Prosecutors Will Be Violated

Sometimes we need to be protected, and sometimes we need to be protected from ourselves. Thankfully that is where the Vistana apartment management comes in: to ruthlessly wield the iron club of justice on all who would perpetrate wrong doing. Wrong doing in this case defined by a monthly one page handout.

Each month like so many apartment complexes the Vistana provides us with a newsletter of sorts consisting of a few entirely uninteresting articles on entirely random subjects, a couple quotes about nonsense, a recipe for those who get their recipes from newsletters, and an empty calendar for those who need to know when Christmas and Boxing Day are since these are typically the only kind of events that makes it onto the list. Enclosed with our newsletters, however, is frequently another slip of paper. Sometimes white, sometimes pink, suggestive of something fun, fun it is not. No, it is the monthly reminder of things not to do pending criminal prosecution and summary execution. Don't throw boxes down the trash chute! Don't have too many guests over! Don't let others through the parking gate without paying the parking bridge troll! Don't smile unnecessarily or yield the right of way! Don't let your pets! The list goes on and on.

A few days ago, perhaps fearing people were just throwing their silly newsletters away without at least perusing through its pages, they decided to be more direct. I came home to find a note stuck in the corner of my door. With Christmas tree clip art affixed to the bottom corner of it I thought perhaps they were having some sort of holiday social, but no, they were putting us on notice:

Christmas celebrators beware! Security cameras and informants have reported the disposal of Christmas trees in the loading dock trash containers! This is a grievous offense. Anyone caught disposing of trees anywhere in the building will be put to death.

This is of course a rough paraphrase. The actual penalty was specified as "a removal fee" but it turns out this means be put to death.

Don't get me wrong. I have mostly enjoyed my stay at the Vistana so far, by and large, and knowing the general good nature of the office staff I am inclined to believe their threats are mostly bellicose posturing. Nevertheless I fear the clap of storm trooper boots in the hall and often lie awake at night for fear of a knock at the door. I may not live for long, but the struggle to use the pool after 10:00 pm will go on forever!

Through the Prison Gates

Talking to some of my patients you'd think we're running a penitentiary at Wilford Hall. If I had a dollar for every patient begging me to let them go or who asked that I call the cops, FBI, OSA, CIA, etc I'd have, like, seven bucks. This is not because of particularly poor patient care -- I am inclined to believe we treat our patient's better on average than most hospitals -- but because our patients are out of their minds crazy. Delirious more specifically, but crazy nevertheless. Sometimes they try to bribe me, sometime they try to convince me through semi-coherent cookoo logic, and sometimes they just ask very nicely, but the universal statement always seems to be, "I shouldn't be here! Ahhhh!"

And how do I respond to these requests?

"Sir, would you like a BOOST?"

Actually we're instructed to talk them down which I am not sure has ever actually been scientifically shown to work, but it's what we do nonetheless. "Sir, why do you think the nurses are trying to kill you? They're sticking tubes in your penis, needles in your arm, and waking you up every few hours because they want to help you!" The restraints are good for you, ma'am.

In other news, this last week I won the lab lotto. Laboratory tests are ordered to confirm probable diagnoses and rule out improbable ones. Checking them every day is always a little like a scratch off ticket to see if we have just another case of pneumonia and diabetes or something much more exotic and rare, and a couple of days ago I won big. An insulinoma! Or at least I thought I did. The patient was hypoglycemic and with super high serum insulin and c-peptide levels but it turned out it was just a gnarly side effect of her floroquinolone antibiotic. Still pretty unusual and still quite a prize. I was excited. Now I am told I get to write up an ACP poster for it, whatever that means.

And here's our Christmas tree!


Happy New Year!