"Helluva diuresis, eh?"

One of my patients landed in the hospital overnight for mild pneumonia, and his wife asked me to look at the records to make sure there weren't any changes in his Parkinson's medications.

In the discharge summary I noticed this:

 

June 6, 1944

"There have only been a handful of days since the beginning of time on which the direction the world was taking has been changed in one 24-hour period by an act of man. June 6, 1944, was one of them.

"No one can tell the whole story of D-Day. Each of the 60,000 men who waded ashore that day knew a little part of the story too well. To them the landing looked like a catastrophe. Each knew a friend shot through the throat, shot through the knee. Each knew the first names of five hanging dead on the barbed wire offshore, three who lay unattended on the beach as the blood drained from the holes in their bodies. They knew whole tank crews who drowned when their tanks were unloaded in 20 feet of water.

"There were heroes here no one will ever know because they're dead. The heroism of others is known only to themselves.

"What the Americans and the British and the Canadians were trying to do was get back a whole continent that had been taken from its rightful owners. It was one of the most monumentally unselfish things one group of people ever did for another.

"It's hard for anyone who's been in a war to describe the terror of it to anyone who hasn't. How would anyone know that John Lacey died in that clump of weeds by the wagon path as he looked to his left towards Simpson and caught a bullet behind the ear? And if there had been a picture of it - and there weren't any - it would've shown that Lacey was the only one who carried apples for the guys in his raincoat pocket.

"If you think the world is rotten, go to the cemetery at Saint-Laurent-sur-Mer on the hill overlooking the beach. See what one group of men did for another, D-Day, June 6, 1944."

- Andrew Rooney (1919-2011)

I'm not following this

 Seen in a chart:

 

 

Quiz time

Okay, as required to maintain my hospital privileges (in addition to sending in a check) every 2 years I have to take mandatory online testing to make sure I can deal with situations at the hospital.

So, without further comment (that's your job, isn't it?) here are some of the questions I was asked, along with the answer options:

 

Here

LOOK, PEOPLE! JUST BECAUSE LADY GAGA IS ADVERTISING FOR A MEDICATION DOESN'T MEAN SHE'S GOING TO PAY FOR YOURS IF YOUR INSURANCE WON'T!

Waiting list

Mary: "Dr. Grumpy's office, this is Mary."

Ms. Frantic: "Hi! I really need to see a neurologist! All the ones at Massive Clinic are booked out to July, so I was hoping your office might have something sooner."

Mary: "Actually, you're in luck. We just had a cancellation for tomorrow, so Dr. Grumpy can see you at 10:00 in the morning if that works."

Ms. Frantic: "Dr. Grumpy has an opening for tomorrow?"

Mary: "Yes, would you like it?"

Ms. Frantic:" Um... no. Honestly, if your doctor isn't booked out, than he probably isn't very good. I'll just wait for July."

Detective stories

Did anyone else out there read "The Problem of Cell 13" by Jacques Futrelle?

I'm assuming I'm not the only one, as it was in the standard 6th-grade reading textbook my generic public school used in the early 1970's.

It was one of several early 1900's detective stories by Futrelle featuring his character Augustus S. F. X. Van Dusen (AKA The Thinking Machine), a reserved, brilliant, scientist who solved problems solely by logic (kind of a 1905 Mr. Spock). Almost 100 years later Van Dusen also appeared in the comic book series "The League of Extraordinary Gentlemen."

"The Problem of Cell 13" featured Van Dusen being voluntarily incarcerated in a high-security prison to prove that, by thinking, he could figure a way out and escape within a week - which he did. Probably Futrelle's most well-known story, it's since been adapted, both in whole and in part, several times for TV and radio. Most recently was in 2019 for an episode of the NBC TV series "The Blacklist."

For whatever reason it was a handful of stories I read growing up that I never forgot ("The Long Sheet" by William Sansom was another) and when the internet age dawned the story was long in the public domain and easy for me to find.

