Friday, March 31, 2017


One nasty rainy Friday after several enjoyable days. Typical end of March and early April weather. Yes tomorrow is April fool’s day.

Tonight we should be getting the agenda for the AFS Council meeting and I hope its location is the Court Room not the crowded too small City Hall Library.

I did read all my newspapers today, and in addition to the usual DC circus there were several interesting articles including one in the WSJ about the “Mexican Border Wall” breaking down the different Patrol sectors in to needs, costs, present fences/walls, terrain problems, and immigrant usage. Titled “mapping Out Challenges of Building Wall”. I do not have the link but perhaps you can google it if interested.

Did you know about Comet 41P/Tuttle-Giacombini-Kresák?

This "April Fool's Day Comet" will make its closest approach to earth on April 1, passing within 13.7 million miles (22 million km) of the Earth An unusually favorable opportunity to view a famous periodic comet in small telescopes comes during the next couple of weeks, when passes closer to Earth than at any return since its discovery in 1858.

The comet's perihelion point, which is that part of its orbit taking it closest to the sun, lies just outside Earth's orbit. This year, the perihelion passage occurs April 12, when the comet will be 97.1 million miles (156.3 million kilometers) from the sun. But because the orbit of the comet nearly parallels the orbit of Earth at this point, there will be a six-day period — from March 29 through April 3 — when Tuttle-Giacobini- Kresák will be very near to its closest point to Earth.

The comet will, in fact, be closest to Earth on April Fools' Day (April 1); just about 13.2 million miles (21.2 million km) away.

The source stresses here that this comet is not likely to evolve into an impressive sight. However, it will be worth monitoring in the coming nights for two reasons: (1) It is not often that a comet approaches Earth as closely as "T-G-K." (2)There is a very small possibility that the comet could undergo a dramatic outburst in brightness.

Only if there is an outburst in brightness which can occur when it nears the sun can it be seen with the naked eye.

Thursday, March 30, 2017


This is from “goomersblog” which is a satirical medical blog but illustrates why I have posted repeatedly that Healthcare today sucks. Obamacare or HMO/insurance controlled medicine is why politicians and government and “entitlers” or socialists should not determine how we receive our care.
My annual physical included all the items plus a vaginal for women to rule out tumors and cancers. 
Routine urine and blood tests (blood count, differential, sedimentation rate. and basic chemistries) were standard plus
an EKG  and Chest Xray depending on age and findings.
Other Xrays and exotic diagnostic tests were ordered  depending on my findings not to meet "quality care levels" 

AMA Holds Funeral Service for Physical Exam by Dr. Glaucomflecken

The American Medical Association held a large funeral service today in honor of the Physical Exam, which passed away earlier this month after a decade-long battle with obscurity.  The funeral was well attended by nurses, medical doctors, and trainees from all over the country who wished to pay their respects.  The service began with an hour-long tribute to the highlights of a centuries-old career diagnosing illness, with special recognition given to the following:
S3, S4, and “murmurs,” whatever those are
Palpating the point of maximal impact
Percussing the lungs
Percussing in general
Measuring liver span
Actually putting your own finger into the rectum to examine it
Doing that thing where you have the patient swallow some water then feel their thyroid
Femoral pulses
Reflexes not involving the knee
Cranial nerve I
Pinprick test
Temperature sensation
Any part of the exam where human contact is involved

Following a display of the Physical Exam’s most prized possessions, including a stethoscope, reflex hammer and a little vial filled with coffee beans, several health care providers gave moving eulogies in remembrance of an old friend.

Tim (60-year-old internist): “I’ll miss you dear friend.  My intimate knowledge about you was my only defense against the onslaught of millennial EMRs and imaging studies.  I could always count on you to show me findings that, although might not have any clinical significance whatsoever, could at least be used to humiliate a resident for missing it.”

Lucy (24-year-old resident): “Dear Physical Exam, we never really knew each other.  You were already pretty old and inconsequential by the time I started medical school.  However, I still sometimes put on my stethoscope and listen to the strange thuds, beeps, and boops coming from inside the patient that used to be important.  Hell, I’ll even write about those crazy sounds in my progress notes like I’m a real 1950s primary care doctor.  But then I look at the telemetry and think to myself, technology is pretty awesome.  Lolz!”