Word: hip
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Cleaned up with a nice, strong pin in his hip, Sandy turned out to be one helluva nice guy. Big New York Athletic Club member, full of great stories about the great old guard in the plummy old days of his rich, old town. I would never have guessed that five days ago, before Sandy had been admitted to the medical service, he had been lying on the floor of his apartment with a broken hip for at least three days. Dehydrated, delirious, with bone-deep pressure sores all over his back and rear end, he was the lone city...
...hospital, our medical people pulled out all the stops. Cardiology came in because his heart was stuttering. Renal was called because Sandy's muscles - ripped around his broken hip, and squashed by his body weight on the hard floor - were producing myoglobin, which, along with dehydration and low blood pressure, was poisoning his kidneys. In the hospitals where I trained, this case would have been a "save" - a great grand rounds case. But here, especially with no family hovering, the only human audience was the crew taking care...
Eventually, after testing and transfusion, a lot of thought, discussion, writing and worry, the medical guys called me in, told me Sandy's story and asked if I would take care of his hip. He was still in the ICU. But instead of the shriveled, unresponsive mess I expected, there was this big smile and huge handshake from an unshaven but definitely handsome seventysomething guy. Sandy was a big man, broad-shouldered and lantern-jawed - and as pleasant and clubby as could be. He didn't remember anything about lying on the floor for three days; he barely complained about...
...each morning after surgery, Sandy had one consistent message for me: "I gotta get back home." This was a motivated patient with a goal - home. I had started to tell him about rehab - the great majority of our hip fracture patients get a week or so of intensive physical therapy as soon as they are medically stable - but Sandy would have nothing to do with it. "Please don't let them put me in the warehouse - I'm fine, doc - just need to get back to my own bed, feed the cat, catch up on the papers." I didn...
...accents, the more intellectual firepower).Today, striving for revolution seems a bit anachronistic: one student called Marxist ideology ‘retro’ in 1994, likening it to “Easy-Rider biker gear.” Nowadays, it’s downright antique, the antithesis of hip. Imagine a communist partygoer, desperately trying to turn the conversation to surplus value over the strains of Soulja Boy’s new single, “Yahhh!” Unlucky fellow.What was once a fiery outlet for leftist political fervor has been spoilt by a suite of suppressive...