Category Archives: Uncategorized

Final thoughts from the home front

Just a few more cases to go…   Jill says: June 21, 2011 at 4:58 pm (Edit) Jim, I am so proud of you. Never a doubt that you would dedicate yourself completely to this extraordinary experience. Your commitment to … Continue reading

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Leaving Cleveland …better than LeBron

  One has to ask, “Did anyone in Cleveland EVER like LeBron?” I would have to give him credit for showing up at a Heat/Cavs game without the Secret Service.  I have yet to meet someone here who doesn’t have … Continue reading

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“Not quite conventional”

There is an interesting phenomenon that occurs when you operate at the top of the mountain.  There aren’t a lot of people looking over your shoulder.  Historically, this was the world that William Halsted operated in claiming that the “clinic … Continue reading

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OK – This wins the prize

Unfortunately this cachectic debilitated gentleman is bleeding from his lungs.  His aneurysm is no longer his biggest problem. Up all night managing glucoses, potassiums, ambien orders and confused patients. A bit too tired to write.  Planning an Endurant graft (aneurysm … Continue reading

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Dharma 1998 – 2011

j At home… In Jill’s arms.  Goodbye, best friend.          

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The best laid plans…

Although my schedule today was cut significantly by patient disease it still turned out to be a productive learning day.  Our first case was cancelled when I noticed that the patient’s creatinine (measure of kidney function) today was significantly increased … Continue reading

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Late nights long on learning

The “Emerald City” is my nickname for the exclusive suites guarded by ten foot frosted glass doors where special patients receive special treatment.  Most notable are the additional “sitting rooms” en suite with the patients private room.  Some spa amenities … Continue reading

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Homesick

After a weekend at home it’s getting harder to return to Cleveland. The “newness” of the experience and the adrenaline rush that goes with it are fading.  It reminds me of the end of my Chief Resident year.  Although I … Continue reading

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Rain Forest

For those of you who wander around the previous posts on this blog you may run into two of the posts that I had to password protect.  This was because they had names of some of the staff doctors in … Continue reading

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On call this weekend

Well our lysis from Thursday (the marathon man) had some re-thrombosis through the night as a result of the on call fellow stopping the TPA because of a very low fibrinogen level.  But this provided a valuable lesson for me. … Continue reading

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