February 13, 2009 – 4:31 pm
I had a very interesting case the other evening. First, for the uninitiated, it’s usually a bad sign when the surgeon says it was a very interesting case. Generally routine is best.
Anyway, nice 50ish year old female with few days of diffuse abdominal pain now localizing to RLQ. Nausea and vomiting. Anorexia. Acute peritoneal finding in RLQ with percussion. Outside CT reportedly showing acute appendicitis.
I look at the patient. Story is great. Almost sounds like she’s read Cope. I take her to the OR. I feel a mass on exam after induction. Sorry guys I do open appys. 3 cm McBurney incison and mobile the cecum. There’s a 5cm mass but seems to be mobilizing from the superior aspect of ascending colon not inferiorly. Anyway, I deliver what appears to be an appendiceal phlegmon into the wound and fire a GIA-55 across its base. The base is along a tinea adjacent to the ileocecal valve. Doesn’t look like there’s any free perforation so I irrigate and start to close.
I’ve got a couple of clamps on the peritoneum and then I see a relatively normal looking appendix starting at me. Naturally it comes out.
Patient home in less than 24 hours.
Path report shows:
- appendix - acute appendicitis
- pericecal diverticulum and phlegmon - appendiceal duplication with acute perforating and gangrenous appendicitis
Comment on path report is duplication based upon the presence of circular muscle around the diverticulum, its location and gross appearance.
I’ve never seen that one before. All I can say is I’m glad I saw what I considered to be a relatively normal appearing appendix prior to closure.
December 28, 2008 – 4:42 pm
I’ve updated the iCal-Invite-Fix script again. This time to allow for adding multiple Exchange servers to the script so that you should only need a single script. The set-up is slightly more complex.
As the image above shows there are now only 2 properties, both of which are lists. These lists work together as an array; which means the order of the list items is crucial.
exchange_fragment contains unique fragments of the TZID that the Exchange server sends.ical_tzid contains the tzid info that iCal expects to see.
If you have any problems setting it up let me know. This post has all the info for the script.
Download the iCal-Invite-Fix script.
December 19, 2008 – 2:45 pm
OK, I’m fortunate or crazy enough to run my own server using Apple’s OS X Leopard Server software. It has been, at times, very simple and very complex to set everything up. One of the options that I use is the iCal Server so that I can have shared calendars. Once I got it up and running with all the permissions worked out it’s been terrific. By terrific I mean that I haven’t had to do a single thing to keep it up and running.
Here’s the problem. My wife and I both have iPhone’s. I’d like to see one of her calendar’s on my iPhone and I want here to see one of mine on her iPhone. On our respective computers these calendars show up in iCal as Delegates. That’s how there’re suppose to show up. The problem is that only local calendars and subscribed calendars are listed in iTunes for syncing to the iPhone.
After a bit of googling, the answer appeared in the Apple Discussions Board. If I do a get info on the Delegate calendar and copy the CalDAV URL I can then subscribe to this URL, the calendar will show up in my Subscriptions list. I can then sync it to the iPhone. It is perhaps the simplest workaround that I’ve found. Your user must log out and log back in for iTunes to see the newly subscribed calendar.
However, it’s still a kludge and I await the day Apple fixes iTunes to allow for syncing any viewable calendar iCal to your iPhone.
December 12, 2008 – 10:11 am
So here I am in NYC at the American Society of General Surgeons clinical meeting. The program is correctly termed controversies as I’m quite certain many of the described treatment paths would cause you to fail your oral boards.
Of note is that it seems that most of the attendees have been in practice for over 10 years. The lecturers are mostly all teaching faculty at the local ivory tower and they seem to use less invasive treatment and laparoscopy far more than I would.
For example, laparoscopic closure of diverticular perforation with irrigation and drainage but no resection. Not sure I would ever do this open so I can’t see why it’s an acceptable treatment plan laparoscopically. Maybe I’m just old fashioned.
November 10, 2008 – 5:04 pm
So I’ve just gotten my new Unibody MacBook and Aperture. Immediately I find myself wanting for a Quick Look > Add to Aperture just like there is for iPhoto. Unfortunately it’s nowhere to be found. Fortunately Aperture is scriptable.
Version 1.0 of SaveAttachments2Aperture is now available. It’s currently very simple with little error checking. It works multiple attachments per message and imports all attachments of a selected message into a new Aperture project.
It could be used in a Mail rule though I prefer to select it manually from the Script menu. I have it saved in ~/Library/Scripts/Applications/Mail/.
A thanks goes out to Automating Aperture where I got some of the Aperture scripting.
Comments welcome.
Update
Now at version 1.1. I added some simple logic to only import certain file types. You might need to add to this list. If I’m missing some let me know, especially with Raw images.
v1.2 - add a bunch of the usual camera raw file types
November 5, 2008 – 9:44 am
Barack Obama is the POTUS-Elect. Congrats. I’m so glad it was decisive and isn’t going to have lawyers involved. I have to say I called this in November, 2007 and wrote about Obama four years ago. I wish him all the best our country needs it’s best and brightest working together.
Prop. 8 in my home state of California hasn’t yet been decided officially but with 95% of the precincts reporting it is passing by 4%. Personally, I’m glad the citizens got to vote this issue and the legality isn’t going to be decided by a 4 judges who disagreed with a similar ballot measure from 2000 that passed with about 61% of the vote.
Back to your regular unscheduled programming.
October 14, 2008 – 3:44 pm
OK, I have serious laptop envy. I need a new MacBook. Just have to figure out what to do about no firewire drive.
October 2, 2008 – 9:23 am
The current financial meltdown is the news of the day and the politicos in Washington are trying to fix/solve the problem.
Why is it then that the solution is 400+ pages long and contains crap like money for wooden arrow makers and wool studies?
Is Washington so riddled with ADD that they can’t keep their eye on the ball and produce legislation that does only ONE thing?
September 30, 2008 – 11:54 am
I just went to the App Store in iTunes and the choices to see All iPhone Applications, All Free Applications and All Paid Applications are now gone.
Please bring it back. I want to be able to see all applications sorted by recent.
September 24, 2008 – 4:20 pm
This is joke right? Who advises these people.
On the other hand, my congratulations go out to President Obama.
Addendum:
This political stunt only works for McCain if he blows up any existing plan supported by the Dems (done) and his proposed plan gets instituted and actually works.
Side note:
The Dems could, in theory, pass whatever plan they want without Republican support, GWB already said he’d sign it.