Latest Entries
  • Where Do We Go from Here?

    Frank is an uninsured patient. I have seen him 4 times in the past 12 months for his chronic psoriasis-an autoimmune disorder which causes a thickening and irritation of the skin. His feet and hands are thick gloves of matted, cracked, peeling ski...

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  • Part II: Where Do We Go from Here?

    ...I prescribed Frank a potent steroid cream to help with the inflammation, as well as a moisturizing cream, and wrote down strict instructions as to how to care for his diseased skin. We gave him a list of free clinics in the area where he could ...

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  • The Rustling Beneath The Sheets

    “Sean, you have a new patient in Room 8…and there is something moving under the sheets,” stated the Nurse. I noticed she looked quite pale. I paused…”Okaaaay…..did you say something moving beneath the sheets?” “Yes,” she replied. “Do you know what...

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  • If a Tree Fell in a Forest...

    Mrs. B fell at her home 5 days ago. She was brought into the Emergency Department after a neighbor found her lying on the kitchen floor - she had failed to show for church bingo the night earlier - she had not missed that in 9 years! The paramedic...

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  • The ER is Wide Open

    Emergency medicine became an easy choice for me once I learned how big emergency rooms could really be. The best example is my current shift. At this moment, I am writing an email from a satellite-enabled laptop in the Sahara Desert. Finally, I...

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  • Blisters and More

    Day Two from www.racingtheplanet.com and I'm still practicing emergency medicine. Today's topic is the subungual hematoma. Another way to describe that is a bruise under the toenail. You might not have seen it if you haven't dropped a rock on your...

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  • Music to the ER

    Stravinsky composed the Rite of Spring with innovative asynchronus chords to the appreciation of many fans. Without nearly the same fan base, the emergency department plays a mash-up of Stravinsky records scratched by DJ Qbert. In room one there...

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  • One Stop Shop

    I went into emergency medicine because I wanted to be able to help any person and do it anywhere. The field offered a body of knowledge I could use to help any patient that might enter the emergency department. Of course, it did not take long to r...

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  • Last Night in the ER

    There is so much that I love about the practice of Emergency Medicine, and very little that I truly despise and would change if I could. Last night, however, I had one of the fortunately rare cases that causes me to ever-so-briefly stop and re-con...

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  • Leap of Faith

    “Oh my God!” I exclaimed to my wife as we neared the restaurant. A nice day out with the family, driving to lunch, abruptly changed by our gruesome discovery. Our route had been rather fortuitous: I missed one turn, made another wrong turn, got s...

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About the Author

The Stanford Emergency Room is the center of emergency care at Stanford University.

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