Quote: teddysHe has become living legend.
Nah. He's more like a living shaggy-dog story.
Quote: teddysHe has become living legend. Like Keyser Soze.
That was a great movie, and dang it I should've used that for my handle here.
I think that most everyone on this forum knows that the nickname I use here does not imply any medical training beyond first aid as taught by the Boy Scouts. However, I did get the opportunity to discuss what I had heard of the Wizard's recent experiences with someone who does know a little of that stuff. Tonight I attended a basketball game at my alma mater (87-52 victory!), and the person who sits next to me at the games is both a former member of the school's basketball team and a retired physician with a specialty of internal medicine.
I described the course of events as best I could remember them from this thread and the Wiz's blog entry and asked him what he thought (based on that limited info) about food poisoning being the problem. He said that very well could have been the start of it all. Problems with food poisoning would provide the fever that wouldn't likely respond adequately to antibiotics prescribed for flu. Then, continuing digestive track difficulties would lead to (1) highly irritated bowel walls through which the "nasties" could enter the blood stream and (2) dehydration that would exacerbate the problem and could result in a loss of consciousness. At that point, it really is a serious situation. He said that once the Wiz was at the hospital, they likely were providing both hydration and more potent antibiotics through the IV and should have been able to get the infection under control. He said it is a rather rough experience but that most people recover fully and rather quickly once the proper antibiotics are in their systems.
So much for a second-hand report of a medical assessment performed with third-hand reporting of the symptoms, but I'd say this is reasonable reaffirmation that the Wizard has better days to look forward to very soon. So this little note is a little more than "wishing" a speedy recovery -- it's a bit of a prediction.
Quote: Mission146
Pursuant to the Rules and your admission, the nuclear option shall be invoked.
.
Poor Jerry. He just wants to fit in somewhere
in between visits to the sanitarium and those
nasty shock treatments..
Quote: Mission146You are banned as iluvdisco33, of course, not for anything you said to/about me, JFTR, but it sounds like you'll be back, so take care until then.
Called it, January 21st. Do I win a prize? Course not.
Quote: DocIf folks will allow me to take this thread back on topic for a moment.... I have not yet taken the opportunity to express my wishes to the Wizard for a quick and complete recover, and I wish to do that now.
You are far the wiser than many among us for getting us back on track, and not making it about someone else... :)
Mission, that was as kind and gentle invocation of the nuclear option as I have ever seen. Very classy.
As far as all the deaths from 'doctor error', I would argue that it is amazing how LOW that figure is. It all depends on what you call an 'error'.
As an example, in my field, we place epidurals for laboring soon to be moms. If the needle goes in a few millimeters too far the patient can get a really bad headache. The reported incidence of that happening is around 1 - 2 %. You are doing the procedure by feel, and despite all best efforts occassionally the bad outcome happens. Is that a 'doctor error'? If it is, then as long as doctors are human there will be those kinds of errors.
In the old days, before CT scans, surgeons would decide whether to operate on a suspected appendicitis by their physical examination and patient history. To not operate and wait had a very high risk, as if you wait too long and the appendix bursts, it could be fatal. So it was accepted that about 1 in 5 patients having an appendectomy did not need one, but the surgeon's were afraid (rightly so) to miss a real appendicitis attack. So if you were one of the 5 who had truly unnecessary surgery, would you consider that a 'doctor error'? Technically it was....
The STUNNING increases in medical safety that have occurred over the last quarter century (my time as a doctor) are too numerous to list. I'll just say this... I am paying LESS for malpractice insurance now than I did 22 years ago, and that is in actual dollars, not inflation adjusted.
Anesthesia joke for the mathematically challenged patient..... "Doctor, what is the chance I get one of those bad headaches when you do my epidural?"
"Well, Mrs. Jones, around 1%. As a matter of fact, none of my last 99 patients have had that headache..."
Quote: SOOPOO
Anesthesia joke for the mathematically challenged patient..... "Doctor, what is the chance I get one of those bad headaches when you do my epidural?"
"Well, Mrs. Jones, around 1%. As a matter of fact, none of my last 99 patients have had that headache..."
Reminds me of the flying joke with the nervous passenger who asks the pilot ...
"How often do these planes crash?"
The pilot replies "Oh, only once"
Would it ask about recent foreign travel on its own? What about Sushi?
