Las Vegas: 59 dead, 500+ injured. I worry about our medical colleagues who will suffer tremendously while treating the injured; they will be wracked with guilt for the patients they could not help and false back to the horror of that night and the ensuing days and weeks caring for the living. We must find ways to support each other help them cope as well as looking for sensible solutions. My ...

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After surgery for my broken tibia, I realized that there were only four points on the pain scale that really mattered to me:

  1. I’m OK. This acetaminophen/ibuprofen/whatever is enough.
  2. I wouldn’t mind a little something more, preferably something that binds mu
  3. Um, could you please hurry that up?
  4. NOW! NOW!  I need it NOW!
On the 0 to 10 pain scale, who really cares if you are at a 2 or ...

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