Lumpy Ridge in View again

Spending a week back in Colorado…I can’t believe how beautiful it is. I was sitting here checking email in a coffee shop and temporarily forgot where I was. I looked out the window and saw Lumpy Ridge staring back at me, the Stanley Hotel proudly sitting at the base of the ridge, at least from this vantage point.

Time for a little Rocky Mountain exploration. 😉

Single track, single mind, singlespeed…

I finally got out on the trails on my pseudo-singlespeed bridgestone. I still havn’t taken any parts off yet, but was dying to go on a bike ride outdoors yesterday. It was freezing outside (literally, right at 32 degrees) and I am too much of a wimp to get on a windy road bike and just toool around, so I figured I”d get the mountain bike out. THEN I figured…why not try singlespeeding on the trails?

It was a blast. I kept it in a 36-18/36-20 (still experimenting), used my nightrider light, dressed just right for the weather including my 97 cent skull cap from Old Navy to wear under the helmet.

I rode down to the river, upstream till I hit a deadend along the railroad (private property), then back, up some big hills, down again, up the creek & back to my house. Total vertical was over 1000 feet! Not bad for not being in the mountains. Distance almost 10 miles, time about 1 1/2 hours. Hey…going uphill is SLOW on that thing.

Afterwards I did a “brick”, a triathlon training deal where you go for a run after finishing the bike. I only went for 10 minutes, but when I got back, I felt great, giddy almost. I wish I could call up that feeling without going out and punishing myself for 2 hours in teh freezing cold, dark night.

I guess this was my equinox ride. Not a bad equinox.

Quiet

No, not quiet in the ED, quiet here on Mr. Hassle. Sorry. Been busy. Work is too busy. I’m trying to figure out how to retire from medicine early. Like maybe next month. Wait, I havn’t even taken my oral boards yet. Well, sometime soon anyway. What else can an MD do to pay back student loans? If you have any high paying job offers, leave a post in the comments. All options considered…the more creative the better.

Worst reason to give drugs to a seeker

“Since I’m not going to keep the baby anyway…”

This one really takes the cake. A lady comes in 8 weeks pregnant, left flank pain. Acting wierd. Just discharged from neighboring hospital same day for same complaint. Doesn’t know what her diagnosis was. “a virus”. Wants the pain medicine that starts with a “D”. “Dilantin?” she asked. Umm. No. I’m not giving you dilantin (or dilauded or demerol). Then she wants the “N” medicine. Nubain. Nubain is category “?” in pregnancy. Umm. No, I’m not giving you nubain.

I lay down the law. I tell her that all narcotics are potentially harmful in pregnancy and I’m not giving you any more (got some MS in teh ambulance, and a little more through triage via a verbal order). How about something to help me relax, she says. Umm. No.

So finally, her mother comes out. She’s in a lot of pain. She says she’s not going to keep the baby anyway, she’s going to get an abortion. So can you give her some of those pain medicines? Um, no. So after normal labs, normal IUP ultrasound, normal urine & normal kidney ultrasounds, I kick them both out.

This chick had the wool pulled so far down over mother’s eyes, I actually felt bad for the mother.