My apologies.

This is not collateral damage or the cost of doing business...this is GOOD for business! Mass shooting —> More gun sales —> More money to lobby for looser gun laws —> Easier access to buy guns—> more mass shootings. Blood, as it turns out, is not a big expense.

Signs and symptoms of appendicitis can have a lot of overlap with gyn problems, so it is reasonable to do a gyn evaluation (hell, I worked half of a shift with my appendicitis because I figured it was a cyst). At one time pelvic exam was standard, although at this point there are enough other ways to evaluate the…

Minor quibble - there is a phenomenon called Fitz-Hugh Curtis syndrome which is inflammation around the liver as a complication of Pelvic Inflammatory Disease. It causes right upper quadrant pain. That being said, it’s at the bottom of the list. Maybe after everything else is ruled out, I think ‘maybe it’s Fitz-Hugh…

But I don’t think they do. If they have a condition that needs treatment - say a liver transplant after their cancer has already spread, or surgery to repair the rotator cuff on their million dollar arm - they seek out the best physician for that. The personal doctor to administer propofol for the afternoon nap has…

Spent a few hours at Lake Eola last year while killing time, and I am 100% certain those swans could fuck you up.

Yeesss!!! Now, my life is as good as an ABBA song.

There aren’t too many places outside the US I really want to visit, but the ABBA Museum is #1 on the list

The woman you are describing could easily be my oldest sister, except substitute religious organization for music/performing arts group. With that perspective, I still agree with everyone else here: absolutely you did the right thing, and do not feel guilty. Whether this woman is capable of recognizing and/or altering…

Apologies for my wording — I was not suggesting you were irresponsible for not seeing your doctor sooner; I was suggesting that I was for making an internet diagnosis with very little information.

When you see your doctor, he/she should take a careful history, do a careful exam, and get an EKG. The doc may want other tests based on the history/physical, but may not be necessary.

I used to hear the Fanta Se moniker when I was working in Albuquerque in the 90s. Oh, man — the statue! I’ve been away too long.

I don’t know. I was born in New Mexico and grew up there in the ‘80s, and what is described here is nothing new — 30+ years ago it was Shirley Maclaine and her crystals. People outside of Santa Fe refer to it as Fanta Se, and even 30 years ago the wealth disparity was striking. Perhaps the activism on the part of the…

Sadly, you are right. I think that is why they are going after Emma Gonzalez with such vengeance — the “We Call BS” speech immediately squashed all of the usual BS talking points. Now they are having to go to the bottom of the barrell and are coming up with some real idiocy.

One burned out emergency physician at your service.

Well, come on — If these kids would just stop their media whoring and get off the TV for 5 minutes, they could learn how to crack a chest, cross clamp the aorta, open the pericardium, evacuate the tamponade, find and whipstitch the hole in the ventricle, and perform intrathoracic cardiac massage while their other…

And opted for the drugs, not the fries

Well I mean, it’s going to cost a shit ton of money having all the drug pushers on death row, so he has to cut costs somewhere . I don’t know, though - I think a couple of Faces of Meth billboards on route 59 in Bumblefuck, WY is probably cheaper.

The free samples? They are in your primary care doctor`s office.

Butts Are Gross is what did if for me.