Monday, October 10, 2011

Deployment #2

So, here I am, 6 years later. Stationed at Landstuhl Regional Medical Center.

This time I got mobilized as an Intensivist. Turns out what they really need is a Sleep Medicine Specialist. Well, I’m one! So, I’m doing a lot of that, a little Pulmonary, and very little ICU.

I’ve done some ICU and will ramp up to 1 week/month of ICU this month.

I got here in May 2011 and will probably leave in April 2012.

Why am I posting here?

Because, if I don’t, they’re going to delete my whole blog for inactivity.

Well, this should hold things for a while, at least until I can figure out how to download all the posts for my archives at home.

Posted by raja in 09:25:22 | Permalink | Comments Off

Friday, September 30, 2005

I miss my shipmates

I miss my friends that I’ve made in the desert. Some may come visit me someday. I don’t know. Since I returned home, I’ve been adjusting slowly. Oddly enough, I am becoming more of an internet / web junkie. I didn’t think it was possible. But it’s helping keep me sane. There’s lots to do, now that I’m home. To my shipmates who I left in Kuwait – thank you and keep a stiff upper lip, your’e coming home soon. To my shipmates who came home with me – thank you and spend time with your families. It’s worth it. My blog had become somewhat intermittent. Now that I’m home, it will become even more intermittent / spurious. Perhaps a new blog will come into existence. Check out the groups.yahoo.com EMF-Dallas yahoogroup. There’s people and pictures there.
Posted by raja in 18:05:10 | Permalink | Comments Off

I’m Ba-ack!

Well, I’m back. The return home has been a whirlwind this past week. Of course, I couldn’t post anything before I left due to Operational Security Issues. Then there’s the fact that I’m surprising my uncle and his family when they come to visit my wife this weekend. They don’t know that I’m back yet……8-) I’m up to 8100 songs on my iPod. I’m running out of HD space on my laptop. I’m not exactly sure what I’m going to do about this….who cares, I’m home!
Posted by raja in 17:52:17 | Permalink | Comments Off

Monday, September 5, 2005

Hurricane Katrina

HOLY COW! There is nothing that I can say here that hasn’t already been said or reported.

Can we get Geraldo Rivera off the TV? And out of New Orleans? The guy is just plain annoying.

There are going to be lots of long-term repercussions from this event. Worst of all in the lives of the people down south who have been affected. But there will be political ramifications also. They knew that this was a potential disaster. In fact, when the Army Corps of Engineers wanted to fix the levee that broke, they had their funding pulled (to fight the war) and the COL in charge got fired. Great. He wasn’t considered patriotic. And now, there are people dead due to poor planning on a large scale.

Could we have prevented some of the damage/death on the Gulf Coast (Biloxi, Gulfport,  etc)? I don’t know. Natural disasters of this magnitude are extremely hard to predict and deal with. I don’t think that you could have prevented the damage. They might have been able to evacuate the entire coast earlier. But people won’t leave their homes. Where do you draw the line between personal liberty, public safety, and rescue efforts?

One of the reasons I joined the Navy was because I want to be a part of disaster relief efforts and international humanitarian missions that the Navy accomplishes. It’s too bad that I’m here in Kuwait where I can’t help the hurricane victims. Some of us have thought about volunteering our time for 30/60/90 days down south. Since I’m almost to 365 days on my orders, the Navy can’t extend me past the 365 mark. That’s too bad. But, there are plenty of reservists and active duty personnel who have never mobilized or deployed. I think it’s their turn now.

OK, I’m off my soap box. I’m here and our group has done a fine job of providing medical care to the US and Coalition Forces in Southwest Asia. I’ proud of the work my shipmates have done. Regardless of whether you support the war or not, there are servicemembers out here and they deserve good care.

OK, now I’m really off my soap box.

Posted by raja in 11:50:06 | Permalink | Comments Off

My Daughter

First of all, let me say that I miss her dearly.

Anyway, last night on the phone, she got on the speaker phone and said “Hi!”. (She’s 2.5 yrs old.) Then she told me she was wearing a bathing suit. Then she asked if I was in the Navy. I said yes and she said I was working. Then she actually asked if I was coming back soon. I said a few weeks. She actually said, “OK! You in the Navy workin’. I see you in couple weeks! Love you  baba, bye!.”

Baba is an term many in India and other eastern cultures use which translates to “dad” or “father.”

She’s growing up so fast! I’ve missed so much, but it looks like my wife has saved potty-training for me to help with……8-)

Posted by raja in 11:37:06 | Permalink | Comments (1) »

Medical Cases

Not too much has been happening here, just the usual cases and movies and miscellaneous preparations to go home. (When? I don’t know, but soon.)

27 yr old SGT with Crohn’s Disease. No abdominal abscess, but he does have colitis and ileitis. He’s got to go to Germany for further evaluation. I’d send him to the US but his command wants him back in Iraq. I don’t think that’s a good idea, and I told them that. I’m not sure they agree with me.

