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Text of the page (random words):
inful experience one that i would not have chosen but that has resulted in some events i m glad of so was this meant to be no shit happens alan moore is on record as saying the truth of the world is that it is chaotic the truth is that it is not the jewish banking conspiracy or the grey aliens or the 12 foot reptiloids from another dimension that are in control the truth is more frightening nobody is in control the world is rudderless sometimes the timing is all wrong but sometimes maybe every time did we but know it it s just right posted by alex stoker at 10 37 am no comments tuesday july 03 2012 back again so i ve been away there may be clarification as to why in the future we ll see it seems to often be the way that the patients you really like end up with the shitty end of the stick i saw just such a patient yesterday we had seen them a few days before and sent them on their way reassured with a simple diagnosis of constipation i dislike constipation as a diagnosis to my mind it s a symptom but i guess that s open to debate we all have our own foibles or pet hates or what have you this is one of mine i think it s more important the more elderly the patient is and that s built on a deal of experience but i recognise that in my experience are dangerous words in medicine anyway the patient was at least of pensionable age i subjected them to an end of the bed ogram and concluded that they looked pretty good actually sitting in a chair chatting happily to the medstudent not gowned and trolled by the nurses which often says something in its own right the tale ah well its all in the telling i m not sure how sensitive or specific my gut is clinical gestalt is supposed to be pretty good but one only tends to remember the times when you get it right or are proved wrong spectacularly the patients about whom you really worry but turn out fine tend to fade from view anyway this tale of gradually altered bowel habit loss of weight loss of appetite made me anxious and lying the patient down removing the bulky pullover gave the lie to the idea that they looked ok when sitting in the chair the drum tight belly empty rectum and slightly hollow pale eyes tell a tale all of their own throughout all of this the long wait the uncomfortable undignified examination the merciless poking of the blood tests this apteitn remained cheerful and upbeat grateful chipper i really like them so it came as no surprise when the belly film confirmed an obstruction the gas pattern neatly nipped off around the mid descending colon of course i don t have a diagnosis yet but the probabilities hang heavy around my neck posted by alex stoker at 9 30 am 2 comments labels maudlin on the floor thursday november 03 2011 eclipsearts circus welcome to the first eclipsearts blog entry eclipsearts circus welcome to the first eclipsearts blog entry although eclipsearts have been in the biz for fifteen years it s never occurred to us to write a blog before i mean computers what posted by alex stoker at 10 12 am no comments friday april 15 2011 19th nervous breakdown i m afraid it has all caught up with me maybe you do have to hit rock bottom i think i may have done just that whether i can climb back up again time will tell for now i have been fired in the crucible and found wanting i m sorry i hope it doesn t end this way posted by alex stoker at 12 25 pm 18 comments labels maudlin nervous breakdown monday april 11 2011 30 day song challenge 30 30 your favourite song this time last year damned if i can remember it might have been this seriously who remembers stuff like this posted by alex stoker at 11 00 am 3 comments labels 30 day song challenge dizzee rascal florence and the machine sunday april 10 2011 really bored but this was just too much fun to ignore i ve got a lot of time for this guy mighty mike check his site it s now in my blogroll posted by alex stoker at 12 20 pm 6 comments labels culture club evanescence mighty mike yes i m bored but is that marc bolan ronnie wood and elton all in the same video plus i reallly love bowie and his son s films aren t too shabby either posted by alex stoker at 12 05 pm no comments labels bowie mgmt random finds i might have posted this before i dunno i can t believe they didn t win posted by alex stoker at 11 55 am no comments labels bon jovi last choir standing 30 dsc day 29 29 a song from your childhood define childhood as a wee nipper it might have been more neil diamond so two selections one inherited from ma and pa and one from my tween years posted by alex stoker at 11 00 am no comments labels 30 day song challenge blur fats domino saturday april 09 2011 encore une fois best i can come up with but a video that speaks redemption and isn t redemption song listened to this far too much when revising for my membership the third time when i finally passed so maybe no bad thing posted by alex stoker at 1 01 pm no comments labels 30 day song challenge guilty maudlin further interlude still can t think of a song that makes me feel guilty i m sure there must have been songs playing when i ve been up to no good doing things that i should be ashamed of that should make me feel guilty i appear to have successfully blotted them out of my mind i feel guilty about a variety of things it comes with the territory of a catholic upbringing and i suspect this is not the forum for me to go over them it would make terribly dull reading i might as well tell you how much my back hurts today more than usual i am struggling to shake the memory of the epistaxis patient who arrested on my watch could i have done more could anyone we ll never know there s no reset button no save point to return to i ve looked you just have to plough on apparently i really need a break or some therapy posted by alex stoker at 12 33 pm 2 comments labels maudlin 30 dsc day 28 28 a song that makes you feel guilty nope nothing springs to mind i ll think on it i m scribing this two weeks in advance posted by alex