What Did You Do Today?

Death and taxes...


I have to go meet with my ceramics prof. so he can tell me how nicely/badly my pottery is progressing.

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“Our steak and martinis is draft beer with weenies.” -George Jones

Nicely, nicely.

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“Our steak and martinis is draft beer with weenies.” -George Jones

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Who was born in a house full of pain
Who was trained not to spit in the fan
Who was told what to do by the man
Who was broken by trained personnel
Who was fitted with collar and chain
Who was given a pat on the back
Who was breaking away from the pack
Who was only a stranger at home
Who was ground down in the end
Who was found dead on the phone
Who was dragged down by the stone

thank you

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“Our steak and martinis is draft beer with weenies.” -George Jones

Last rehearsal before our first gig next Friday!

Everything has gone very well. I have worn the "Animals" T-shirt that my brother brought me from London for the first time.

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"Me fail English? That's unpossible!"

Solo work

Band

Break a leg! In bocca al lupo!

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Count me in on the journey, don't expect me to stay.

Had a "mild argument" with Mother.

She tried to "guilt trip" me against moving out.

So here I am, sitting on the floor in my own apartment, using "borrowed" internet connection.

Yes people, Simon officially rented his "first" apartment.

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Work in the ER is a mix of can do, can't do and "sure, what the hell..."

Watch my videos

Well done, bro.

Rent porn, leave pizza uneaten (and lying about).

Wipe your backside with a towel and grow hair on your eyelids.

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When Bucks Fizz’s tour bus crashed they all survived. When Metallica's bus crashed Cliff Burton died. Why?

Why rent porn when he is now free to film his own, on any surface in the house.

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That's all.
APFFN
Now you can see all the shit I listen to.
And you can fawn over my Myspace.

Our hospital has been running "at capacity" for over a week now. Too many sick, just barely enough room. We're holding people in the ER for 18+ hours because of a lack of beds.

We admitted a 11 year old kid a couple days ago from an MVA with major head trauma early in the morning. He had respiratory arrest when they put him on the x-ray plate.

I get report.

He was an unrestrained front seat passenger in a T-bone at highway speeds, and his sister was DOA. Custody is with the paternal grandmother but the kids were with the mother in her car; she has facial and scalp lacs and a minor concussion. His Coma Scale is 3, he has gray matter flowing from his nose and an open temporal fracture and Spinal Fluid from his ears; his left tib-fib compound fracture is back-slabbed and bleeding, they haven't really assessed for any other injuries since his head is so broken, Heart rate is 145, BP is 70/40 on 0.9 of epi and 0.8 of norepi, and he's had 3 L of fluid. His temp which had been 28C was now 38C and he was in respiratory distress... very agonised breathing. We jack the pressors up to 1 mcg/kg/min of each. I culture him up and give him his first dose of abx. After confering with the attending over the neuro status of the patient we decide we are going to take the family to the quiet room.

The rumor is that Mom and Grandma hate each other and could come to blows... The room is packed. Despite being given a complete and accurate picture of his chances of survival, the family refuses to consider withdrawal.

I spend the night double-pumping pressors, giving fluid boluses, cleaning up gray matter, CSF and blood and trying to be as blunt but as gentle as I can with the family.

Fast forward to last night. The kid is still breathing in the 70's but appears to be withdrawing to pain. His heart is young and strong and hasn't given up yet. His kidneys have packed it in, with a CK of 140,000 5 days post injury and a serum K+ ranging 6 to 8.4... he's still on 1 mcg of epi and norepi, his cumulative fluid balance is 18 L, he's black to the knee on the left where he has the fractures and it smells horrible, his right foot is black to the ankle and all his fingertips are purply-blue, his gray matter is still oozing from every orifice, he has myoclonic jerks, fasciculations and tetany that the family perceive as him responding to them (not possible. He has a flat EEG). He has ST depression, inverted T waves, prolonged PR interval and maybe U waves on his ECG, with no variability in heart rate, persistently 140-146 regardless of what I'm doing to him. The night before, he had several runs of SVT, and prolonged hypotension. I'm no longer double pumping my pressors. The insulin, D25 and Kayexalate are keeping his K+ around 6.

The family asked me about dialysis. Yeah, right!

For fucks sakes! He smells dead!


Staff (including myself) very depressed. Our hands are tied.


Do not look forward to work tonight...
Sorry for the vent

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Work in the ER is a mix of can do, can't do and "sure, what the hell..."

Watch my videos

Lock down on campus because of 2 shootings.

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Shine on, Syd...

RIP Rick, I'll see you at "The Great Gig In The Sky"

Hello, I've edited my original glib bloody comment because I hadn't realised that this wasn't some sort of 'false alarm' thing and in no way was aware of the scale of the tragedy.

I apologise.

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When Bucks Fizz’s tour bus crashed they all survived. When Metallica's bus crashed Cliff Burton died. Why?

Thanks.

A hot bath with a side order of razor blades, please.

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When Bucks Fizz’s tour bus crashed they all survived. When Metallica's bus crashed Cliff Burton died. Why?

ABC is reporting at least 20 dead...

to put that number in perspective,13 were killed in shootings at Columbine High School...

__________________
Who was born in a house full of pain
Who was trained not to spit in the fan
Who was told what to do by the man
Who was broken by trained personnel
Who was fitted with collar and chain
Who was given a pat on the back
Who was breaking away from the pack
Who was only a stranger at home
Who was ground down in the end
Who was found dead on the phone
Who was dragged down by the stone