Rubor, Dolor, Calor, Tumor
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September 14, 2009

In which I am tired and beat a metaphor to death, only to have it rise again.

Today I am beat.  All day with H1N1 preparation meetings squeezed into patient care. This pandemic is allready a major pain, and it hasn't even started yet.

Well, maybe.  The CDC shows that since school started there is a big spike in flu like illnesses (  Crowd a bunch of vectors in classrooms all across the nation and, viola, flu. I was hoping that the flu would be kind enough to wait until the vaccine came out, but no such luck.

If we do not act soon, and we won’t and, due to a lack of vaccine, can't, it will spread fast in a susceptable population.  Like zombies.

If there were a...

Posted By: Mark Crislip  

September 12, 2009


There are clinical syndromes that I suspect are more common that we suspect, and I hope you do not find find this entry suspect.

Patient had a valve replacement complicated by a wound infection.  Post op of the wound debridement was the sudden change to a WBC of 35K climbing to 50k, renal failure, and hypotension requiring 4 pressors.  That’s how old I am, I didn&rsqu...

Posted By: Mark Crislip  

September 8, 2009

Any Bug, Any time.

Any bug can cause any disease in any patient at any time.  It is part of the allure of infectious diseases, and it is part of the aggravation. You never know what you are going to grow.

Common things are common, but this blog is more about uncommon things being uncommon.

Patient presents with a progressive sore throat.  No risks, no trauma, just a 53 yo mal,e a d...

Posted By: Mark Crislip  

September 7, 2009

A Budget of Dumb Asses

Flu season is here, kinda sorta, it never really went away thanks to H1N1.  I was rounding today, lucky me with the three day weekend, when one of my colleagues mentioned a post I had written a year ago at the old blog about the flu vaccine.  It was printed and put up in the break room, and he saw it, took it home to his wife, who promptly mailed it to a colleague that is a proud "I n...

Posted By: Mark Crislip  

September 6, 2009

The Misery of a Mystery

I get to work the three day weekend, lucky me.  But things are not too bad, a few consults each day, and my kids have reached that age where they prefer to spend time with their friends rather than their dorky parents.

I had left one hospital today and was on my way to the next when I got called back to the ER to look at a most peculiar case.

For five days he has had ...

Posted By: Mark Crislip  

September 4, 2009

Something Wicked This Way Comes

One of the last patients I saw before vacation was an elderly female with end stage liver disease who was admitted with several days of progressive shortness of breath.  Her liver disease was from some auto immune process and she had recently been started on moderate doses of predispose, but here bilirubin continued to climb and  was 19 when I saw her.

She had been on a ven...

Posted By: Mark Crislip  

September 2, 2009

ECHO echo echo

I am a grouchy old fart and and have the AARP card to prove it.  Get off my lawn punk. I have been a Mac user from day one, still have a functioning 128K.  But this upgrade to Snow Leopard has pissed away a day.  Argh. So much not working right. Double argh.  Everytime I have upgraded in the past it has worked better.  Triple Argh.

I am old enough to have treate...

Posted By: Mark Crislip  

August 31, 2009

Survival of the Fittest

I saw a patient today who by all rights would be dead.  She is a homeless heroin user who has had at least a dozen different bacteremias this century.  To add to her medical problems she is on dialysis for unrelated reasons and comes in intermittently at best.  Not a good combination for longevity. Ihave read somewhere that the average life expectancy of an IV heroin user is 5 ye...

Posted By: Mark Crislip  

August 31, 2009

Self Serving Announcement

My old Rubor Dolor Calor Tumor blog posts are now a podcast.

On iTunes:  A Gobbet o'Pus.

Because the world needs more Mark Crislip (tm).


Posted By: Mark Crislip  

August 26, 2009

Ra's al Ghul was not so far off

I am on vacation this week, so I do not have much to write about. You may get GC or malaria on vacation, but I old and have no risks for either. Golf and hiking is mostly infection free.

Now don't get any ideas about visiting my house while I am on vacation; I am spending most of my time on the front porch with a bottle of Jack Daniels and a cocked shotgun, yelling incoherently about th...

Posted By: Mark Crislip  

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About This Blog

For the Benefit of Mr Kite, there will be ID tonight. Infectious Diseases! Antibiotics! Viruses and Bacteria and Fungi! Oh my! Exclamation marks!!!!!! No trampolines, nor will any band be playing at 10 to 6. And Henry the Horse died of the Strangles. Sorry. That's the problem with infections.

The endless excitement that is the daily practice of Infectious Diseases in a Portland teaching hospital! The need for meta data!

Every day I make infectious disease rounds in the hospital and see at least one cool case or learn something new. 25 years and I still do not know everything. Why be selfish and keep all of that wonder and knowledge to myself? This blog will be a mostly qod account of days events, a cool ID case, a referenced pearl, and a minimum of 1 horrible, yet ultimately feeble, attempt at humor.

While usually written in the present tense, the cases are not necessarily current and all identifying information is altered or obscured as long as it is not absolutely pertinent to the case. Can't have a female with prostate infection for example.

I write these at night or in spare moments. There is always someone who will quibble about spelling, punctuation or grammar. My response is live with it. It's a blog, not Mandel.

Read and listen to more of me at my multimedia empire linked below.

The first 2 years blog posts have been collected and edited and are available on Amazon as The Puswhisperer, Volumes 1 and 2. Really. Perfect for the pus lover in your life.
Because The World Needs More Mark Crislip (tm).

Disclosure: Mark A. Crislip, MD, has disclosed the following relevant financial relationships:
Received income in an amount equal to or greater than $250 from: Pusware LLC
Have a 5% or greater equity interest in: Pusware LLC (owner)

  • Mark Crislip

    Mark Crislip, MD, has been practicing in infectious diseases in Portland, Oregon, since 1990. He is nobody from nowhere, but he has an enormous ego that leads him to think someone might care about what he has to say about infectious diseases. And so he blogs and podcasts and writes on the most endlessly fascinating specialty in all of medicine.

    Mark A. Crislip, MD, has disclosed the following relevant financial relationships: Owner, Pusware LLC. He as not talked to a drug rep in over 25 years and does not even eat the pizza provided at conferences. But he is for sale for the right price. Please. Someone. Buy me.

The content of this blog does not necessarily reflect the viewpoints of Medscape.
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