Tale from “The Pit”

Paramedics brought in a seventeen-year-old youth with a serious self-inflicted laceration to his left forearm. His knife had nicked an artery, not sliced through it. The ends of a severed artery contract and spasm down, reducing blood loss. A nicked artery continues to pump blood through the hole. Our teenaged patient had lost so much blood that he arrived in hemorrhagic shock, despite the paramedics giving him IV fluids and compressing the nicked artery before transport. We stopped the bleeding, …

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Literary Canines

My writing partner, Yoshi-chan, has grown a bit, but still a puppy: Yoshi is the most recent addition to our extended family of canines, all of whom love listening to books and watching TV shows. Their tastes are eclectic. For example: Kylie, aka Kyliedoodle or “The Doodle,” lives in the Washington, DC area. She loves most books, but has a penchant for literary fiction and some fantasy. She’s also drawn to a good mystery. No wonder that one of her …

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Guest Post: Meet Yoshi

Hajime mashite, Yoshi desu. Yuroshiku onegai shimasu. Hi, my name is Yoshi. I am Mike’s new writing partner. My adoptive parents, Otosan (Mike) and Gigisan (Kathy), brought me to Norfolk from Maryland a week ago. I like my new home. Lots of space to explore inside, and TWO fenced yards to roam. Many delightful smells to savor. Otosan says I’m doing okay at using the yard for my “business,” although I sometimes get caught short inside. (I’m only nine weeks …

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Tale Not From The Pit

I haven’t posted a book review here for some time because I use Goodreads for that. This book, however, moved me in ways that compelled me to share it here as well. I’m Eve by Chris Costner Sizemore My rating: 5 of 5 stars Published in 1977. The true biography of the woman whose story was only partially told in the 1957 book and movie, “Three Faces of Eve,” which depicted dissociative identity or multiple personality disorder. In her own …

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Not Only a River in Egypt

My patient was a thirty-something-year-old woman complaining of sudden onset of crampy abdominal pain—a condition for which the lengthy differential diagnosis runs from “nothing-burger” to life-threatening. Often a challenge, even for a seasoned ER doc. On entering the cubicle, I found the patient supine with the head of the bed raised about 20 degrees; she felt most comfortable in that posture. Although not in severe distress, she appeared anxious; worse when a wave of pain traversed her lower abdomen. She …

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Of Cadillacs and Throwing Stars

Once upon a time, in the mid-eighties, luxury automobiles sported fancy hood ornaments at the crown of their long front ends. (I’ll leave the interpretation of that custom to my psychology friends.) Here’s an example from the hood of a 1983-ish Cadillac: These ornaments were not fixed to the hood, but attached via a wire thingy that allowed them to flop flat when needed, for instance in an automated car wash. Sometimes they suffered damage from general use or vandalism: …

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