The writer, Jacques Futrelle started as a journalist. He began the sports section for the Atlanta Post, then was hired by the New York Herald where he covered the Spanish-American War. Afterwards he worked in Boston, then left journalism to become a full-time, and successful, detective writer.

His wife, Lily May Futrelle, was also a prominent author. She wrote for the Saturday Evening Post. Her first novel "The Secretary of Frivolous Affairs" was on the U.S. bestseller list from 1911 to 1915 and made into an early silent film (one of the first movies written by a woman).

Besides raising a son & daughter, and their separate writing careers, they collaborated on a Van Dusen story, "The Grinning God," in which she wrote the first half of the mystery to set the stage and he wrote the second half, with Van Dusen solving it.

They both did well as authors, allowing them to build a coastal home in Scituate, Massachusetts and enjoy the newfangled luxury of an automobile.

In early 1912 they left the kids with his parents and headed to Europe for 2-3 months to promote their books. The trip was successful, to the extent that they were given a complimentary first class suite by a shipping line for the journey home.

 

 

112 years ago tonight, the Futrelles stood together on the sloping decks of the Titanic.

Offered a chance to get in a lifeboat with her, he refused, and insisted the space be given to another woman.

After returning home, she wrote a 2-part piece on the disaster for the Boston Post, published on April 21-22:

 

"The last I saw of my husband he was standing beside Colonel Astor. He had a cigarette in his mouth. As I watched him, he lighted a match and held it in his cupped hands before his face. By its light I could see his eyes roam anxiously out over the water. Then he dropped his head toward his hands and lighted his cigarette. I saw Colonel Astor turn toward Jacques and a second later Jacques handed the colonel his cigarette box. The colonel screened Jacques' hands with his own, and their faces stood out together as the match flared at the cigarette tip. I know those hands never trembled. This was not an act of bravado. Both men must have realized that they must die."

 

His body was never recovered. He was 37.

Lily May never remarried. She raised their children, published her own novels, completed & published those Jacques hadn't, taught writing clinics, and hosted radio shows. In 1940 she spearheaded efforts to extend authors' copyrights for an additional 28 years, which was signed into law by President Roosevelt. She was given the pen that he used.

Every year, on the anniversary of the sinking, she walked from their home to the seafront to cast flowers in for Jacques.

She died in 1967.

Inside Job

A long time ago, when I was first starting out, I worked at a hospital that had only one MRI-compatible ventilator.

For my non-medical readers, a ventilator is the "breathing machine" that keeps you alive when your body needs a break, during surgery, etc.  Once you're better we take you off it. It's a very complicated gadget, with a fair amount of ferrous metal.

As a result, a standard ventilator can't go in an MRI. Since patients on one sometimes need an MRI (usually once a pesky neurologist gets involved) there are MRI-safe ventilators. These are stripped down machines, mostly plastic and non-ferrous metal. They're less durable than a regular ventilator and don't have all the features, but they're fine for an hour or so that a patient needs it while in the MRI machine.

Anyway, back at Small Hospital, one day the MRI-safe ventilator was missing. This was a real problem, because now we couldn't do MRI's on ICU patients who needed them. We were able to temporarily get an extra from a larger hospital across town, but still needed ours back. They ain't cheap.

Security searched, literally, every square inch of Small Hospital. The kitchens, the bathrooms, every patient room, the storage areas... it wasn't there. Small Hospital didn't have the array of video monitoring they do now, so looking for someone leaving with it wasn't possible.

One early morning during rounds I was in ICU, chatting about it with some of the nurses when one of them said, half-joking, "maybe it's on Ebay."

Since I was on the computer looking up labs, I switched over to Ebay... and there it was. A used MRI-compatible ventilator, same model, which had been up for sale since one day after it had gone missing. The seller's name was an easily-recognizable variant on the name of a guy who worked as a hospital radiology transporter.

The ventilator was back a few day later.

The transporter spent some time as a guest of the state, in spite of his clever defense that he'd seen it standing next to a dumpster at his apartment complex several miles from the hospital and had just kept it as a decoration because he didn't know what it was but it looked cool.