Interested in your post about medical errors. I have some family members that are medical professionals and they all say the same things. I am curious about your malpractice insurance. I assume it's tied to your track record (i.e.-how many claims have been filed against you). So it that responsible for your lower premiums or a reduction in general in the cost of malpractice ins?...just curious. I know some specialties (i'm thinking ob/gyn) have seen large increases in premium in the last decade or so.
Mike, get well soon please.
Quote: vendman1SOOPOO,
Interested in your post about medical errors. I have some family members that are medical professionals and they all say the same things. I am curious about your malpractice insurance. I assume it's tied to your track record (i.e.-how many claims have been filed against you). So it that responsible for your lower premiums or a reduction in general in the cost of malpractice ins?...just curious. I know some specialties (i'm thinking ob/gyn) have seen large increases in premium in the last decade or so.
Mike, get well soon please.
Generally your insurance rate is dependent upon your geographic location and your specialty, not your personal history. Ob/gyn is the perfect example about what is wrong with the malpractice system. Despite all their best efforts, say 1 in a hundred deliveries have a 'bad outcome'. Since a 'bad baby' is such an emotionally devastating occurence, everyone wants to find blame and sue someone. And those that are successful result in huge awards, as it might be a lifetime of care that is required. Imagine if everytime you crapped out on two consecutive comeout rolls you were sued.... My lower premiums are the result of two things... Generally anesthesiology has gotten so much safer due to technological advances--- better equipment--- better drugs--- better education---. Also, when i started New York State basically had one insurer, now there is actual competition.
I'm serious on this. Are any of our members physicians who have access to DXplain or any other Artificial Intelligence program dealing with medical diagnoses?Quote: FleaStiffOkay, so what would a diagnostic program such as DXplain churn out?
Would it ask about recent foreign travel on its own? What about Sushi?
One problem of food poisoning is a long term risk of severe impairment due to total apathy.
Wilford Hall Hospital. EKG's and almost all the equipment operated on electron tubes. Shorthy before I was discharged a
Gas Chronograph was the first time I saw a circuit board instead of tubes.
In 64 or 65 I attended a lecture by Dr. Byrd who has just invented his state of the art respirator. I was reminded several
times by doctors in the room that he was not a real doctor. His doctorate was in engineering.
One of my duties was to test anesthesia equipment after any fatality in the operating room. Curious to how such machines
are tested today. I assume the machines no longer are big and bulky with 5 or 6 glass rods on top. Seem to remember
the test mainly consisted of a round measuring glass and displacing a set amount of water.
Just wondering exactly how anesthesia units are tested and/or calibrated today.
Also when you started did the doctor carry a mercury aneroid sphygmomanometer in their white coat ?
I recall an article mentioning that the emergency health care facilities and practitioners in Las Vegas were not as advanced/skilled as other large metropolitan areas. Could this have something to do with the lack of a definitive diagnosis?
I think the name of the restaurant is El Santaneco at 4632 Maryland Parkway. The blue sign says "Restaurante Guatemalteco with "El Santaneco" in small quotes (picture here).
Yelp gives it 4 stars based on 9 reviews.
If this is the restaurant, the last food inspection was in May 2012. SNDC closed the restaurant in January 2012 due to health violations and it reopened four days later.
It appears that food inspection happen around once a year and are random.
On its last food inspection, the restaurant recently got an "A" rating with only 9 demerit points. 9 is good -- restaurants at the Venetian typically have scores around this or better than this; Michael Mina's at Bellagio has had 10 demerit points.
The site also allows you to file a complaint, and I would strongly suggest that you do so, Mike.
Hope this helps.
Quote: BuzzardSOOPOO. I spent most of my 4 years in USAF 1962-66 as Medical maintenance technician at Brooks School of Aerospace Medicine and
Wilford Hall Hospital. EKG's and almost all the equipment operated on electron tubes. Shorthy before I was discharged a
Gas Chronograph was the first time I saw a circuit board instead of tubes.
In 64 or 65 I attended a lecture by Dr. Byrd who has just invented his state of the art respirator. I was reminded several
times by doctors in the room that he was not a real doctor. His doctorate was in engineering.
One of my duties was to test anesthesia equipment after any fatality in the operating room. Curious to how such machines
are tested today. I assume the machines no longer are big and bulky with 5 or 6 glass rods on top. Seem to remember
the test mainly consisted of a round measuring glass and displacing a set amount of water.
