tag:blogger.com,1999:blog-30499448.post6319195716653906215..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Word!Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-30499448.post-73697826997789866372009-06-12T17:53:11.213-07:002009-06-12T17:53:11.213-07:00As a UCSF general and cardiac surgeon a few years ...As a UCSF general and cardiac surgeon a few years before Dr. Schwab, the word Nuggerer was in traditional use during my seven long years of nuggering...and Sid's description of it is perfect. Most of my nuggering was done deep in the dark recesses of the pelvis...pinching things apart by the uterus, rectum and ovaries that most people would clamp. Nuggering rarely causes big time bleeding, but when it does, believe me, the hole is as big as your pointer finger and you can often hear it coming. There is no other place a person can nugger; you don't do it fixing a flat tire, putting on a bike chain or vacuuming a rug. You can nugger your own nose in search of a bugger, but with H1N1 around, I don't advise it anymore.Dr. John Baldwinnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-35612944540335422142007-09-30T08:33:00.000-07:002007-09-30T08:33:00.000-07:00Dr. Schwab ... I've just got to say that I love re...Dr. Schwab ... I've just got to say that I love reading you! *LOL* :o)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-46679110019312971252007-09-19T07:51:00.000-07:002007-09-19T07:51:00.000-07:00Greg: It seems a lawn way from driving behavior to...Greg: It seems a lawn way from driving behavior to neologifuscation; I'm certainly guilty, being the social climber that I am, of the ladder. Meanwhile, you might have <A HREF="http://surgeonsblog.blogspot.com/2006/12/you-are-what-you-eat.html" REL="nofollow">noted</A> what I wrote about my mis-hearing of the word "phytobezoar" in med school.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-92139107776453164862007-09-19T06:18:00.000-07:002007-09-19T06:18:00.000-07:00There are many traits of physicians that, were the...There are many traits of physicians that, were they to occur in the general populace would be pathological. One thing I've noticed is sociopathic behavior -- parking wherever you want, even tearing down barricades and driving across lawns, because, well because we're doctors!<BR/>We also feel free to coin whatever words come to mind, either some mash-up of older words or just something that sounds or feels good. In psychiatry, they would be described a neologisms. So the list of "new" words, for us anyway, doesn't really have any numerical boundary.<BR/>BTW, when I was in a medical fraternity, one of the guys had strangely unruly hair, so his nickname (most people got nicknames) was Bezoar. His younger brother started dental school a couple of years later and used to drop by, so the elder became trichobezoar and the younger phytobezoar.Greg Phttps://www.blogger.com/profile/18422487877167541900noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-28434939598496555752007-09-19T00:47:00.000-07:002007-09-19T00:47:00.000-07:00sense!sense!SnowLitehttps://www.blogger.com/profile/10038130985826021865noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-16224616675216504822007-09-19T00:46:00.000-07:002007-09-19T00:46:00.000-07:00Great post Dr Schwab! I like the words too and noo...Great post Dr Schwab! I like the words too and nooger makes perfect sence. :)<BR/><BR/>I think Dr Utley probably read your book. We are limited on this side of life but just imagine all the possibilities on the other side. :)SnowLitehttps://www.blogger.com/profile/10038130985826021865noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-24309052239162840652007-09-18T20:42:00.000-07:002007-09-18T20:42:00.000-07:00thenar eminence: indeed, a great one. Sounds like ...thenar eminence: indeed, a great one. Sounds like an esteemed representative from elsewhere in the galaxy. The other side of the coin is using terminology that lacks any similar panache, and just clutters a chart: left lower extremity, for example.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-35300242801592898532007-09-18T20:30:00.000-07:002007-09-18T20:30:00.000-07:00Awesome post - as always - but this one hits home ...Awesome post - as always - but this one hits home for me primarily because words are my thang - and occupationally speaking, I get the chance to sling some 50-centers around once in a while. One of my all time faves is 'thenar eminence' - and I'm known to pepper my charts with stuff like that. Maybe I'll have to throw in the occasional bit of vernacular too. "IV access attempted x 2 with intradermal lidocaine and much noogering." "16 Fr Foley cath placed via nooger." Eeeew.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-89965954550179059242007-09-18T19:17:00.000-07:002007-09-18T19:17:00.000-07:00"Inspissated" is one I'll proudly say I learned he..."Inspissated" is one I'll proudly say I learned here. But even without trying, medicine is full of strange terms that even to the fluent Latin speakers of yore must've raised an eyebrow or two. <BR/><BR/>Case in point, banal as though this is (especially on a general surgeon's blog, heh): jejunum. It's like you're stuttering the first syllable, trying to simply say 'junum.' And jejunojejunostomy? Time to look for the Broca lesion... ;)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1057349425993998022007-09-18T09:42:00.000-07:002007-09-18T09:42:00.000-07:00Julia: it's IN-spiss-atedJulia: it's IN-spiss-atedSid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-51155702723762900342007-09-18T09:05:00.000-07:002007-09-18T09:05:00.000-07:00Nooger...wow, new word for me today. Thanks!Nooger...wow, new word for me today. Thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-85726510979720298072007-09-18T08:52:00.000-07:002007-09-18T08:52:00.000-07:00Having never used the word inspissiated, how exact...Having never used the word inspissiated, how exactly is it pronounced? ins-PIS-si-ate-ed? in-SPY-si-ate-d? Something else entirely?Juliahttps://www.blogger.com/profile/08175894138510047787noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-84869842435932864822007-09-18T05:48:00.000-07:002007-09-18T05:48:00.000-07:00OK! Now I have a word for what I do when I break d...OK! Now I have a word for what I do when I break down a tenderlion PSMO. Thanks!Red Giraffehttps://www.blogger.com/profile/04818954178079516974noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-52101946762432070362007-09-18T03:55:00.000-07:002007-09-18T03:55:00.000-07:00In training, we called it finger fracturing...it's...In training, we called it finger fracturing...it's the best thing in an awful case of endometriosis.