The Pannus, The CREEPER, and Cycling Kit Sale

20 02 2011

The CREEPER

Another night shift, another blog post.  I spend most of my time and energy trying to avoid looking at the clock. As the old adage goes, a watched pot never boils.

The average age in the ER tonight is 18.  Not our usual geriatric clinic, but our usual vague symptoms with no diagnosis to be had.   What’s with the youth these days?   It’s Saturday night, the feelin’s right, and half the population between 15 and 30 chose to visit the ER tonight instead of raving or drinking or huffing or whatever young people do on Saturday nights.

Buuuut, I do have a straight forward case.  Sort of.  First, I need to preface this with a glossary of terms:

Pannus: The apron of loose skin, tissue and fat that occurs in the lower portion of the abdominal wall
Suprapubic Catheter: A suprapubic catheter (tube) drains urine from your bladder. Rather than being inserted through the urethra, it is inserted into your bladder through a small hole in your belly.

Young lady had her suprapubic catheter cut while her boyfriend was changing her dressing (Why she has a catheter is beyond the scope of this blog).   She came in leaking urine from the lacerated catheter. Simple enough. Pull the old one, put in a new one, right? But I was forewarned that I had to measure the depth of insertion beforehand because it needed to go through about 12 inches of pannus. Turned out to be easy enough by comparing the spot from the old catheter and marking it on the new one. There was a little resistance, but a little lube fixed that. She was actually my easiest and most pleasant patient of the night.
Praise Allah for easy fixes!

In between saving the future of America from the ills of minor discomfort, The Creeper was brought to my attention. As one the nurses aptly stated, “So they do have a name for that thing you do.”  Yes, folks.  I’ve put this on my list of dances to master, along with the dances from Napolean Dynamite, Can’t Buy Me Love, and Thriller.  I’m breaking it out at the next wedding.  If that animated GIF at the top bothers you, you should stop looking at it.

Before you watch the video, you should know that Alchemist is offering a screamin’ deal on custom cycling kits and merino wool.  Good til the end of February.





Whatta Man and NAHBS

16 02 2011

At what point in a marriage does all that lusty exuberance lose it’s luster?  Fella came to the ER in the middle of the night for belly pain.  The pain is in the left upper part of his belly, which is like a wasteland for definable diagnoses.   Nothing really surgically bad happens up there, unless you rupture your spleen, which doesn’t usually happen spontaneously.  In the end, I usually throw a delicious beverage known as a GI Cocktail at these folks, and sometimes run some labs for show.  As I was pressing on his rotundness, his wife and 1 year old came trudging in, foggy-eyed and bloodshot.  Dude, really?  You couldn’t have come in on your own?  In all your valiant maleness, you drug in the wife and baby?  He wasn’t here to impress, clearly.

Of course, this all coming from the the romantic, who for the most part, forgot what holiday came to pass a couple days ago.  Let he who hath not lost all chivalry cast the first stone.

Next week, Claire and Hannah are headed to the North American Handmade Bike Show (NAHBS) in Austin, TX.   Booth #405.  Check out the exhibitor list .   We got top billing! (because they are listed in alphabetical order).








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