Wednesday, June 29, 2005
Good thoughts, Good day
Good things come in little packages
It occurs to me that it is not up to people to make today your good day or your bad day. If you haven’t undercoated your mind with positive thinking, do not feel that it is your right to have a good day and do not blame the bus for spraying that puddle onto your new mules.
Had you live in the presence and not dwell so much in what, why, and what ifs of something that’s happened, you might sense that the bus is approaching and you’d scuttle to a safe place or hide behind a big man and there, a less bad day already if it’s not a complete good day.
Goodness is not just about having all the good, it’s also the lack of all the bad.
So a predicted good day starts with Nescafe Hazelnut. Approach with care though because the fat content is quite alarming.
My say is, anything you do, do it with moderation. Those people producing these yummy sinful food and drinks have profit to make, doctors need patients to distribute statins to (why give pravastatin when simvastatin do as good a job?), surgeons need clogged coronary arteries to plumb so, we all fit into one big life chain feeding into one big balanced equation and it’s just unfair that we stop ourselves from indulging every now and then.
So other than that, you can make it a good day by reliving one happy thought just as you wake up. If it’s not that solid a happy thought, giggle a little, smile a little. Think of how short our lives are and how mammoth you’ve made something into.
Now, my happy thoughts. Proceed only if you are sitting for FRCA
Did an interscalene block yesterday and it’s beautiful. Mmmmuah. Pout, kiss tips of 5 hugging fingers and make them peck both cheeks. Wiggle your body a little.
I say beautiful because when doing it, the stimulator got right down to 0.4 mA with strong deltoid twitches from 2.0 mA. Another reason is because total paralysis established after 10 minutes. Who’s your daddy!!!!
So how I did it?
Go to cricoid, lateral into the groove. Try going slightly lower, you don’t have to keep at C6. Aim for the opposite elbow, posterior and inferior. Get down to it, yawnawattamsayin’.
Another handy tips, pinch the whole sternocleidomastoid and try to get behind it if you can. Avoid external jugular severely, you don’t want a fitting patient at the end of the injection.
Hiccups and coughing is expected do not panic. Reassure the patient. However do not feel clever and try to block both phrenics. You may not notice anything until your ODA poke you and say, doc, I think the patient is blue. Been done before!!!
Tell your consultant to watch from afar because anybody will function better without the consultant breathing down the neck.
I do not have a ‘one I made earlier’ to display but it’s been a pleasure stabbing a neck like that and being thanked for it in return.
Please do not try this at home. If you get a headache after reading this, take 1g paracetamol, only if your body weight is 50kg and above.
Other psychosomatic symptoms are very unlikely.
It occurs to me that it is not up to people to make today your good day or your bad day. If you haven’t undercoated your mind with positive thinking, do not feel that it is your right to have a good day and do not blame the bus for spraying that puddle onto your new mules.
Had you live in the presence and not dwell so much in what, why, and what ifs of something that’s happened, you might sense that the bus is approaching and you’d scuttle to a safe place or hide behind a big man and there, a less bad day already if it’s not a complete good day.
Goodness is not just about having all the good, it’s also the lack of all the bad.
So a predicted good day starts with Nescafe Hazelnut. Approach with care though because the fat content is quite alarming.
My say is, anything you do, do it with moderation. Those people producing these yummy sinful food and drinks have profit to make, doctors need patients to distribute statins to (why give pravastatin when simvastatin do as good a job?), surgeons need clogged coronary arteries to plumb so, we all fit into one big life chain feeding into one big balanced equation and it’s just unfair that we stop ourselves from indulging every now and then.
So other than that, you can make it a good day by reliving one happy thought just as you wake up. If it’s not that solid a happy thought, giggle a little, smile a little. Think of how short our lives are and how mammoth you’ve made something into.
Now, my happy thoughts. Proceed only if you are sitting for FRCA
Did an interscalene block yesterday and it’s beautiful. Mmmmuah. Pout, kiss tips of 5 hugging fingers and make them peck both cheeks. Wiggle your body a little.
I say beautiful because when doing it, the stimulator got right down to 0.4 mA with strong deltoid twitches from 2.0 mA. Another reason is because total paralysis established after 10 minutes. Who’s your daddy!!!!
So how I did it?
Go to cricoid, lateral into the groove. Try going slightly lower, you don’t have to keep at C6. Aim for the opposite elbow, posterior and inferior. Get down to it, yawnawattamsayin’.
Another handy tips, pinch the whole sternocleidomastoid and try to get behind it if you can. Avoid external jugular severely, you don’t want a fitting patient at the end of the injection.
Hiccups and coughing is expected do not panic. Reassure the patient. However do not feel clever and try to block both phrenics. You may not notice anything until your ODA poke you and say, doc, I think the patient is blue. Been done before!!!
Tell your consultant to watch from afar because anybody will function better without the consultant breathing down the neck.
I do not have a ‘one I made earlier’ to display but it’s been a pleasure stabbing a neck like that and being thanked for it in return.
Please do not try this at home. If you get a headache after reading this, take 1g paracetamol, only if your body weight is 50kg and above.
Other psychosomatic symptoms are very unlikely.