<BR/><BR/>What's really awesome is in one of those cases, all of a sudden the finger finds just the right plane and you have a MAJOR BLOW FOR FREEDOM! Woo-Hoo! None of this millimeter by millimeter with the Metz BS.<BR/><BR/>I dictate it as blunt dissection, however. :)ER's Momhttps://www.blogger.com/profile/03203520439121823165noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-45643281412628830972007-09-17T21:10:00.000-07:002007-09-17T21:10:00.000-07:00Dear Dr. Schwab:"Delicate Brutality" would indeed ...Dear Dr. Schwab:<BR/><BR/>"Delicate Brutality" would indeed be an excellent title for a book -- may we hope to find it in bookstores soon? Remember, you are not limited to just one book ....<BR/><BR/>Dear MWAK:<BR/><BR/>I am not sure I understand. If you are not using insulin glargine, which two kinds of insulin _are_ you using? Regular and, God protect us from evil, <I>NPH (or isophane)</I>? Heaven preserve us (and particularly those poor gestational diabetics). You can have my insulin glulisine and the pump infusing it when you pry them from my cold, dead, and by then surely hyperglycaemic fingers. :-)<BR/><BR/>Cheers,<BR/>Felix.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-61001034307256444742007-09-17T18:48:00.000-07:002007-09-17T18:48:00.000-07:00rob: I don't know that there's anything an intern...rob: I don't know that there's anything an internist does (with the possible exception of moxifloxacin!) that's as cool as noogering. <BR/><BR/>Seriously, you internists have all the cool drugs. There's that nasal insulin, the amusingly named antibiotics, 8 million oral hypoglycemics... you name it.<BR/><BR/>As an obstetrician, I have 3 bp meds (a few more if I can justify them), amp/gent/clinda, oxytocin, and glyburide, 2 kinds of insulin (although I think we should be using glargine). I need "nooger". ;)Midwife with a Knifehttps://www.blogger.com/profile/04309579302399381913noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-42731021274186170692007-09-17T18:39:00.000-07:002007-09-17T18:39:00.000-07:00The only place I can Nogger is when I am cutting C...The only place I can Nogger is when I am cutting Chicken. <BR/><BR/>I wish I could Nogger.<BR/><BR/>What can an internist do that sounds as fun as Noggering?Dr. Robhttps://www.blogger.com/profile/01871792467587364512noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-13070997321440837122007-09-17T18:06:00.000-07:002007-09-17T18:06:00.000-07:00I love words! My husband bought me a medical dicti...I love words! My husband bought me a medical dictionary for my birthday, and it's been horrible for me. I'm a hopeless addict. Here's one for you - omphaloskepsis - the act of staring at one's navel and meditating. I have another one, it's medical, but it's just too naughty for print. . .Anonymoushttps://www.blogger.com/profile/04071711894125638696noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-70184263905475781442007-09-17T13:29:00.000-07:002007-09-17T13:29:00.000-07:00I have to say that noogering is a great way to mak...I have to say that noogering is a great way to make one's way through a mass of abstract thoughts and relationships in one's noggin so as to find the internal structure of it. Noogering sounds much closer to the way it "feels" than blundering, which is a little blunt.<BR/><BR/>Prairie Marymscriverhttps://www.blogger.com/profile/13567509503405689139noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-31893227145689922522007-09-17T13:20:00.000-07:002007-09-17T13:20:00.000-07:00Hmm, I'm getting the impression that the word is l...Hmm, I'm getting the impression that the word is less universal than I'd thought. I do think someone should use it in a dictation, and I think MWAK ought to be the first. And moxifloxicin must be right at the top of the list. Sounds like the name of a bunny-rabbit.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-33213770547229285022007-09-17T13:02:00.000-07:002007-09-17T13:02:00.000-07:00I like the new word. Can I use it in a dictation?...I like the new word. Can I use it in a dictation? "The ileum was then noogered off of the right ovary and fallopian tube with care, revealing the tubo-ovarian abscess." :) <BR/><BR/>Seriously, medicine is full of cool words. I do like inspissated (although seldom get to use it). My favorite antibiotic to say is moxifloxacin.Midwife with a Knifehttps://www.blogger.com/profile/04309579302399381913noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-91378558398416946122007-09-17T10:45:00.000-07:002007-09-17T10:45:00.000-07:00I guess I've always used this (called it blunt dig...I guess I've always used this (called it blunt digital dissection). Now have a new word for it. Thanksrlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-25324155828976288042007-09-17T08:01:00.000-07:002007-09-17T08:01:00.000-07:00great new word. i think i'll adopt it for myself. ...great new word. i think i'll adopt it for myself. my prof was very anti noogering. i could never understand why. i always felt my finger was a pretty good instrument. a well trained finger in the abdomen during an appendisectomy for instance can be as good as a sonar.<BR/><BR/>a neurosurgeon could nooger the patient's maths and science away. probably not good. but i'm not a neurosurgeon so don't just take my word for it.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.com