Text 19356, 146 rader
Skriven 2014-11-14 04:35:00 av MICHAEL LOO (1:123/140)
     Kommentar till en text av NANCY BACKUS
Ärende: health 271
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 ML>> I am sure that the more ticklish procedures are left to
 ML>> the experts, but more and more is becoming routinized.
 NB>> Probably true.  :)
 ML> It's a way to stretch resources and perhaps not coincidentally
 ML> to deprofessionalize activities that once required advanced
 ML> training and some discretion.
 NB> Stretching resources I'd go along with... as to the latter, depending
 NB> on who is actually allowed to use the equipment, it might still require
 NB> advanced training

Might, but by the looks of what they were doing, the
machinery is much less ticklish than it used to be,
and the visualizations are better, so the range of
potential users is much greater.

 NB> There's some differences from hospital to hospital, of course.. maybe
 NB> MGH has less of a color-coded system...  I've been out of the hospital
 NB> for long enough now for the details to be a bit hazy... housekeeping,
 NB> patient techs, nurses, respiratory, therapy, anesthesia, doctors each
 NB> have a different color... the degree of nurse or doctor have other
 NB> clues... ;)  I was just thinking last night that one thing that seems
 NB> to have gone by the wayside is the nurse's cap... :)

Many of the nurses and aides, especially the young,
pretty, vain ones, had long uncontrolled hair. I was
always taught that in all such professions hair should
be put up for hygienic reasons. Maybe not so much any
more - either people wash their hair more frequently
or the amount of bug transmission is minimal.

 ML> Emptying the bladder ofttimes has issues relating to
 ML> blockage, either that or rigidity of muscles. Why the
 ML> problem is so common that they have to have a specialized
 ML> tool for it I don't know.
 NB> The aging of America...?  ;)  And/or the growth of specialization...? 

Aging for sure; but the phenomenon bespeaks a dual
approach to specialization - an increase from the
equipment standpoint, but the commodification of
the human factor.

 NB> Apparently some disagreement or variation at least in the perception
 NB> of how sick you actually were...  But then there's more than one
 NB> criteria for putting in the more advanced IV options, I suppose... 
 NB> like the unavailability of usable veins...  ;0

Probably - my numbers were all verkackte, but I was
still strong as a horse. Now there's been a flipflop
that I hope is short-durationed - my signs are fine,
but I don't feel like doing, like, anything at all.

 NB>> That sounds like they may have decided the antibiotics were causing
 NB>> some of the problem....?
 ML> The surgery department never admits anything.
 NB> Sigh.

There are two angels in heaven gossiping, one works
in the inner offices, the other maybe out with the
public or something, The one says, you know, we've
been having a bit of a problem with the Big Guy's
attitude lately. Why, what's that, says the other.
Well, says the first, he's beginning to think he's
a surgeon.

 NB> be creative, since originally the doctor accused me of "making it hurt
 NB> on the way over" to the appointment...  I fired that doctor, and only
 NB> went to another when obviously whatever it was wasn't going away... By
 NB> then, my muscles told that new doctor what pain I was in, my mind
 NB> wasn't registering it much any more...  That's part of why the pain
 NB> scale means little to me...

Doctors can fail to see what's in front of their
noses sometimes.

 ML> If I can have the thing removed after Singapore and before
 ML> the spring, that would be ideal.
 NB> Do you think they'll do it electively...? 

If it's not laparascopic and outpatient, I won't
let it be done, so I guess so.

 NB> I'm just going by what the cardio doctors have been telling us about
 NB> Richard's condition.  They are calling it Afib still, even though the
 NB> heartbeat is well in normal range, the only bad thing about it now is
 NB> the irregularity...  

That might be a shorthand for something that goes
with A-fib, but A-fib is technically just the term
for the tachycardia.

 ML> Built-in unit? They tried to convince me to have one installed,
 ML> but the discomfort and inconvenience prevented me from letting
 ML> them do so.
 NB> No, a cardioversion is an external procedure... shock the heart into
 NB> stopping, then shock it back to beating.

One of the procedures I refused was the implanting
of a cardioverter. Back then, they were the size of
a deck of cards; now they're more like candy bar
size; in either case they do the same job as the big
boys in the hospital. I pointed out that if I were
to play a concert, the thing would almost inevitably
go off, and that would be the end of the concert.

Speaking of which, the administrator of the gig that
I am playing hooky from this December sent me an
e-mail hoping that I'll work with them next time.

Red pepper and aubergine carbonara
categories: pasta, not carbonara
Serves: 4

320 g gnocchetti di sardi
1 md red pepper, cut anto small dice
1 md aubergine, cut into small dice
1 stick celery, cut into small dice
1 clove garlic, peeled and lightly crushed
1 whole small chilli
2 md eggs
1 ts marjoram
60 ml olive oil
80 g parmesan cheese, grated

This might be an okay recipe, but it still rubs me
the wrong way. Also, there's way too much red bell
and celery for the garlic. I'd omit the eggs, too,
and kick away any pretense of "carbonara." M's note.

Fry the pepper, aubergine, celery, garlic, marjoram
and chilli in half the olive oil for about 15 min.
Remove from the heat and discard the garlic and chilli.
Keep warm.

Beat together the eggs, cheese and the rest of the oil.

Cook the pasta until al dente.

Add the drained pasta to the vegetables and mix well.
Finally, add the egg mixture and stir thoroughly.

https://culinariaitalia.wordpress.com/tag/carbonara/


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