The machine was at the hospital for several more years before it was replaced by a newer model. For the rest of its service the nurses kept a sign on it that said "NOT FOR DECORATION."

Doctors behaving badly

I'm with a patient when Mary wanders back.

Mary: "Hey, Dr. Hypothec is on line two, he asked me to interrupt you."

Dr. Grumpy: "Okay. Hang on, Mrs. Fonebone, let me get this... Hi, this is Dr. Grumpy."

Dr. Hypothec: "Hi, this is Mort Hypothec across the street. Thank you for taking my call."

Dr. Grumpy: "What's up?"

Dr. Hypothec: "I had a a question about my wife, did you ever see her as a patient?"

Dr. Grumpy: "Not that a recall."

Dr. Hypothec: "Well, she works in mortgages, and was wondering if you were interested in refinancing your home? She can get you an excellent rate."

Seen in a chart

 

Happy Springtime!

(or Autumn, if you're on that side of the planet).

My favorite ode to spring, courtesy of the great Tom Lehrer:

Spring is here
Spring is here
Life is skittles and life is beer
I think the loveliest time
Of the year is the spring
I do, don't you? 'Course you do
But there's one thing
That makes spring complete for me
And makes every Sunday
A treat for me

All the world seems in tune
On a spring afternoon
When we're poisoning pigeons in the park
Every Sunday you'll see
My sweetheart and me
As we poison the pigeons in the park

When they see us coming
The birdies all try and hide
But they still go for peanuts
When coated with cyanide
The sun's shining bright
Everything seems all right
When we're poisoning pigeons in the park

We've gained notoriety
And caused much anxiety
In the Audubon Society
With our games
They call it impiety
And lack of propriety
And quite a variety
Of unpleasant names
But it's not against any religion
To want to dispose of a pigeon

So if Sunday you're free
Why don't you come with me
And we'll poison the pigeons in the park
And maybe we'll do
In a squirrel or two
While we're poisoning pigeons in the park

We'll murder them all
Amid laughter and merriment
Except for the few
We take home to experiment
My pulse will be quickenin'
With each drop of strychnine
We feed to a pigeon
(It just takes a smidgin!)
To poison a pigeon in the park

Semantics

 "What do you mean the drug doesn't work? We can't write that! Find a better way to say it!"

Happy Pi Day!

In honor of Pi Day, AKA Einstein's birthday...

 

Hi, this is Craig Grumpy.

A few years back, you may remember, I worked at Local Grocery's bakery.

One of my co-workers there (besides my sister) was Josie.

Josie was no pussycat, but was good at her job, except for the whole dealing-with-customers bit. Polite conversation was not one of her strong points. Because she was otherwise a good employee management tended to overlook this, and the rest of us tried to deal with people and let Josie do her thing in the back, mixing dough, baking stuff, decorating cakes, etc.

Unfortunately, this wasn't always possible, and there was an afternoon where she and I were the only ones on. She was out putting bagels on the shelves and I was leaning into the donut case, cleaning it for the next morning. So I didn't see a lady walk past a large display that said "PIES," and head for Josie... until it was too late.

Lady: "Excuse me! Where are the pies?"

Josie: "Uh, over there, behind you, on the left."

Lady: "Thank you."

The lady went over and began carefully inspecting the pies that were out. I turned back to the donut trays, glad that it had been straightforward.

In the meantime the lady was going through the pies, carefully reading each box (these are generic supermarket pies, folks). After a minute I realized she'd followed Josie back to the bakery counter and it was too late for me to run interference.

Lady: "Excuse me again!"

Josie: "Yes?"

Lady: "I was looking at your pies. Do you have any that are sugar free and gluten free?"

Long pause.

Josie: "Ma'am, this is a bakery."

Josie disappeared into the back.

Sigh

Look, calling my phone every 2 hours all weekend is NOT going to make your lab results come any faster.