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  • #31
    SanJuanSun,

    Please answer the following question, but think carefully about your answer as our future interactions on this board may depend, in large part, on your response to the following question:

    The Red Cross is constantly asking people to donate blood; the world is a vampire. Surgery often requires blood transfusions, and as a surgical resident, you probably perform cholesystectomies at least four times a week (though hopefully you won't need any blood if you don't transect the hepatic artery). 'Chole' is from Greek, and refers to the bile, one of the Four Humours, and a buildup of bile in the body was seen as a cause of aggression and/or depression, melancholy, as it were. Recently, I've noticed several billboards in my town that read, "You wouldn't say, 'it's just diabetes. Get over it!'" that offer free advice about overcoming depression. In a modern pharmacological sense, it is believed, according to one theory, that depression occurs due to an imbalance of chemicals in the brain (moanamine, serotonin, norepinephrine and dopamine), a sort of modern Four Humors imbalance. We've all felt bad at times, and sometimes when we're down, we like to commiserate with others, perhaps a shrink, or cheaper, on the collective soul of the internet. The fourth track on Collective Soul's self-titled album (1995) is "Smashing Young Man" a highly critical track of a self-aggrandizing person that some people have claimed refers to Billy Corgan of the Smashing Pumpkins. Corgan has lashed out at Collective Soul, accusing them of copying their hit "Shine" from his song "Rhinocerous" [sic]. Despite all of his rage about this, we are still just left to wonder which of the two discs of Mellon Collie and the Infinite Sadness is the better disc. Which is it?
    "Wuap's "problem" is that he is smart & principled & committed to a moral course of action. His actions are supposed to reflect his ethical code.
    The rest of us rarely bother to think about our actions." --Solon

    Comment


    • #32
      The above question will expire by 12:01 PM EDT, Monday April 19, 2010.
      Last edited by wuapinmon; 04-17-2010, 08:43 PM. Reason: post-meridian
      "Wuap's "problem" is that he is smart & principled & committed to a moral course of action. His actions are supposed to reflect his ethical code.
      The rest of us rarely bother to think about our actions." --Solon

      Comment


      • #33
        Originally posted by wuapinmon View Post
        The above question will expire by 12:01 AM EDT, Monday April 19, 2010.
        Dude, cut him some slack. He spends alot of time sewing body parts back together that were not designed to be split apart.
        "The first thing I learned upon becoming a head coach after fifteen years as an assistant was the enormous difference between making a suggestion and making a decision."

        "They talk about the economy this year. Hey, my hairline is in recession, my waistline is in inflation. Altogether, I'm in a depression."

        "I like to bike. I could beat Lance Armstrong, only because he couldn't pass me if he was behind me."

        -Rick Majerus

        Comment


        • #34
          Originally posted by wuapinmon View Post
          SanJuanSun,

          Please answer the following question, but think carefully about your answer as our future interactions on this board may depend, in large part, on your response to the following question:

          The Red Cross is constantly asking people to donate blood; the world is a vampire. Surgery often requires blood transfusions, and as a surgical resident, you probably perform cholesystectomies at least four times a week (though hopefully you won't need any blood if you don't transect the hepatic artery). 'Chole' is from Greek, and refers to the bile, one of the Four Humours, and a buildup of bile in the body was seen as a cause of aggression and/or depression, melancholy, as it were. Recently, I've noticed several billboards in my town that read, "You wouldn't say, 'it's just diabetes. Get over it!'" that offer free advice about overcoming depression. In a modern pharmacological sense, it is believed, according to one theory, that depression occurs due to an imbalance of chemicals in the brain (moanamine, serotonin, norepinephrine and dopamine), a sort of modern Four Humors imbalance. We've all felt bad at times, and sometimes when we're down, we like to commiserate with others, perhaps a shrink, or cheaper, on the collective soul of the internet. The fourth track on Collective Soul's self-titled album (1995) is "Smashing Young Man" a highly critical track of a self-aggrandizing person that some people have claimed refers to Billy Corgan of the Smashing Pumpkins. Corgan has lashed out at Collective Soul, accusing them of copying their hit "Shine" from his song "Rhinocerous" [sic]. Despite all of his rage about this, we are still just left to wonder which of the two discs of Mellon Collie and the Infinite Sadness is the better disc. Which is it?
          A few thoughts and an answer:

          1. We are asked to donate blood all the time. But think about this: the patient who receives your donated blood is charged for it. So where exactly does the Red Cross or United Blood Services get off asking you to donate, and then charging for it? Real life vampires, says I.

