Wednesday, August 8, 2012

Abnormal CT !!!

Name abnormalities in this CT cut.
(No history is provided)

Sunday, January 29, 2012

Emergency Culture

When I walked in ED as a resident for first time, I felt something is different. At first I thought it might because of a larger hospital, larger university, academic ED or etc.; but the difference was much bigger. Now I am graduated as an emergency physician and work in various EDs and yet I can feel that difference. I don't think the different is because of a larger hospital, more equipment, an emergency medicine specialist or even an academic ED itself anymore. I think it is all about a change in thinking process and practicing medicine that I'd like to call it "emergency culture".

Emergency culture involves all emergency staffs from emergency physicians to general practitioners working in ED to ED nurses to ED securities to even ED workers. It is a change in thinking process that differentiates between well and ill patients; that can triages patients rightly. It is a change in practicing medicine so one can do best for the patient, not for the disease, on time; and one can do multiple tasks together in a so distracting environment.

Now as an emergency physician I ask myself "Is my patient is dying? Is his/her ABC are secure and maintained? Is his/her life or limb on danger?" every time I see a new patient. I think it is the difference between me and anyone without "emergency culture".

What do you think?

photo: University of Rochester Emergency Medicine Residency Program

Tuesday, January 24, 2012

I'm Back

I'm back again. Nothing specal happened in these years i was absent. I am not a resident anymore , now I'm an emergency physician. It seems to be the only difference. Now I am in conscription waiting list.
The photo above shows me last time as a resident, with my classmates (two of them were absent in this photo). I am 5th from right.

Thursday, October 28, 2010

new TINTANALLI's book & our residency program director

Yesterday, as I searched the web for new Tintinalli's book, I found something interesting that made me proud. The author of chapter 219:"Type 2 Diabetes Mellitus" is DR Mohammad Jalili, our residency program director and one of our best professors here.

see here: click Table of contents

Wednesday, August 4, 2010

Busy, Disappointed, & TOO Tired

I was so busy with my yearly evaluating exam  that were no time for writing in this blog and afterward I am now in cardiology rotation again busy with it and with my thesis so and many other thing;  I am really so tired. The results of our exam declared and I am really disappointed with it. The sight of future disturbs me and…
Surely, these are not all of my problems.

P.S. sorry for the negative effect of this post

Saturday, July 10, 2010

Famous X Ray

A young male with fall in out streched hand.

Wednesday, July 7, 2010

Ey Lashkar-e- Saheb Zaman

In memory of martyrdom and blood days; the days of sacrifice and bombardment.
"Ey Lashkar-e- Saheb Zaman" by Sadegh Ahangaran.

To note: This was before a military operation. Soldiers were excited by the sound and were ready to do any sacrifice in the way of their motherland.

"Ey Lashkar-e- Saheb Zaman" means "Oh Army of Saheb Zaman"
"Saheb Zaman" itself means "master of time" a name for the twelfth imam of shii Muslims.


Tuesday, July 6, 2010

Hysterical Patient: Something to Remember

I read this nice, educative post at the centarl line. Its a common error in ED and may occur for every EP.
Please read it.

The Laughing Trauma Patient

What do you think of this happy motorcycle rider?
He was a 26 y/o rider who was ejected from motorcycle in MVA.
His primary survey was normal. He didn't complain of any pain and just complained decrease of bilateral shoulders ROM.
In examination there were both sided mild tendeness over humeral head and decrease of shoulder ROM in all directions bilaterally. N/V was normal.

Monday, July 5, 2010

Even "Puppet Ice Cream" is Sad

Sometime I heard a joke: 'Learn happiness from "Puppet Ice Cream" who always smile despite that bar in his bottom.'

It seems nowadays even "Puppet Ice Cream" is sad.

Puppet Ice Cream: A type of ice cream called "Bastani-e-Aroosaki" Sold by Mihan and maybe some other manufacturer in Iran.
Photo: I am holding ice cream in today ED class. The green blurred one is the lecturer. Ice creams were bought to us by our kind professor DR.Nejati.