Tuesday, December 26, 2006

WIRN vol 3

Actually, my reading these days has been confined to medical texts and
old Dorothy Sayers murder mystery short stories. Every day I find
myself faced with another medical question which I feel I should know
the answer to -- how thick should the endometrial stripe be on
ultrasound after a miscarriage, which side the vagus nerve twists around
the esophagus when it crosses under the diaphragm, how many days you
should treat for a course for PCP pneumonia -- but I have forgotten and
have to look them up again. Medicine has been a curious mix of
improvisation, high-tech solutions, and old school answers to
questions. It's hard to build a library to answer all of these
questions -- for example, the section on removing sequestra for
osteomyelitis states 'this disease does not affect patients in the US
today and so will not be covered here.' Thanks for that helpful bit.
It does leave lots of room for organizing continuing medical education
for the staff, however, which can be fun, and trying to get protocols
and systems that dovetail with what we have here. And I enjoy the
challenge of trying to fill in nooks and crannies of knowledge which I
have touched on in brief, but now must practice in reality.

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