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Helping Offset Medicare Cuts

Posted by WhiteCoat on March 11, 2008

With Medicare cuts looming, practice costs rising, nursing pay cuts looming, and medical malpractice premiums out of control, emergency department personnel have to become resourceful in order to feed their families. You, my dedicated readers, are now going to learn of a secret way to recycle commonly-used items in the emergency department so that you will have the ability to put food on your tables.

Creating a Makeshift Blowgun

After inserting a chest tube in a patient (or assisting in the chest tube insertion), keep the chest tube container. Use a pair of trauma shears to cut off the end of the container, creating a long hollow tube.

blowgun-1.jpg

Making the blowgun is only half of the battle, though. Without ammunition, it would be difficult to use the blowgun to catch food. Making the ammunition is also fairly easy.

To create the blowgun darts, you’ll need a needle, a piece of scrap paper, and some tape.

Fold the piece of paper in half and then curl it into a cone. Make sure the cone comes to a sharp tip.

dart-1.jpg

Tape the tip of the paper cone in place so that it will not unravel.

dart-2.jpg

Put the tip on the cone inside your blowgun and cut the cone at the edge so that it just fits inside the end of the blowgun. Do not make the fit too snug or the dart will not fire.

dart-3.jpg

Take the cone out. Remove a needle from its sheath and carefully insert it into the cone so that the pointed end of the needle sticks out the end of the cone.

dart-4.jpg

Use the needle cap to push the end of the needle firmly into the cone. Your dart is now complete.

dart-5.jpg

Put the cap over the needle for safety until you find some wild game that you are ready to shoot. You can also use the capped dart for practice on such things as pillows.

dart-6.jpg

 

Uncapped darts fly quite far and can be dangerous. NEVER shoot darts or any other projectiles indoors or at any person — EVER! Doing so could be very dangerous!

dart-7.jpg

I was recently able to use this makeshift weapon to capture a small burro which I used to feed my wife and children for several months while waiting for Medicare payments and insurance approvals to come through.
burro.jpg

Use this makeshift blowgun to help your family and co-workers stave off starvation when Medicare and other insurance cuts come to your town.

At a later date, if funding cuts continue, I may post my design for a self-actuating tranquilizer dart to take down larger game such as gazelle and deer using surgical tubing, a 60 cc syringe, rubber bands, a 14 gauge needle and some ground up Xanax.

Oh, by the way - does anyone have a way to cook meat with a used electrocautery device?

 

 

 

 

 

11 Responses to “Helping Offset Medicare Cuts”

  1. WhiteCoat Says:

    For anyone actually considering doing this, it’s a joke. Humor. Parody. Har Harr.
    If you shoot someone with something you’ve made, you take responsibility for it and you deserve whatever happens to you. Don’t blame WhiteCoat.

  2. GruntDoc Says:

    Heh. The big Fox swabs also go well in the bore of the blow gun, and fly optimally when cut off at 4 to 6 inches in handle length.

    Also, the end of the cut-off handle happens to fit nicely into the end of an 18g needle, in case a wayward burro happens by. You can take an attorney with it, but no fair yelling ‘whiplash’ or ‘I’ll sue’ to attract a target.

    The fox swab idea is great. It’s a good thing that our hospital doesn’t have them. Otherwise it would take syringe fights to a new level. I can’t imagine going up against a bunch of bushmen hiding behind curtains in the patient rooms. Besides, then all the chest tubes would mysteriously disappear.

  3. SeaSpray Says:

    Okay…I don’t have time to read your post or the comments…but…I cannot wait to come back and read this one! This will be the first blog I check for sure! I am already chuckling in anticipation. Haha! :)

  4. The Happy Hospitalist Says:

    Hilarious.

    Thanks

  5. MM Says:

    Did this trait of genius come upon you while you were folding the laundry and doing the dishes or was it just a slow night in the ED? ;-)

    I’m still recuperating from doing the dishes and folding the laundry. Moonlighting in a low-volume ED has its advantages. You know what they say about idle minds …

  6. GuitarGirlRN Says:

    Sheer genius! HAH!

    I really enjoyed this one.

  7. laura Says:

    I found a blowgun for 6 dollars,complete with 12 darts, and love it. It can shoot highly accurately upto 100 ft and penetrates approximately 2 inches, best 6 dollars i have ever spent….loads of wntertainment

  8. SeaSpray Says:

    Xanax you say? For a little ground up Xanax…I think some of your frequent fliers might make the sacrifice and be a willing target. ;)

    So were you chuckling while you were creating this blow gun? You’re too funny! Thanks for the laugh! :)

  9. Nyuk Nyuk Says:

    I believe the basting of the carcass w/ Normaal Saleen will provide a nice golden tone & crispness when using the cautery device. The reuse of these products is also believed to be environmentally ;) helpful…..:))

  10. Matt Says:

    The design is very similar to blowguns made in a large maximum-security prison in Northern CA near the OR border. The darts weren’t going to kill anything, but they did cause a certain amount of concern amongst the staff; the inmate population has a much higher HIV-infection rate than the general public…

  11. Chrysalis Angel Says:

    I love to see the resourcefulness of others. This post made me laugh. Poor burro…

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