          2. One of the few indications for conversion of laparoscopic cholecystectomy to open (and a much bigger scar, and more pain) is bleeding that obscures the field. Like when the hepatic artery gets bagged. The overall conversion rate of lap to open is about 2%.

          3. For many things in life, if there isn't a clear consensus answer, the answer probably doesn't matter much anyways. So when you ask me which disc is better, I would think that the consensus answer would be popularly known. But since you're asking me which one is better, I can only assume that there is still a question in play. And if there is, I suspect that it doesn't matter.

          But if there was an answer, my honest one would be that I don't know. I never owned anything from Smashing Pumpkins. I was never into wuss rock anyways.
          "Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."

          - Ty Cobb

          Comment


          • #35
            Originally posted by CJF View Post
            I'm going to guess Detroit.
            I'm guessing Henry Ford Hospital. Place is crazy, even for Detroit.
            At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
            -Berry Trammel, 12/3/10

            Comment


            • #36
              Originally posted by ERCougar View Post
              I'm guessing Henry Ford Hospital. Place is crazy, even for Detroit.
              Actually, it's the Detroit Medical Center. Same neighborhood as Henry Ford though. We actually get the most penetrating trauma of any of the Detroit hospitals. Our ED sees almost 90,000 a year, but is equipped for about half that. It's a zoo over here.

              I was on call earlier in the week, and while we were in the Trauma Bay with a GSW, there was a brawl just outside the bay doors. Security had to pepper spray a bunch of dudes. I've never had to run a trauma code with a with pepper spray in the air.
              "Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."

              - Ty Cobb

              Comment


              • #37
                Originally posted by San Juan Sun View Post
                Actually, it's the Detroit Medical Center. Same neighborhood as Henry Ford though. We actually get the most penetrating trauma of any of the Detroit hospitals. Our ED sees almost 90,000 a year, but is equipped for about half that. It's a zoo over here.

                I was on call earlier in the week, and while we were in the Trauma Bay with a GSW, there was a brawl just outside the bay doors. Security had to pepper spray a bunch of dudes. I've never had to run a trauma code with a with pepper spray in the air.
                LOL...that's pretty funny. I know a few guys at DMC, more at Ford. There are a few things I miss about medicine in the greater Detoit area, but really, not that many.
                At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
                -Berry Trammel, 12/3/10

                Comment


                • #38
                  Originally posted by San Juan Sun View Post
                  A few thoughts and an answer:

                  1. We are asked to donate blood all the time. But think about this: the patient who receives your donated blood is charged for it. So where exactly does the Red Cross or United Blood Services get off asking you to donate, and then charging for it? Real life vampires, says I.

                  2. One of the few indications for conversion of laparoscopic cholecystectomy to open (and a much bigger scar, and more pain) is bleeding that obscures the field. Like when the hepatic artery gets bagged. The overall conversion rate of lap to open is about 2%.

                  3. For many things in life, if there isn't a clear consensus answer, the answer probably doesn't matter much anyways. So when you ask me which disc is better, I would think that the consensus answer would be popularly known. But since you're asking me which one is better, I can only assume that there is still a question in play. And if there is, I suspect that it doesn't matter.

                  But if there was an answer, my honest one would be that I don't know. I never owned anything from Smashing Pumpkins. I was never into wuss rock anyways.
                  Aside from your shitty tastes in music, we shall be great friends.

                  Originally posted by San Juan Sun View Post
                  Actually, it's the Detroit Medical Center. Same neighborhood as Henry Ford though. We actually get the most penetrating trauma of any of the Detroit hospitals. Our ED sees almost 90,000 a year, but is equipped for about half that. It's a zoo over here.

                  I was on call earlier in the week, and while we were in the Trauma Bay with a GSW, there was a brawl just outside the bay doors. Security had to pepper spray a bunch of dudes. I've never had to run a trauma code with a with pepper spray in the air.
                  Detroit Medical Center, where the life you save today might someday take your own? (not my line)
                  "Wuap's "problem" is that he is smart & principled & committed to a moral course of action. His actions are supposed to reflect his ethical code.
                  The rest of us rarely bother to think about our actions." --Solon

                  Comment

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