erdoc: the chronicles of an emergency room doc
and his palm handheld




erdoc works in an emergency department and has just got himself a new toy, a palm OS handheld...

phases of the moon, as you can imagine, have quite an impact on his working conditions...



moon phases
 

   

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medical/palm links
aetherpalm (anaesthesia)
doctors' gadgets
mobipocket ebooks
palmdoc
pdaMD.com
Wash U. Medical Palm Initiative

medical blogs
cut to cure
gruntdoc
kill as few patients as possible
trust me, I'm a doctor

Soli Deo Gloria
- because it is.



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Saturday, December 04, 2004
Fun with adenosine...

Hmmm...

isn't that momentary period of asystole thrilling?

Especially if it turns out to be not quite so momentary.....

Err... whoops... mmm... 'es blacked out... uh oh...

Posted at 02:42 am by erdoc
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Thursday, December 02, 2004
GTA:San Andreas hints and tips...

So it's been a rough shift... well, time to unwind with GTA:San Andreas...

Most important tip: When the wife says stop... STOP!!!

Seriously... :)

But anyways, here's what erdoc has found most useful so far...

1. Take your time in Los Santos. Get all the tags. Get weapons mastery in machine-pistols, H&K, AK, sawn-off shot gun. Take your time conquering all the 'hoods. It probably is best to build a solid foundation.

2. There is a uzi/mac-10 type thingy in the storm drain under the steel bridge behind CJ's house. There is also body armor in the same storm drain about a bridge away. There is a knuckle-duster and a 9 milli around the houses of the cul-de-sac where CJ lives. Spray can (for the tags) on top of the roof of the pawn shop - these appear to be replenished bd I think, od at the bare minimum. So there's no lack of weapons there.

3. To skill up on weapons, go to the pizza stack in Idlewood. There should be quite a few ballas homies there. keep walking round the pizza place - they'll come at you sooner or later. Take them out. Take their cash and guns. Repeat. Low on health? Eat some pizza. Cops coming at you for your wanted level? There's the pay and spray across the way, just jack a passing car and drive thru' and fix your wanted level.

4. Need some dough? Well if the ballas hoodlums aren't giving you enough cash - go burglarize a few houses. There's a burglar van in what's best described as 'council housing commission' flats nearby, just near the gym and binco clothes shop.

5. Apart from that? Well two machine pistols at hitman level can lay down a pretty impressive hail of lead. Even the H&K at hitman level can't boast that level of firepower although it certainly outranges the twin pistols.

Have fun and drop in your hints here :)

Posted at 08:41 pm by erdoc
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Tuesday, November 30, 2004
Why patients prefer coming to ED's rather than their GP's...

1. You guys are open 24/7

2. I trust you guys more (huh?)

3. You actually examine me (double huh?)

4. You spend more time with me than my GP (treble huh?)

5. My GP won't treat x (x being mmm... ingrown toenails, small abscesses, paronychias what have you... instead of huh? this is an ARRGH!)

6. You guys are generous, you give us take home meds (well chemists are hardly going to be open at 3 am are they? Mmm... better review this policy)

7. It's free (okay this may not apply in the US but for more progressive countries - and yes, this is a dig at you yanks <wink> this is true)

sigh.... there's probably more...

Feel free to add in your own reasons, lads...

Posted at 07:48 am by erdoc
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Monday, November 29, 2004
Natara Bonsai...



Natara Bonsai is probably the best outliner for the palm OS platform at present, its only possible other competitor being Shadowplan whic erdoc found useful as well many years ago but has not looked at in recent years.

It is indeed a pity that MindJet stopped support for its palm OS mind manager mind mapping software, because erdoc found the windoze version pretty darn good.

Posted at 03:31 am by erdoc
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Sunday, November 28, 2004
Playstation 2 optical drive woes...

Well, erdoc has been spending his time off playing GTA: San Andreas...

Amongst his discoveries are that playstation 2's may have a horrible design flaw in their drive servo mechanism. This may not affect the newer generation PS2's and to further qualify his statement, erdoc's PS2 is a Euro PAL version...

But anyways, the seek head mechanism for the optical drive is based on spiral grooved rotating shaft sensibly made from metal, but the actual bit that sticks into this groove (allowing the transfer of motion to the head) is made from relatively soft plastic.

Because erdoc is into the ermm... human engineering trade for want of a better euphemism, he does not know the proper name for this mechanism, but he reckons it's analogous to a rack/pinion system, for you proper engineering types out there.

