Wednesday, November 29, 2006

monkey med

FROM 21.11.06

mood: quite contrary.

state i'm in: i love days off :-)
tune: sandy rivera feat. haze "changes" ben watt's lazy dog remix.


sandra's intern boyfriend david described cardiology as "monkey medicine" when we were discussing it saturday night. i couldn't agree more.

it's not that i dislike cardiology. it's great actually. you get to make an instantaneous (if only temporary) difference to a patient. they think that the doctors and nurses are the bees knees, ending the crushing pain their chest, and the feeling of impending doom. but there is no real thinking, no deep reasoning. perhaps in a bygone era?

patient comes in with chest pain, in a painfully typical pattern. ST elevation on ECG? T wave inversion on ECG? troponin elevated? pain responds like magic to GTN under the tongue? yes, yes, yes, yes! hey presto, you have an MI (aka heart attack). the patient gets an angiogram, then likely a stent, and with their 3 point plan (to which they are remarkably unlikely to adhere) to better carvdiovascular health in the future in hand, walks gingerly out the front door.

it's all so simple. sure there is the odd interesting case, where the patient's recovery is compromised by some complication such as diabetes or renal impairment, but the work is largely just plumbing.

not sure if i want to be a plumber, even if it is a rich one.


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hired a car (a mitshubishi 380, not bad, the leather was sweet) and took a pleasant drive with suffien up to the sunshine coast. first through the hinterland (where suff's "wow!!!" became louder and louder the higher into the mountains we got), then back down the blackall range through nambour and to coolum beach. deepfried seafood and chips for lunch and spent the afternoon relaxing on the beach as the sun set over the hills behind us. it was a really nice sunday.

dropped into mum and dad's on the way home for ice cream with the muscat we bought at one of the wineries along the way and to play around with the 380. mum and dad had a drive each, then i hopped into dad's recently tuned up pug 306 - even though it's not the sporty model (a la the red XSi - RIP) it was still like getting out of a 747 and into a fighter jet. the pug's responsive and alive - what you ask, she does, and with precision. a brilliantly put together machine.

here's some sunday pics…


on the way up the blackall range.


coolum beach - genu valgus in the background (med joke, sorry).


me.


bloody asian drivers.

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