Opinion and Editorial

Some thoughts on current events, local and beyond.

Letters and Correspondence

Responses to mail from readers.

This and That

Current projects in mathematics and writing.

29th Mar 2012

Massive Hemostatic Transfusion: Implications for Trauma Resuscitation

This is a synopsis of a topic I recently reviewed for my senior medical student classmates.  Massive transfusion is defined as ≥ 10 units of packed erythrocytes given over 24...

10th Jan 2015

Trauma Hotel

navy cotton straps at four points leash her to the rails shackle in the bed the needle parade draw doses up grease those screamy wails ravel un coma said and...

09th Jan 2015

Anchors Aweigh

“The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and externals cooperate.” – Hippocrates, in Aphorisms I On...

16th Sep 2014

Letters from a Train Ride

Excerpts from Letters From a Train Ride: May 21 – June 2 2009   I am writing these notes on the return to Seattle from Chicago via the Empire Builder of...

23rd Apr 2014


Dedicated to XJW.   STRANGE, how I eclipse the sound fill space abyss with stone hush allowed mystic riff, far distance the listening owls noiseless, but for my ClatteRy RuCkSacK...

14th Apr 2014

Triple Point

dedicated to XJW when I rain down from black comet heights and solar wind there you built a dam to condense me still, something spilled over. when I vaporize under...

10th Dec 2013

Why Classical Music Matters

When I first tried understand if classical music was indeed an “endangered” art form, I basically ran into a tense shootout between ideologues. Overall, it strikes me as a stuffy...

25th Jun 2012
View of the district of Thomazeau.  The district is comprised of 4 different regions situated in the valley.

Watchful Waiting: A Medical Student’s Experience of Septic Shock in Haiti

by JILOO SHAH, MD It was Friday April 20, 2012 and our last day of clinic in the village of Thomazeau, Haiti. The time was roughly 5:30 in the afternoon...

16th May 2012

Community Health Assessment of a Rural Wisconsin County

You may access a downloadable version of this report here (pdf)  A PICTURE OF VERNON COUNTY Vernon County is a rustic expanse of land situated in Wisconsin’s “driftless” region. The...

06th Apr 2012

Transplantation as a Definitive Treatment Option for Primary Hyperoxaluria

Primary Hyperoxaluria (PH) is an exceedingly rare autosomal recessive disease with highly variable penetrance. The clinical phenotype ranges from subclinical hyperoxaluria to systemic oxalosis in the setting of chronic renal...

06th Apr 2012

Evolving Risk of Persistent Asthma

Last year I had the opportunity to be involved in the care of many infants with new onset wheezing and respiratory distress. Understandably, worried mothers routinely raise the question of long-term...