in person) twice: Once with Boston conservatory, and I forget who the other performance was. It’s a spectacular opera. SPOILER Watch the choreography when the Priest describes the site of the Temple (Act II), and compare it to the Guide in Act III

Which are?

Tranexamic acid is unknown to most physicians. I had one patient on it in thirty years and I had to educate the pharmacy on it.

Well! THAT’s putting it mildly. At the hospital I worked at, the anticoagulation clinic had a system for monitoring you coats at home. You take a measure then phone it in. Dr. Unicorn, isn’t there a genetic test to figure out how you’ll respond to Warfarin? I was stable on 10 mg per day. It bothered them no end. Then I hit my calf on the car sill and bleed a pint or two into my calf, and went off warfarin.

The pressure in most flights is like being at 8,000 ft altitude, and the pressure is 560 mm Hg. Sea level is 760 mm Hg. Air is 21% Oxygen. So the partial pressure of Oxygen at sea level is 160 mm Hg, but at 36k feet it’s 126 mm Hg. 8,000 was chosen so as to give the smallest pressure gradient across the fuselage, to reduce metal fatigue. The Boeing 787 uses composite materials that don’t suffer fatigue, and is pressurized to 6,000 feet. Apparently, additional lowering or altitude ( thus increasing the internal pressure) has no additional benefit. There’s an obligate gradient between alveolar oxygen, which is about 713 mm Hg (humidification is about 47 mm Hg). This gives most people a partial pressure of 713 mmHg in the lungs, and 95-100 in the blood. This corresponds to a saturation ( what the pulse oximeter measures) of 98% or so. At 8,000 feet, the alveolar oxygen will be about 80 mm Hg, to give an arterial partial pressure of oxygen of about 60 to 65. The oxygen dissociation curve is rather non-linear. A PaO2 (partial pressure of oxygen) of 60 will give a saturation of 90%, and (for the sake of example), a PaO2 of 30 will give a saturation of 60%. This is in normal people. When I had my pulmonary embolism, I had no perfusion to three out of five lobes of my lungs, and scattered occlusion in the remaining two lobes. [Yes, it should have killed me.] Off oxygen, my SpO2 (pulse oximetry measurement of oxygen saturation) was 85% or less. It isn’t an increase in cabin pressure, it’s that the cabin pressure is reduced, and thus the oxygen content in flight. Just to clarify “ ... the increased pressure in the cabin ...” in the quote above. (I was an anesthesiologist in another life, and we had to know this stuff.)

You need to see your PCP and probable a hematologist. I agree with Unicorn: you probably ought to be on warfarin (coumadin) and possible a platelet inhibitor: aspirin or plavix

My first job out of college, I was working at a material research laboratory. My colleague was Polish with a fairly significant Polish accent ... which I picked up, and would use when I spoke to her. Completely subconsciously. One day I said to her, “Guda, you know when I talk like this, I’m not making fun of you (in my adopted accent).” “When you talk like what.” “Never mind.” (She hadn’t noticed it.)

He might be no hablo ingles

Today (12/20/2019) on Wikipedia's Front Page Wikipedia "Did you know ... ... that Tom Chase has described himself as "the Wally Cleaver of porn"?" I think it's a tad odd that he has a page in Wikipedia,

i thought that was the Westborough Baptist Church?

Link?

Last year, I was returning from Australia on 12/31 (with an escort). Somewhen in the flight, the purser passed around glasses of champagne, and said, "In Brisbane, it's all ready the New Year. Cheers!"

But VIC!! Anyone could have AAA. And AARP is for the above-fifty set. I say, Go For Medicare Card!!

Who?

Link?

If it’s what I learned from a friend’s kids, who learned it at camp: This summer, the friends kid was on vacation with Hubby and her three gilts. An I sang it. They loved it, and their Mom couldn’t believe I remembered it these past 30 years ... But I learned it as Fetal Jaws. No, Fetal Jaws is different, and really isn’t sung.

Apologies in advance. There are two Disney tunes that will occasionally become ear worms. One is “There’s a Great Big Beautiful Tomorrow” from the Carousel of Progress, and the redoubtable “it’s a small world.”

Doesn’t the cheese ruin the taste of the cigar?

For those familiar with Boston, there used to be a restaurant called Ken’s at Copley. It was open after the bars closed, and so was frequented by Those On The Hunt. One night, a friend up in the Balcony seating area, and asked their Waitress if they served homosexuals. “Honey, at this hour that’s about all we serve!” “Good. I’ll take THAT one over THERE.” Same friend once sent someone at another table a bagel, with a banana in the middle.

Back when I flew BOS-ORD frequently, I was on an American flight. I must have been in first class. I asked for another glass of red wine. They opened a new bottle and poured. At the end of the flight, the crew had recorked the bottle and gave it to me, saying, “You were the only one drinking it.”

There is no negative review for Jay Marzinni, Tyler Dickson ... and I can’t find anything on Cody Hunt.

Julia Child has a recipe for ratatouille, that do-ahead, complicated, and delicious. https://theculinarytravelguide.com/the-jc100-ratatouille/

When I broke my nose on arrival to Sydney, I had a husky, blond Resident taking care of me. He was bouncing up and down. “Why are you so ... energetic?” “I’ve always wanted to take care of another doctor!” In his discharge note, he said “This lovely 67 year old anaesthetist ...” Great being called “lovely”!

Is it this guy? https://rentmen.eu/AlphaMuscleHunk