58 yr old Puerto Rican SFC. Several days of chest pain. Got a little better with Mylanta. Decided to go salsa dancing. Got bad chest pain. Came to us. Has had a NQWMI with peak CK 900 and peak MB 55. Says he wants to go dancing some more. He’s better now. Well, I disagree; a heart attack means you go to Germany and get an angiogram. And recovery. So there.

59 yr old Phillipino employee of AAFES. Chest pain for a year. He thought that the nitro would make it go away. Turns out he’s not had a heart attack, but he’s about to. He gets transferred downtown since I can’t send him to Germany (he’s non-US and non-military).

27 yr old male who injured his foot (dropped a weight on it) 4 weeks ago. Got mobilized from the US and started wearing these spectacular boots we get. The injury got rubbed raw. He developed a combination of athlete’s foot and bacterial skin infection. He’s getting antibiotics in the hosiptal now.

How about my 48 yr old patient with probable sleep apnea? He’s falling asleep at his desk and sometimes on guard duty. He’s getting an Article 15 (we sailors call it Non Judicial Punishment or Captain’s Mast). Maybe someday he’ll get evaluation and treatment.

19 yr old with acute abdomen. He’s had abdominal pain for 7 days. Every bump in the road caused him pain. In fact, yesterday, he had pain while he was unloading his Super-HET. So, after 7 days, he drove his HET up to the hospital and came in. He actually left the engine running. He thought he could just drop in and get some quick pain control and then get back on the road to Iraq; so, he could continue with his mission and his unit. Turns out he had acute appendicitis. I called up a surgeon. He had a long, gangrenous appendix. Regular appendectomy takes 20 minutes. This one took 3 hours. Serious sickness. And this kid just wanted some quick motrin and out the door! Talk about iron resilience and committment to duty/unit! Tough kid! Well, he’s better now. Getting some antibiotics and he’ll be back on the road in a couple weeks. There should be more people like him!

That’s enough for now.

Posted by raja in 11:32:37 | Permalink | Comments Off

Tuesday, August 23, 2005

Light

This is the book I’m currently reading. Light by M. John Harrison, published by Bantam Spectra / Bantam Dell (Random House) in 2002, ISBN 0-553-38295-0.

Neil Gaiman, whose work I really admire and enjoy reading, called this his favorite SF Novel in the last decade. Sounds good. This thing is post-cyberpunk, post-slipstream. So far it’s a good read. It’s also a nice change from the classics I’ve been reading recently. Of course, I haven’t posted a review of every book, but I’ve put a few up.

And let me add that I’ve not posted as frequently as I used to. I think it’s because it’s getting closer to time to go home and because there is less to say. I think that you tend to be more introspective during the middle part of a deployment. The beginning is really all about getting the mission done. The middle is introspective and personal. The end is back to mission and transition. I should really think more before I write.

Posted by raja in 06:21:46 | Permalink | Comments (1) »

Monday, August 22, 2005

Challenge Coins

There’s this thing called a Challenge Coin (or Command Coin or some other type of Coin).
The history behind this is pretty weird, but at least it’s unreliable. It’s starting to sound like Sweetest Day or one of those other “Hallmark Holidays.” You know, the kind that they make up just to sell cards between Christmas and Easter. Anyway, I’ve provided a bunch of links below. Enjoy reading the details there.

This was spurred on by my good friend who has 28 years in the military (mostly the Marines) and, until getting here, had never heard of nor seen a Command Coin. Now, before you flame my brother in arms, he has remarkable situational awareness. Just because he never got a coin doesn’t mean that nobody likes him. Although nobody does. He’s a pretty sharp guy.

My friend, loved and adored by women, an inspiration to lesser men.

The basic story goes thusly:

The origin of military challenge coins dates back to the beginning of World War I (1914) when a wealthy lieutenant had custom coins minted for his unit. One pilot kept his coin in a leather pouch and – after escaping from the German’s – had his life spared by the French because he produced one of these challenge coins. Instead of ending his life, the French gave the pilot a bottle of wine. From that point on, everyone in the pilot’s division vowed to always carry their military unit coins and a tradition was born.

http://www.globalsecurity.org/military/intro/coin.htm
http://www.globalsecurity.org/military/library/news/2005/03/mil-050304-usmc03.htm
http://www.uscoinforce.com/challenge-coin-history.htm
http://www.sfalx.com/h_coin_rules_and_history.htm (this has a couple good versions of the history)

Posted by raja in 20:11:28 | Permalink | Comments Off

Cold enough to freeze the balls off a brass monkey

I went to GOOGLE (the source of all knowledge and understanding) and looked up the origin of this word. Hmmm, turns out the people who told me might not have their data correct. Another old Naval tradition falls by the wayside. Well, at least a Naval tradition that I think someone may have just made up. Two links atre reprinted below without permission.

http://www.truthorfiction.com/rumors/b/brassmonkeys.htm
http://www.worldwidewords.org/qa/qa-bra1.htm

Summary of the eRumor
This piece of alleged history explains that in the olden days of sailing ships, cannon balls were stacked on the decks on brass plates called “monkeys.”  The plates had indentions in them that held the balls on the bottoms of the stacks.  Brass, however, expands and contracts with the temperature and if it got cold enough, the cannon balls could fall…giving real foundation to the phrase “cold enough to freeze the balls off a brass monkey!”

