Back at the Ranch

“The sun is riz, the sun is set, and we ain’t outta Texas yet!” It takes a full day to waltz across Texas.  I’ve been reminded of this twice in the last four years—once in July of 2009 when I drove my daughter from California out to Houston to start medical school, and the second… Continue reading Back at the Ranch

How Old is Too Old?

Yesterday I saw a 90 year old woman in consultation.  She presented to the emergency room in September with abdominal pain, and in the process of working her up, a chest X-ray was taken which showed an infiltrate in her lingula, part of the left lower lobe of her lung.  As it turned out, there… Continue reading How Old is Too Old?