Just wondering exactly how anesthesia units are tested and/or calibrated today.
Also when you started did the doctor carry a mercury aneroid sphygmomanometer in their white coat ?
A modern anesthesia machine and accompanying monitors resembles a pilot's cockpit on a jumbo jet. My job is most compared to that of a pilot....most of what I do is mundane, but in the rare circumstance when something is amiss.... that is when you want the years of training and experience. The job of anesthesiologist usually has two critical times--- going to sleep, and waking up... equivalent to takeoff and landing. There are storms mid flight (or mid operation), but those are rarer than problems on takeoff or landing. (The anesthesia term is 'induction' for going to sleep, and 'emergence' for waking up) Just like a pilot and a plane, the machine is put through a checklist of tests in the morning, and a smaller list in between cases during the day. I think a specialized technician does an even more thorough check twice a year. And I am old enough to remember when I carried Mr. sphygmo!
Quote: Ayecarumba...I recall an article mentioning that the emergency health care facilities and practitioners in Las Vegas were not as advanced/skilled as other large metropolitan areas. Could this have something to do with the lack of a definitive diagnosis?
Check out this ranking site. None of the hospitals evaluated in Las Vegas valley got an "A", and the University Medical Center got a "D". Interestingly, all the hospitals that got "B"'s were west of the I-15, while all the "C"'s were on the east side.
Quote: boymimbo
I think the name of the restaurant is El Santaneco at 4632 Maryland Parkway. The blue sign says "Restaurante Guatemalteco with "El Santaneco" in small quotes
Thanks. I've been meaning to complain to the health department, and didn't know the name of the place.
I just filed a food poisoning complaint through http://www.southernnevadahealthdistrict.org.
Quote: BuzzardI was reminded several times by doctors in the room that he was not a real doctor. His doctorate was in engineering.
I have been told that the quickest/easiest check on whether someone is a "real" doctor is to ask him/her the title of his/her dissertation. Veterinarians and chiropractors don't usually have very good answers. Same problem with many others that use the title.
Wait a minute, we did. LOL I remember running down the hallway to see what going on. After hearing this female voice screaming
" Harder, Harder, You can do it "
Quote: BuzzardDoctor or not, Mister Byrd invented a great machine.
Assuming I found the right person, the Wikipedia page spells his name "Bird" and does refer to him as "Dr. Bird". I did not find a complete listing of his academic background, but that Wiki page describes him as "aviator, inventor and biomedical engineer," and an MIT Inventor of the Week page says that he "attended a number of medical schools and completed several residencies." I guess that leaves things a bit open as to whether he was an M.D. or a Ph.D. in Engineering. Or both. People in that category are sometimes called "Mud-Fuds" as a way of pronouncing "MD-PhD".
Professional Handicapper Dogs & Horses.
Bird is right. Just goggled bird respirator and saw pix of him and early unit.
Quote: DocAssuming I found the right person, the Wikipedia page spells his name "Bird" and does refer to him as "Dr. Bird". I did not find a complete listing of his academic background, but that Wiki page describes him as "aviator, inventor and biomedical engineer," and an MIT Inventor of the Week page says that he "attended a number of medical schools and completed several residencies." I guess that leaves things a bit open as to whether he was an M.D. or a Ph.D. in Engineering. Or both. People in that category are sometimes called "Mud-Fuds" as a way of pronouncing "MD-PhD".
I've heard that the Bird is the Word.
A lot of people go to school and wind up with some B.S. (We all know what that means.) Some study a bit longer to pick up the M.S. (Which is just More of the Same.) A few wind up with this PhD. (Which just means it was Piled Higher and Deeper.)
Been there, done that.
;-)
Quote: WizardThanks. I've been meaning to complain to the health department, and didn't know the name of the place.
I just filed a food poisoning complaint through http://www.southernnevadahealthdistrict.org.
You could file a complaint right from the inspection site as well (which ha, takes you to the form in your link).
The LVRJ posts current food inspection ratings on its website:
"El Santaneco, 4632 S. Maryland Parkway, received 43 demerits Jan. 20. Violations included no sanitizer detected at three-compartment sink. GRADE: Closed"
Food inspection reports are not fun to read. It makes you realize how much you are playing russian roulette out there when dining out. That's why I like to cook at home -- I know where my food has been and I'm fully responsible (usually) for poisoning myself.
