Thursday, March 31, 2011

http://http//www.ncbi.nlm.nih.gov/pubmed/21141080 Here is the link to a new article about a plan at one seattle area Emergency Department that has greatly reduced the amount of narcotics prescribed. Pretty interesting, but really extreme. Maybe this is what we need now?

Wednesday, March 30, 2011

Bitemporal Hemianopsia

Bitemporal Hemianopsia
vision missing in the lateral, temporal half ofboth visual fields. Caused by compression of the optic nerve at the optic chiasm, affecting the bilateral medial retina. Most often due to tumors of the pituitary that are forced to expand upward because of the bony "saddle" they sit in, the sella turcica, or turkey saddle. Here you see an interesting example direct from the number one most frequently used medical resource, wikipedia. This example shows two views of Paris. The second obviously with bitemporal hemianopsia. Loved these pictures, and love wiki, so had to post them. Enjoy.

Back and Bigger and Better

We are back! Yes, I couldnt stand to stay in private mode any longer, nothing to post for. Screw the gestapo! Of course, I did have to delete several posts that I had posted during the time the blog went under the radar, but no matter. The Hog Blog is coming back and with more posts, more stories, more case reports, and more bullshit than ever. And I have a special, heart warming, story to celebrate with......Recently, a young lady with crohn's has made multiple visits to our emergency department. She has a jejunostomy, and she has had various episodes of cracking and bleeding around the ostomy site. After much prodding on her fifth visit for the same complaint, she admits that she is actually a prostitute, and she is selling sex with her ostomy site! We called her the "Ostitute"!