<?xml version="1.0" encoding="UTF-8"?><feed xmlns="http://www.w3.org/2005/Atom" xmlns:dc="http://purl.org/dc/elements/1.1/" xml:lang="en"><title>Latest entries from spankysplace.blog-city.com</title><rights>Copyright 2009 spankysplace.blog-city.com</rights><subtitle></subtitle><author><name></name></author><updated>2009-11-19T02:24:00Z</updated><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/"/><link rel="self" type="application/atom+xml" href="http://spankysplace.blog-city.com/index.rss"/><id>tag:spankysplace.blog-city.com,2009:1</id><entry><id>tag:spankysplace.blog-city.com,2009-09-08:links.412181641</id><title>A Day at the Ballpark</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/a_day_at_the_ballpark.htm"><![CDATA[So we went to the baseball game today. D-Backs Vs Dodgers and as usual it was attended heavily by wanna-be gangbangers. We sit on the concourse level in the handicapped area so we don&#39;t have to get up and down all the time as people come and go.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/a_day_at_the_ballpark.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2009-09-08T01:03:00Z</updated><published>2009-09-08T01:03:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2009-08-28:links.412180624</id><title>Why I had to Quit Blogging.</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/why_i_had_to_quit_blogging.htm"><![CDATA[I would like to relate&nbsp;why I had to stop blogging two years ago. It was not because I was bored or ran out of material or ideas it was because&nbsp;a butt munching bureaucrat filed a complaint against my license relating to the patient story bel]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/why_i_had_to_quit_blogging.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2009-08-28T01:13:00Z</updated><published>2009-08-28T01:13:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2009-08-27:links.412180526</id><title>Back to the Blog WOO HOO</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/back_to_the_blog_woo_hoo.htm"><![CDATA[Ok, I&#39;m starting to work on my blog again. The legal problems are over with. I have stories I want to write and other things I want to blog about. I also have to learn this new to me blod admin.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/back_to_the_blog_woo_hoo.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2009-08-27T04:04:00Z</updated><published>2009-08-27T04:04:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-11-16:links.412060863</id><title>Change of Shift Vol 2 #11</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/change_of_shift_vol_2_11.htm"><![CDATA[Change of Shift&nbsp;is up at Kims place. Plese go visit and enjoy.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/change_of_shift_vol_2_11.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-11-16T00:15:00Z</updated><published>2007-11-16T00:15:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-11-02:links.412056471</id><title>Angioedema</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/angioedema.htm"><![CDATA[&nbsp; It started innocently enough. A slight feeling of fullness in the right side of my upper lip. There was no tingling, burning, or pain so I didn&#39;t think much of it. It was about 1600 and I was at work with four more hours on the clock to go]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/angioedema.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-11-02T14:44:00Z</updated><published>2007-11-02T14:44:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-10-14:links.412050321</id><title>Fort Rosecrans National Cemetery</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/fort_rosecrans_national_cemetery.htm"><![CDATA[&nbsp;Juan Rodriguez Cabrillo. Who, you say? Though he died on January 3, 1543 he does figure into this narrative. Jump forward to 1999. That is the year my father in law died. Sitting at the breakfast table his heart stopped and that was that. We ha]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/fort_rosecrans_national_cemetery.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-10-14T01:54:00Z</updated><published>2007-10-14T01:54:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-10-07:links.412047960</id><title>Change of Shift October 4 2007</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/change_of_shift_october_4_2007.htm"><![CDATA[Change of Shift is up at madness: tales of an emergency room nurse. Please take the time to visit.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/change_of_shift_october_4_2007.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-10-07T01:54:00Z</updated><published>2007-10-07T01:54:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-09-20:links.412042915</id><title>I&apos;m on Fire</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/im_on_fire.htm"><![CDATA[&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; I would like to relate a recent story about a 96 Y/0 gentleman living in a nursing home and the battle that ensued over his care. For those of you out there wishing for Universal Health Care you]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/im_on_fire.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-09-20T04:45:00Z</updated><published>2007-09-20T04:45:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2007-04-09:links.411979689</id><title>Paul</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/paul.htm"><![CDATA[&nbsp;One of my patients died today. That in itself is not an unusual event as my patients live an average of 2.8 years from the time I start seeing them. They are living in a nursing home after all. I was not on call&nbsp; today but felt compelled t]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/paul.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2007-04-09T04:07:00Z</updated><published>2007-04-09T04:07:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-11-18:links.411867931</id><title>New Family Member</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/new_family_member.htm"><![CDATA[  Recently at work I took a break to go sit out in the garden and relax. While I was relaxing and finally enjoying the cooler (84 degrees) weather I spotted a black and white kitty sitting in the bushes. After staring at me for a while and after]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/new_family_member.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-11-18T23:16:00Z</updated><published>2006-11-18T23:16:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-10-28:links.411845137</id><title>More Keyboard Problems</title><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/more_keyboard_problems.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-10-28T00:26:00Z</updated><published>2006-10-28T00:26:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-10-17:links.411834850</id><title>Keyboard Problems</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/keyboard_problems.htm"><![CDATA[Some days keyboard problems are worse than others. ]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/keyboard_problems.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-10-17T19:29:00Z</updated><published>2006-10-17T19:29:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-10-10:links.411826852</id><title>Injustice</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/injustice.htm"><![CDATA[I had a patient who spent almost his entire life on or near the ocean, at least until the end. He toured the world transporting the commerce of life in massive steel ships. At the beginning of World War II he was working as a Merchant Seaman on the P]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/injustice.