Quote: 1BB
Mission, that was as kind and gentle invocation of the nuclear option as I have ever seen. Very classy.
Thank you for the compliment!
Quote:More customers who ate at the Firefly on Paradise will be suing the restaurant after they got sick from salmonella.
The Food Safety Law Firm out of Seattle say they are representing 101 clients who ate there. They came to Las Vegas in April from over a dozen states across the country.
Meantime the owner of the Firefly talked to Action News one on one. He says despite all the negative publicity from the outbreak at his Paradise restaurant, business at his other two restaurants has not been hurt.
Guess this was a different venue, and different time, but looked up this thread to check.
http://www.ktnv.com/207322701.html
Address: 4632 S. Maryland Parkway
Phone: 702-736-3089
Reviews on yelp.com
Quote: beachbumbabsThat is some scary stuff you went through, Mike. Really glad you've recovered.
Thanks! I'm glad I survived too. What an ordeal.
Quote: Wizard... the place where I got the case of food poisoning that nearly killed me. ... ... ... Reviews on yelp.com
Based upon the lack of ambulances in the picture and the number of glowing reviews it is clear that this was an exceptional event and that just as the Wizard always bets Don'tPass, he should continue to eat lunch here.
Quote: FleaStiffBased upon the lack of ambulances in the picture and the number of glowing reviews it is clear that this was an exceptional event and that just as the Wizard always bets Don'tPass, he should continue to eat lunch here.
I don't know. I think Wizards 0-fer-2 on the no safety bet. If he go's back to that place I'm gonna have to... dare I say put my money on the dark side.
Quote: WizardThanks! I'm glad I survived too. What an ordeal.
Other than a reasonable chance of dying, you managed to come back in one piece. You know, you could of had all kinds of organ damage, be on dialysis 'cause it killed off your kidneys or had part of your intestine removed. Or some other infection progression where they have to chop off parts.
Gu Ate Mal Teco
Translated You (Gu) ate (ate) bad (mal) teco (taco). Had the sign been read properly, you wouldn't have eaten there.
Wiz, what response did you receive from The Southern Nevada Health District? What substantiation did you offer that this restaurant was the culprit? Did any other patrons fall ill in this time frame?
Maybe you didn't tip enough. Eight Quetzals is is only about a buck. :-)
Quote: FrankScobleteTranslated You (Gu) ate (ate) bad (mal) teco (taco). Had the sign been read properly, you wouldn't have eaten there.
Very funny!
Quote: 1BBWiz, what response did you receive from The Southern Nevada Health District? What substantiation did you offer that this restaurant was the culprit? Did any other patrons fall ill in this time frame?
I received no response at all, and assumed they ignored the complaint. It was so long ago I don't recall what I said on the complaint, but I ate nothing between eating there and getting sick. No, I never heard of any other complaints, but don't know how to research such a thing. How did you do it?
Quote:Maybe you didn't tip enough. Eight Quetzals is is only about a buck. :-)
I got confused with the conversion rate.
Type in El Santaneco.
Look through the tab at the results. I showed you this before!
Quote: boymimbohttp://www.southernnevadahealthdistrict.org/restaurants/inspections.php
Type in El Santaneco.
Look through the tab at the results. I showed you this before!
Sorry, we old folk have a hard time remembering things.
While their last inspection earned an A they were shut down on 1/20/12, and got only a C on 3/27/12. As 1BB said, you almost never see anything except an A.
Way to go bumping a 5 year old thread! Rx, do you have too much time on your hands?Quote: rxwineWizard, I'm guessing you never ate at that restaurant again, but when was the last time you had the exact same meal?
Quote: OnceDearWay to go bumping a 5 year old thread! Rx, do you have too much time on your hands?
Possibly, but I just figured I'd put my question in the right thread!
Lol. I just found it amusing.Quote: rxwinePossibly, but I just figured I'd put my question in the right thread!
Upon reading the thread, I nearly sent Wiz a get well soon message
yeah, same here.Quote: OnceDearLol. I just found it amusing.
Upon reading the thread, I nearly sent Wiz a get well soon message
upon seeing the title, I thought Sands corp is trying to assassinate the wiz again