stoker at 11 00 am no comments labels 30 day song challenge friday april 08 2011 30 dsc day 27 27 a song you wish you could play applies to almost all the songs thusfar listed in fact i like to be able to play any song as the old gag goes i d give my right arm to be able to play guitar like this posted by alex stoker at 11 00 am 1 comment labels 30 day song challenge santana thursday april 07 2011 30 dsc day 26 26 a song that you can play on an instrument cupboard is bare again i m afraid can t play for toffee posted by alex stoker at 11 00 am 2 comments labels 30 day song challenge wednesday april 06 2011 30 dsc day 25 25 a song that makes you laugh scant pickings i ll offer two one a proper song the other intentionally comedic posted by alex stoker at 11 00 am no comments labels 30 day song challenge cw mccall phil daoust tim minchin tuesday april 05 2011 the big chill in case you were wondering posted by alex stoker at 9 44 pm 3 comments labels 30 day song challenge funerals the big chill 30 dsc day 24 24 a song you want played at your funeral another one that gave me cause to think quite fancied the organ version of can t always get what you want from the big chill if you re confused go find the film and watch it you won t be disappointed and you can play spot kevin costner while you re at it anyway i chose this there is another live version on youtube but i wasn t keen on the sound quality and this one coincides with the intro to one of my favourite films posted by alex stoker at 11 00 am 1 comment labels 30 day song challenge king curtis withnial and i older posts home subscribe to posts atom about me alex stoker scruffy too loud and tired most of the time view my complete profile shroom s guide to medical tlas three letter acronyms volunteers turn on tune in etc or what i m listening to right now the literary shroom the last five non medical books i finished the spy who came in from the cold john le carré paranormality prof richard wiseman the accidental billionaires ben mezrich one of our thursdays is missing jasper fforde shades of grey jasper fforde triple immobilised raindogblue a calm day 3 years ago ernursey an emergency room nurse blog burnout from the er and beyond healthcare workers at risk 4 years ago nee naw how to get affordable pvc paste resin 4 years ago bunchacunce atom feed sharknado 6 years ago life in the fast lane ecg interpretation tachyarrhythmias 6 years ago patient anonymous just another head case is everyone deaf 7 years ago pop goes the feasible crosstown traffic 8 years ago alright tit by lisa lynch it was twenty minus fifteen years ago today 8 years ago scalpel or sword resuscitated 8 years ago bad science how do the world s biggest drug companies compare in their transparency commitments 9 years ago lost on the floor saying goodbye 9 years ago the angry medic without an end there can be no peace 10 years ago tales from the emergency room and beyond the return 10 years ago the paper mask bully for you bully for me 11 years ago fast food pharmacy spring into action 11 years ago trauma queen iufenamun 11 years ago academic life in emergency medicine aliem has moved 11 years ago nhs blog doctor never say you can t do something 11 years ago jabs loonies justice awareness basic support and mind blowing stupidity how soon will wakefield be wanking for coins again 11 years ago m d o d welcome to the bungle 13 years ago addicted to medblogs cat scan 13 years ago bootlegs francis cabrel vs asaf avidan 13 years ago crass pollination an er blog slow clap 13 years ago indian medic 14 years ago dr rant the first cut is the deepest 14 years ago march of the platypi by any other name 14 years ago mighty mike s boots mild thing s 2 a downtempo compilation 14 years ago tales of a bohemian road nurse major life changes 15 years ago 40 first dates 13 ain t no mountain high enough 16 years ago a happy hospitalist what is a hospitalist and what is it like to be one 16 years ago grabbing hold of tablecloth 16 years ago cancerous capers part 31 radiation revelry 17 years ago adventures in medicine updates 17 years ago chrysalis angel a sure sign 18 years ago collings herrin emergency department ten out of ten the underwear drawer friends and family et puis quelles nouvelles the cherrypicker wild things safaris in tanzania geneva fever charlie robb rafting life lemons where we ve been before 2013 1 april 2013 1 way to blue 2012 4 september 2012 1 august 2012 2 july 2012 1 2011 60 november 2011 1 april 2011 19 march 2011 27 february 2011 4 january 2011 9 2010 61 june 2010 2 may 2010 2 april 2010 6 february 2010 19 january 2010 32 2009 131 december 2009 1 november 2009 21 october 2009 13 september 2009 8 august 2009 7 july 2009 10 june 2009 8 may 2009 12 april 2009 16 march 2009 5 february 2009 12 january 2009 18 2008 124 december 2008 16 november 2008 4 october 2008 5 september 2008 20 august 2008 5 july 2008 9 june 2008 11 may 2008 6 april 2008 14 march 2008 12 february 2008 8 january 2008 14 2007 129 december 2007 28 november 2007 33 october 2007 6 september 2007 6 august 2007 2 june 2007 6 may 2007 11 april 2007 4 march 2007 3 february 2007 9 january 2007 21 2006 38 december 2006 18 november 2006 16 october 2006 4 other alumni of shroom medical school amateur transplants the firm reciprocal changes a day at the pharmacy adventures of guitar girl rn backboards and bandaids papers and projects collective contemplations doctor s girlfriend echo doc future doc it s a wonderful life paramed a paramedic s plight the locum unprotected text walking with a limp work related blogs other sites you might wanna look at wild things still safaris in tanzania college of em le canard noir pems nice gac guidelines how it s done in canada how it s done in the us tag the jib on the floor 110 maudlin 58 la belle fille 42 30 day song challenge 34 anecdotes 29 non medical jib 23 navel gazing 20 trauma 20 nhs politics 15 simple ranting 15 background rantings 14 polemic diatribes 13 music nazi 11 dr shroom s all 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