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Tuesday, February 26, 2013

If I won the lottery I would NOT quit my job



A few months ago I played the lottery.  I usually don’t waste my money, but it was over a half a billion dollars, so I forgot logic and sanity and gambled ten bucks on the virtually improbable dream of winning it big.  I don’t know why a half a billion suddenly made me do such a stupid thing, but a measly $100 million is never worth my time.  I guess the whole thing doesn’t make any sense.
            However, I was at work before the drawing and all my colleagues were standing around daydreaming and sharing with one another what they would do if they suddenly found themselves a few hundred million dollars richer overnight.  I heard everything from traveling the world, having homes in exotic locations, shopping sprees of the rich and famous, sizable donations to charities and research organizations, even randomly giving away million dollar checks to strangers.  Everyone had different dreams, however the one thing they all agreed on is they would quit their job immediately.  I was quiet until someone asked me what I would do.  I told them I was not sure, but I do know that I would not quit my job.  They all looked at me in disbelief and asked me if I was crazy.  I simply smiled at them and told them that I would not quit my job, but I was positive that I would be fired before the day was through. 
            I am a Physician Assistant (PA) and have been working in the Emergency Room for almost a decade and a half.  I was told that the average life span of an ER employee is 7 years.  I have doubled that lifespan and unfortunately I see no end in sight.  Many probably think that 7 years is the time it takes most people to burn out due to the stress and anxiety of the nature of the job.  Life and death struggles, even with children.  I am sad to say that you win some and lose some.  The death of a child is never taken well, and I mention in my book MediSin that a small piece of us dies with the child when we are unable to save his or her life.  It’s harsh, but such emotional stress is not the reason for such a short ER life span.  Even the physical stress of working long hours, typically 12 hour days, with no set breaks and overbearing patient loads that in other hospital departments are considered illegal, causes ER personnel to relocate at such a young age in their professional career.  Even though these stresses are real, I am certain that the real reason nurses, doctors and PA’s get out of emergency medicine is simply because our patients are fat, lazy, careless pain in the asses who are afflicted with an entitlement disease and express little to no gratitude for the efforts of those trying to provide them healthcare in their ‘time of need’.  Over 99% of patients that plague the ER are in no way true medical emergencies and by all rights should not waste our time, limited resources and often taxpayer money on bullshit diagnoses. 
The American people treat themselves like shit, abuse their bodies and then run to the ER for every little hangnail and sniffle, convinced that they are suffering from a medical emergency that needs immediate intervention or else they may blow their brains out the next time they sneeze.  After 50,000 patients, I have probably seen less than 500 true medical emergencies, and that is being generous.  The rest have been varying degrees of being ‘ill’.  With the majority of those being WIMME bastards (reference from the book MediSin) and nothing more than symbolic sniffle.  “Sir, you have a boo-boo, and I will write you a Rx for someone to kiss it and make it better.  Thank you for wasting our time in the emergency room today.”
            So if I ever become financially secure, whether it is from winning the lottery, discovering an inheritance from a rich relative that I never knew existed, or the most likely scenario in which I continue to work hard in the ER for another 20+ years (what a nauseating thought) listening to complete bullshit everyday and save for retirement, that is the day that my dream comes true and I can tell all these self centered, lazy, pain in the asses what I truly think of them.  They will get a healthy dose of the truth, and that truth shall set me free.

Tuesday, February 12, 2013

Holy Fatman Robin



The following is an excerpt from “Another dose of MediSin”.  Sequel to “MediSin”.  Hopefully terrorizing readers in the near future.  My apologies - Niam Hew



                I have been practicing medicine for over 15 years.  In that time I have had to bear witness to some horrific things.  I have witnessed a child die, a mother grieve with a pain that I hope I never have to feel, patients brought into my ER shot, stabbed, eviscerated and dripping particular matter (brain) out of their ears and noses after falling off a three story building.  In every case I have dealt with such horror with unbiased reservation.  I controlled my emotions and passed no judgment, even when a gentleman tried to explain how an Aqua Velva bottle found its way up his ass. 
                My tenure has been filled with laughter, sorrow and fright that most people would find hard to imagine.  However, the other day I witnessed something that completely disgusted me beyond anything I have ever seen within my emergency room.  In all my years I have never seen something more horrifying as a 4 foot wide wheelchair.  As I was walking down the hospital hallway, I watched a nurse suffer as she pushed this Winnebago of wheelchairs towards the elevator after dropping a patient off.  It barely fit though the elevator doors.
                Why is this so horrifying?  Because a decade and a half ago, such a contraption did not exist.  It was never even thought of.  As time has passed, I have seen wheelchairs grow bigger and bigger, as our asses have become wider and wider.  Fat Ass Syndrome (FAS) is beyond a simple epidemic in this country.  Two out of every three adult Americans are overweight, while over 1/3 (35.7%) are obese.  According to the CDC every state has at least a 20% obesity rate.  Since we have slashed our education budget I will help with the math.  It means that 1 out of every 5 people are obese (this does not include overweight people).  Thirty-six states have at least a 25% obesity rate (that’s one in four).  Why should we all care, even the skinny ones?  Because the reality is, with those statistics, we all know someone we care about who has a weight problem.  Not to mention the healthcare cost.  This country is in a heated debate, more like an argument, regarding the healthcare issue and its cost.  It is estimated that obesity is costing the healthcare system $150 billion a year (and that number is rising every year).  Our taxpayer money ‘soft’ at work to pay for this nation’s ‘Big Mac’ addiction.  It’s our right to eat whatever we want damn it, and when the shit hits the fan someone else better fix my fat ass.  God bless America.  The land of the free and home of the obese.
                I will be the first one to fight for our freedom to do whatever we want with our bodies.  However, that freedom comes at a cost.  That cost is responsibility.  We need to take responsibility for our decisions, and when those actions cost us harm we need to suck it up and either rub some dirt in it and deal with it, or break open our piggy bank and pay for our evil deeds.  Don’t place the burden on the rest of society. 
                So, if you need a four foot wide wheelchair, show some appreciation for the poor nurse who just blew out a disk in her back pushing your fat ass down the hallway, and slip her a hefty tip for the pain and suffering you caused her.  Trust me – after seeing the fat crack of your ass peaking out of your hospital gown she will never be the same.  Something like that stays with someone for a lifetime.    

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