November 12, 2012
Gray Cat wins my heart by showing hers
Above, what I found this morning in her litter box.
It can't get any better than that.
Sea Urchin Chair
From the website:
This lounge chair is the perfect spot to spend your lazy Sunday afternoon reading a book.
The inside of the chair is padded with soft cushions, while the outside is covered with a structure made from 8,000 cable ties.
Every tie has been painstakingly attached to another, giving the chair the spiky appearance of the sea creature it's named after.
Stainless steel frame.
51.2"Ø x 31.5"D.
"Why do we always have to use the same technique?" — Sneak preview of just-completed chapter from my upcoming (2013) book "Think Like An Anesthesiologist"
One complaint I frequently heard from residents during my years as an anesthesia attending was that every general anesthetic employed fentanyl, midazolam, propofol, succinylcholine, nitrous oxide, vecuronium, neostigmine, and glycopyrrolate.
Same drugs, same sequence, every single case.
"Can't we try something else?"
"Because you don't have a clue about giving anesthesia. So the best thing you can do to get better is to use the same drugs the same way in every single patient for a couple months."
"But that's boring."
"Boring? Yes, very boring. Good anesthesia is boring. Nothing happens out of the ordinary."
"But how will I learn how to use other drugs?"
"With all the other attendings who will be more than happy to humor your enterprising, inquisitive nature."
"You're no fun."
"I'm not paid to be fun. I'm paid to be safe. So are you."
It seemed obvious to me then and it still does today — 11 years after I left academic anesthesia for private practice — that if you use the same drugs the same way thousands of times in that many different patients, over time a pattern of responses develops such that an unusual event instantly appears as if in lights, highlighted against a deep historical backdrop.
If the only variable is the patient, then the patient can tell you everything you need to know to fix something right after you recognize it as an anomaly.
Very sad to me was one resident who, finishing his third year in our program and slotted for a fantastically lucrative job upon completion of his residency, returned to the ready room after each day's cases remarking, "An amazing thing happened to me today."
If an amazing thing happened to him during his day's cases every single day after three years of training, he really didn't have a clue about giving anesthesia.
Because no competent resident has any business being amazed more than occasionally after three years of training and thousands of cases.
That amazement heralded an upcoming world of complications and misery for both the resident and his patients in the years to come.
Hey, don't get me wrong: He was a great guy and I liked him a lot — when he wasn't giving anesthesia in one of my rooms.
Some people just don't get it — and they never will.
bookofjoe's Favorite Thing: Greenberg's Smoked Turkey
I ordered my first a long, long time ago in a century far away, after reading a New York Times Holiday Food by Mail article authored by either Molly O'Neill — remember her? A great, great food writer when the Times Dining Section ruled the paper... but I digress — or Florence Fabricant.
The long and the short of it was that this turkey was ethereal, so great that that the Times evaluators pretty much licked the carcass after picking it clean.
They weren't exaggerating.
Mine arrives this week: Where does it say you have to wait till Thanksgiving?
Gray Cat and I will be very closely watching our perimeter for the UPS truck starting tomorrow.
Project Parrot — "Interactive learning for you and your bird" (video)
Got a parrot or thinking about getting one?
Jenny Drummey's website is the place to start.
One source to guide them all.
More videos here.
Tell her I sent you, she can always use a good laugh.
The Power of Friction (video)
[via Joe Peach]
Forget more cowbell — More Franzl Lang! (video)
I won't argue.