Remember the Juicy Fruit man? Well I saw him again. That makes twice that I’ve seen alcoholic ketoacidosis in my career. I’m getting better at diagnosing it, but of course it helped that I knew his previous diagnosis! This time the juicy fruit smell was cheaply blended with a strong odor of ETOH. Ethanolism has a nice ring to it, a little more sophisticated than just plain drunk. Maybe I should just put juicy-fruitism on his admission papers from now on. Or esterism…after all, isn’t that what the sweet smell is from, the esters giving off a fruity smell? Maybe I should review my organic chemistry in my free time.