This appears to have worn with time, erdoc's PS2 is over 3 maybe 4 years old and when he was having read woes he opened it up to clean the head and take a look. Good god, the spiral groove had plastic debris all over it, particularly towards the area of the groove for the outer tracks. The plastic bit therefore has been worn quite significantly and on very rapid seeks appears to loose tracking.

The current workaround solution appears to be emergency repair procedure #1, ie thump it, thump it very very hard (hey, it works for the old archaic ventilators we have! Just kidding!). There is good rationale behind this - a hard knock can occasionally restore the bit of plastic into the groove.

Be sure to get your disk out first, you don't want it to bounce around at speed and get scratched.

Okay what's the long term solution?

Erdoc has not figured it out yet but likely will involve one of the following:
1. Somehow fix the mechanism above, maybe improvise it... Stronger plastic or metal bit. Note, clean the grooves, it helps.

2. Replace the optical drive. Easier said than done, erdoc does not know how the optical drive interfaces with the PS2 mobo (if anyone does know let me know if there's an easy work around).

3. Get a new PS2. The newer one. Hopefully those bastards at Sony have gotten a better mechanism.

Interestingly enough, erdoc's other optical drives including a cheap taiwanese DVD drive which reads ANY region at all, does not appear to share this silly weakness, and given the stuff erdoc has put it thru (750 mb CD-R's overburned etc) his other drives have not yet konked.

Anyway, apologies that this post has little to do with emergency medicine or palms, but what the heck...

Posted at 11:31 am by erdoc
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Wednesday, November 24, 2004
More GHB...

So it seems the latest craze amongst acid heads is to jack themselves up with so much GHB that they score intubation...

Why?

Apparently for the sensation of extubation? Allegedly some people get some sort of sexual high or something from the process of extubation...

The solution?

Mmm... erdoc proposes a radical solution that possibly may increase the average IQ of any given population. Don't tube 'em. Let 'em drown in their own vomit :)

Seriously though... you know I'm only kidding :) Tube 'em by all means... ( One may just like to entertain the idea of keeping 'em vec'ed for a long time with no sedation running... mmmm... a VERY long time...)

Posted at 07:47 pm by erdoc
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Sunday, November 21, 2004
NS Basic/Palm...

 

NS Basic/Palm
is probably the best-est, quick-est "lazy man's" way to get simple palm apps up and running, bar none. Very much like Visual Basic, though obviously cut down to run on a palm.

The IDE is simple and straightforward - you do the development on your PC, run POSE or simulator to test it and then pack it up when finished onto your palm. There is no mobile device or palm IDE however.

Unless you are number crunching, interpreted basic is probably okay for most uses. The new interpreter has been mostly rewritten in arm code which gives it a big speed boost from its older incarnation.

The p-code files are small, the only baggage being the nsbasic interpreter prc, which you can opt to bundle with your app, vastly inflating its size or install as a separate entity, which is obviously the better solution if you have more than one ns-basic app on your palm.

Lastly, you can try-before you buy...

Posted at 04:54 am by erdoc
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Saturday, November 20, 2004
National Guidelines Clearinghouse

From Palmdoc (a very good palm/medicine blog)...  

erdoc was not aware that there were downloadable guidelines in palm DOC format available from here. This site has a plethora of guidelines, erdoc has not had a chance to fully browse all of the ones relevant to his practice, but there's probably something that will interest most everybody here. Food for thought.

Posted at 01:39 am by erdoc
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Friday, November 19, 2004
Read of the week...

From mobipocket.com...

This is loaded on erdoc's palm at present. For previous posts on mobipocket e-books go here.

  Angels and Demons

An ancient secret brotherhood.
A devastating new weapon of destruction.
An unthinkable target.

When world-renowned Harvard symbologist Robert Langdon is summoned to a Swiss research facility to analyze a mysterious symbol -- seared into the chest of a murdered physicist -- he discovers evidence of the unimaginable: the resurgence of an ancient secret brotherhood known as the Illuminati...

An explosive international thriller, Angels & Demons careens from enlightening epiphanies to dark truths as the battle between science and religion turns to war.



Posted at 07:23 pm by erdoc
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Thursday, November 18, 2004
Stress in the workplace...

Anyone find this sort of work stressful?

erdoc love sorting out sick people but sometimes when it rains, it pours and when the department starts looking like downtown Beirut or like the intensely crap unit with several ventilators up and going in the resus bays... and it's still pouring patients... he wonders what the heck he's landed himself into...

anyway, the shift's over... Time for some GTA.

Posted at 01:41 am by erdoc
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