Frosty!

Hello from sub-zero Colorado! It was a frigid drive down to Pueblo this week and the 1/4 mile walk from the guard station to the clinic is simply bone chilling. Despite the excellent efforts of the inmates in snow shoveling, the campus is treacherous. They do use some device to clear the path that looks like a cross between a broom and a floor buffer:


Tiny yellow bristles litter the path to clinic...and the twisted ankles and wounded knees from ice injuries are trickling in.

So far in prison, I have basically been an internist with a fairly narrow scope of practice. All psychiatry is handled by the mental health department. The only "peds" I do is the sports physicals on the teenagers. OB patients get shipped to Denver faster than you can say "oops, she's 31 weeks pregnant." And gynecology is done by the gynecologist nurse practitioner, an affable lady who was more than happy for me to come on board to take over the inmates' primary care concerns. For example, she remarked more than once, "I don't want to remove any toenails unless they are up in a vagina." However, while she is out having knee surgery, I will be doing all the paps, colposcopies, and answering kites stating, "I am not buying nothing until I know what is going on down there." It should be a nice change of pace and a good chance to brush up on my gyn skills.