Tuesday, October 7, 2025
From congratulations to are you bored yet?
Friday, October 3, 2025
5/12th of my gap year?
Tuesday, September 30, 2025
Senior Citizen!
Monday, September 29, 2025
Could have played some ”free” golf!
Just finished doing the 6-hour Florida Safety Council-Mature Driving Course.
The cost was minimal-only $12.50.
I could have taken it over ten-years ago, since eligibility starts at age 55+.
However, I doubt I would have committed to the 6-hours, until now.
It had nine mandatory sections, and you could not advance to the next section until the countdown timer, for each section, was completed.
I passed the final exam.
Haven’t told her yet, but know my wife will be so proud!
My car insurance premium will be decreased by close to 10% for the next three-years (you can call your carrier to find out what your rate reduction would be prior to starting).
At my current rate, the three-year savings is approximately $500 or about $163/year (taking the cost of the course into account).
Man…the things I could have done with the extra dough!
Could have played 3-4 rounds of golf/year with the $163, basically (in my mind) for “free,” depending on the course, the time of the day and the season of the year.
😏.
Tuesday, September 23, 2025
See-one, do-one, teach-one
Just got back from visiting my daughter and her husband, both of whom are in their 3rd year as Veterinarians.
Neither did a residency after Vet school.
They’re doing well and have acquired significant experience in a short time.
I went to medical school, and did residency, in the see-one, do-one, teach-one era.
I always enjoyed procedures.
Prior to doing, however, there was always a sense of anxiety, apprehension, and questioning of my ability to perform whatever procedure was clinically indicated.
But, the procedure typically ended with, “that was a lot easier than I thought,” as I transitioned to doing more of the same alone, or teaching colleagues when an opportunity arose.
Medical students and residents now keep a careful log of the number of a procedure they have observed, prior to be signed-off to, eventually, perform.
The number required to observe varies, but is much greater than one.
I had no such documentation requirement.
My daughter and son-in-law are doing some amazing surgical procedures, many of which they’ve done after previously observing only one, or in the case of some emergencies, having been talked through by a colleague who was at a remote location or after quickly watching an instructional video.
It reminds me of my medical school and residency days from the 80s.
Monday, September 22, 2025
A change in goals
Thursday, September 18, 2025
80 sexual encounters, by 3 passengers, on 1 cruise
I read each edition of (General Medicine) Journal Watch.
It reviews recent medical articles and presents them in an abbreviated format-something appreciated by most family physicians.
The most recent had a section entitled, Mpox (Monkey Pox) on the Seas.
Mpox is caused by the Monkeypox virus, is transmitted through close, usually intimate, contact, has symptoms that include fever, malaise, chills, headache, sore throat, cough and swollen lymph nodes, followed by a rash that may be located on the hands, feet, chest, face, or mouth or near the genitals, and typically lasts 2-4 weeks. Treatment is mainly supportive, including pain management.
It noted that on one cruise (that was marketed to gay and bisexual men), 3 symptomatic passengers reported a combined total of about 80 sexual contacts (all of which were verified as male-to-male sexual encounters).
This had to be a typo, right?
I reviewed the original publication.
It wasn’t.
On the cruise, one passenger had 50 sexual encounters during the voyage, another passenger had 25, and a third passenger had 4 (Total of 79!).
The Center for Disease Control (CDC) initiated appropriate tracers (reaching out to those who had contact with the symptomatic passengers).
The effectiveness of the mpox vaccine for post-exposure prophylaxis is greatest if/when administered within 4 days (that’s why pre-exposure prophylaxis with the vaccine is preferred).
If I was a CDC employee, I would have immediately volunteered to do tracers on the third passenger.
But, since I’ve always been a team player, would have (eventually) assisted colleagues who were tracing the other 75!
Something totally non-medical
Something totally non-medical An editorial in The Journal of Family Practice (1) , from thirty years ago, significantly impacted my career...
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The Art of Medicine and the Twilight Zone The practice of medicine encompasses both art and science. “Three patients may find themselv...
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Something totally non-medical An editorial in The Journal of Family Practice (1) , from thirty years ago, significantly impacted my career...