Think for a second about the most treasured drug or device in your medical bag. Or about the procedure you find most appealing, the disease or injury you most enjoy treating. Personally, I really enjoy doing lumbar punctures, opening abscesses, placing IO lines and applying splints. And because I’m an emergency physician, I am duty bound to say that I love to intubate … and I do.
I also enjoy doing nerve blocks, whether dental, regional or digital. In fact, I did my own digital block on my very painful great toe, wherein there was an ingrown nail. I endured it for about one month, believe it or not, but ultimately I was too cheap to go to my doctor or any other doctor. So I sat down in my bathroom with my wife and kids in attendance. Just before I started, I said, “I don’t think I can do this to myself!” To which my insulin-dependent son, Seth, replied “Are you kidding me?” The shame worked and the needle and bupivicaine left my toe tingling for at least 12 hours.
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