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-10-10T00:29:00Z</updated><published>2006-10-10T00:29:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-10-02:links.411817973</id><title>Communication Problems</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/communication_problems.htm"><![CDATA[   I was reading a post at this blog and thought I would make a comment on it here. I would have left a comment on that site however every time I have attempted to comment there the comment mysteriously disappears. It's not that I am ac]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/communication_problems.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-10-02T00:07:00Z</updated><published>2006-10-02T00:07:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-09-30:links.411816604</id><title>Futile Care</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/futile_care.htm"><![CDATA[  The most excellent Geena at Code Blog has a complimentary piece posted about futile care. If you are new to reading this blog I suggest you hop over to Geena's place first and read about real life situations patients/families where caught]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/futile_care.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-09-30T22:52:00Z</updated><published>2006-09-30T22:52:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-09-24:links.411811364</id><title>More Living Will Discussion</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/more_living_will_discussion.htm"><![CDATA[&nbsp;This is not meant to be legal advice. If you have questions on what to put in a Living Will or not put in a Living Will I suggest you consult both 1) Your medical provider, 2) A lawyer. And not necessarily in that order. I will have to be caref]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/more_living_will_discussion.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-09-24T21:08:00Z</updated><published>2006-09-24T21:08:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-09-02:links.411794600</id><title>Family Store Closing</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/family_store_closing.htm"><![CDATA[I went to the hardware store today. Upon arriving there I noticed a sign in the window. &ldquo;All merchandise 30% off and everything must go.&rdquo; After 81 years being operated by the same family the doors are being closed permanently. This is a c]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/family_store_closing.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-09-02T22:36:00Z</updated><published>2006-09-02T22:36:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-08-19:links.411783731</id><title>Ecol-Eye</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/ecoleye.htm"><![CDATA[Ecol-eye-  What a demented person ends up with when they constantly pick at their but and then rub their eyes.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/ecoleye.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-08-19T18:22:00Z</updated><published>2006-08-19T18:22:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-07-08:links.311753072</id><title>I’m not paranoid it’s just the police are trying to kill me</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/im_not_paranoid_its_just_the_police_are_trying_to_kill_me.htm"><![CDATA[Working late one night in the ER a 22 year old female patient was brought in for treatment by the paramedics. Below is the actual nurse’s note I wrote while monitoring the patient. No patient confidentially is broached with this entry as this n]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/im_not_paranoid_its_just_the_police_are_trying_to_kill_me.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-07-08T23:43:00Z</updated><published>2006-07-08T23:43:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-07-04:links.311750170</id><title>Grand Rounds 07/04/2006</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/grand_rounds_07042006.htm"><![CDATA[Grand Rounds is up at at Rangel MD. Please take a moment to visit.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/grand_rounds_07042006.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-07-04T16:59:00Z</updated><published>2006-07-04T16:59:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-06-30:links.311747095</id><title>The Art of Whining</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/the_art_of_whining.htm"><![CDATA[I was jumped in the parking lot by a woman saying she was here to see the wife of one of my patients. I casually asked “And what is she complaining about today?”
She responded “What.”
I repeated what I said.
She indignantly]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/the_art_of_whining.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-06-30T00:44:00Z</updated><published>2006-06-30T00:44:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-06-25:links.311743089</id><title>Time to Go Now</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/time_to_go_now.htm"><![CDATA[I learned a long time ago that when a patient tells you they are going to die, one might want to listen. If the person is a 35 year old male with a kidney stone or a hysterical 17 year old Hispanic female then the grain of salt axiom applies.
If the]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/time_to_go_now.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-06-25T02:15:00Z</updated><published>2006-06-25T02:15:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-06-24:links.311742947</id><title>I Just Want To Die</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/i_just_want_to_die.htm"><![CDATA[I had an interesting two week work period a while back. It’s not unusual for me to have daily conversations concerning death and dying. My patient population has a combined lifespan of 2.8 years by the time they sign onto my service. Nationally]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/i_just_want_to_die.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-06-24T19:30:00Z</updated><published>2006-06-24T19:30:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-04-11:links.311683705</id><title>Phoenix Illegal Alien March</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/phoenix_illegal_alien_march.htm"><![CDATA[&nbsp;
I don&rsquo;t know if the illegal alien march impacted EMS here in the valley but this is the first site I encountered in central phoenix on the way to the march. This is a Peoria Fire Unit in Central Phoenix&nbsp;way way out of their distric]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/phoenix_illegal_alien_march.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-04-11T01:15:00Z</updated><published>2006-04-11T01:15:00Z</published></entry><entry><id>tag:spankysplace.blog-city.com,2006-03-19:links.1663610</id><title>Diagnosis of the Week</title><content type="html" xml:lang="en" xml:base="http://spankysplace.blog-city.com/diagnosis_of_the_week.htm"><![CDATA[New patient chart review
Medication -Colace, DX-dysphagia. If you need colace for dysphagia its too late.]]></content><link rel="alternate" type="text/html" href="http://spankysplace.blog-city.com/diagnosis_of_the_week.htm"/><dc:creator>Azygos</dc:creator><author><name>Azygos</name></author><updated>2006-03-19T17:39:00Z</updated><published>2006-03-19T17:39:00Z</published></entry></feed>