Man Cave Hyperlipedemia- Country Doc Rule Number Five

        Just to let you know, Doc can learn from the student too.  Julius has gotten in the habit of giving folks a package insert on new start drugs.  He goes over the basics then asks them to read up it and get back with us if they have questions.  It covers a lot of ground in a hurry.

        His recent contribution was the spark for this post.  Today I’d like to post a Julius rule.  I’ll tell more of mine later.  Rule number five is to make learning fun.  I have always believed that, but Julius is young and has taken the concept to a new level.

       The other day we were at lunch and Julius said, “You know Doc, I wish I had my dart board here for lunch.”

        “Dart Board?”

        “Yeah.  At home I have one in the apartment.  Some of my buddies come over at night and we toss darts after we cook on the grill.”

       “Is that like one of those man caves they talk about?”

       “Yeah, exactly.  Could we have one here?”

        “Darts at lunch?  I don’t know man.”

        “Hold on a minute.”  He went out to the car.  In a minute he was back.   “Look here.  This is how I memorized the hyperlipemia guidelines.  I call it the Simvistatin Dart Board.”  The bull’s eye had the number 70.  “See, if your patient is diabetic you want to hit the 70.  (An LDL of 70 is the goal for a diabetic.)

        “Son, that is the coolest teaching aid I have seen in some time.”

        Before you know it we had the hyperlipidema dart board up and running.  At lunch Julius and I invent clinical scenarios, decide on the correct LDL goal indicated, and take turns at darts.

        I held a dart and poised to throw.  “O.K. Julius, my patient is a 67 diabetic, and status post coronary artery by-pass.  What’s my target?”

         “Trick question, Boss.  By the time the next guidelines come out 70 ain’t gonna cut the gig.  Like blood pressure and golf, go low.”

         “You are a good kid.”  I winged my dart past the coffee maker.  “Bull’s eye!”

        Julius laughed.  “Never bet against old Docs at golf, darts, or bubble tests.”

        Our lunch break is usually 20- 30 minutes and we’ve taken to darts for half of it.  We went all out.  We’ll order a bacon swiss cheese burger basket take-out from Lou at Harvey Billiard and Bowl.  We put some of those frosty beer mugs in the refrigerator to pour up our Co-Colas in.  We even got a dish of dish of cocktail peanuts and took to betting nickels.  We left off the swinging doors though.  I think Corporate has a rule against alteration of the physical structure.  After a week we’d memorized every algorithm known to the Heart Association, and had gotten dang good at dart tossing too.  Hm.  Makes me wonder if we’ve got room for a pool table.

         Last night when I got home Marfar asked how my day was.

         “It was great hon.  Me and Julius are having all kinda fun.”

          “So, what did you do?

          “Oh, today we went to a bar and threw darts.”

         She gave me a sideways look and smiled.  “Whatever winds your clock, dear.”  She knew there was no point in asking.

Dr. B

Explore posts in the same categories: med school days, Writing

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6 Comments on “Man Cave Hyperlipedemia- Country Doc Rule Number Five”

  1. Karen Says:

    Love it, Dr. B. I reckon acing the hyperlipidema dart board should be pre-requisite for passing medical exams…

    • drtombibey Says:


      Julius keeps old Doc young. He’s an Ace sure enough.

      Here’s to Possum. Gotta love the heart of a child.

      Dr. B

  2. Billy Says:

    Fun is the key. I remember in the 6th grade we had a substitute teacher and she came in, divided us into teams and we played “baseball spelling” in the classroom. Will never forget it.

    I guess that is why I keep coming back to your blog — never know what kind of crazy mind games you are going to play.

    • drtombibey Says:


      I am determined to stay young at heart. With all I see in my work, there are some days when it takes some imagination, but if I can stay with it there is hope for all of us.

      Dr. B

  3. junebugger Says:

    Great story as always! Imagine my surprise to see so many posts I’ve missed when I checked up on your blog today. I’m going for lunch, but on my return, am going to read every single one of ’em.

    • drtombibey Says:


      Bless your heart kid. You make old Doc feel like he is gettting there as a writer.

      I’m on a blog roll right now. In two weeks I’ll slow down just a little. (I’ll still be on a bunch, don’t worry)

      I talked to my editor yesterday. She has outlined the finishing touches for ‘The Mandolin Case’ and wants to me to work hard on that on for a couple months. After that we’ll see what a publisher says. One way or another I’m gonna get it out there in 2010.

      I gotta tell you of one person in the book you are gonna love. Her name is Molly Tenbrooks. Somewhere on my blog there is some back-story on her. I think it is filed under book characters or book preview.

      Molly was but a young’un but she figured out some things in the case the old guys overlooked. She was a heroine.

      When it comes time for a movie…. Hm… Let’s see. Wonder who the kid reminds me of these days?

      Dr. B

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