The Truth
According to the United States Navy Historical Center, this is a legend of the sea without historical justification.  The center has researched this because of the questions it gets and says the term “brass monkey” and a vulgar reference to the effect of cold on the monkey’s extremities, appears to have originated in the book “Before the Mast” by C.A. Abbey.  It was said that it was so cold that it would “freeze the tail off a brass monkey.”   The Navy says there is no evidence that the phrase had anything to do with ships or ships with cannon balls.

The full expansion of the phrase is cold enough to freeze the balls off a brass monkey and is common throughout the English-speaking world, though much better known now in Australia and New Zealand than elsewhere. This is perhaps surprising, since we know it was first recorded in the USA, in the 1850s. It is often reduced to the elliptical form that you give (perhaps in deference to polite society — for the same reason, it has been modified in the US into freeze the tail off a brass monkey).

There is a story, often repeated, that the phrase originated in the British navy at the time of the Napoleonic wars or thereabouts. It is said that the stack of cannon balls alongside each gun were arranged in a pyramid on a brass plate to save space, the plate being called a monkey. In very cold weather, the story goes, the cannon balls would shrink and they would fall off the stack.

Don’t let anybody convince you of this. It’s rubbish. There’s no evidence that such brass plates existed. Although the boys bringing charges to the guns from the magazine were known as powder monkeys and there is evidence that a type of cannon was called a monkey in the mid seventeenth century, there’s no evidence that the word was ever applied to a plate under a pile of cannon shot. The whole story is full of logical holes: would they pile shot into a pyramid? (hugely unsafe on a rolling and pitching deck); why a brass plate? (too expensive, and unnecessary: they actually used wooden frames with holes in, called garlands, fixed to the sides of the ship); was the plate and pile together actually called a monkey? (no evidence, as I say); would cold weather cause such shrinkage as to cause balls to fall off? (highly improbable, as all the cannon balls would reduce in size equally and the differential movement between the brass plate and the iron balls would be only a fraction of a millimetre).

What the written evidence shows is that the term brass monkey was quite widely distributed in the US from about the middle of the nineteenth century and was applied in all sorts of situations, not just weather. For example: from The Story of Waitstill Baxter, by Kate Douglas Wiggin (1913): “The little feller, now, is smart’s a whip, an’ could talk the tail off a brass monkey”; and from The Ivory Trail, by Talbot Mundy (1919): “He has the gall of a brass monkey”. Even when weather was involved, it was often heat rather than cold that was meant, as in the oldest example known, from Herman Melville’s Omoo (1850): “It was so excessively hot in this still, brooding valley, shut out from the Trades, and only open toward the leeward side of the island, that labor in the sun was out of the question. To use a hyperbolical phrase of Shorty’s, ‘It was ‘ot enough to melt the nose h’off a brass monkey.’ ”

It seems much more likely that the image here is of a real brass monkey, or more probably still a set of them. Do you remember those sculptured groups of three wise monkeys, “Hear no evil, See no evil, Speak no evil”? Though the term three wise monkeys isn’t recorded earlier than the start of the twentieth century, the images themselves were known much earlier. It’s more than likely the term came from them, as an image of something solid and inert that could only be affected by extremes.

Posted by raja in 19:48:17 | Permalink | Comments Off

Hypothermia? In the Desert?

Yes, believe it or not, we’ve had a case of hypothermia!

Turns out the young man had been in country for less than a week when he was overcome by the heat (he had been training outdoor since day 1). His field medic initially doused him with a bottle of water (a good idea). Subsequent individuals elected to pack him in ice to aid in cooling him down. Well, those of you paramedics, nurses, mid-level providers, and docs out there know what happens next.

You get cold. Real cold. Cold enough to freeze the balls off a brass monkey. (For which, see next post).

When you get cold, your heart slows down. Sometimes it even has irregular rhythms. Well, this guy got cold and slow-heart-rated. They put him in a helo (that’s pseudo-military for helicopter or chopper) and sent him to us at our hospital. Needless to say, we warmed him up and he got better. Discharged the next day.

But, yes, we did finally get to diagnose an anachronistic disease!

Posted by raja in 19:40:08 | Permalink | Comments (1) »