On the first night of their honeymoon, the new bride tells her husband, “I have a confession to make. I’m not a virgin. I’ve been with one other guy.”
“Oh yeah? Who was the guy?”
“Tiger Woods, the golfer.”
“Well, he’s rich, famous and handsome. I can understand that.”
The couple then makes passionate love. When they finish, the husband gets up and walks to the telephone. “What are you doing?” asks the wife.
“I’m hungry. I’m calling room service.”
“Tiger wouldn’t do that.”
“Oh yeah? What would Tiger do?”
“He’d come back to bed and do it a second time.”
The husband drops the phone and makes love to his wife a second time. When they finish, he goes back to the phone.
“What are you doing now?” she asks.
“I’m still hungry, so I’m going to ring room service for some food.”
“Tiger wouldn’t do that.”
“Oh yeah? What would Tiger do?”
“He’d come back to bed and do it one more time.”
The husband puts the phone down and heads back to bed.
Exhausted after the third lovemaking session, he shuffles back to the phone and starts to dial.
The wife asks, “Are you calling room service?”
“No! I’m calling Tiger Woods to find out what’s par for this hole!”

But I digress…..

Is vaginal bleeding predictive of an STD? In a prospective tudy involving 273 subjects and control, the majority of STD cases were due to chlamydia: 5.8% in the Vaginal Bleeding (VB) group vs. 7.1% in controls. The STD rate was 6.3% in VB patients and 8% in controls. In this study, ED patients with and without vaginal bleeding had comparable rate of STI.
http://omniphysicians.com/2009/06/06/std-vaginal-bleeding/

Researchers sought to identify patient and institutional variables predictive of a withdrawal of care order (WOCO) in trauma patients. They hypothesized that the frequency of WOCO would be higher at trauma centers. WOCO patients had higher New Injury Severity Score, lower Glasgow Coma Scale motor scores, and higher incidence of midline shift on head computed tomography. Trauma center status and closed intensive care units were also predictive of a WOCO. There was a sizable variation (0%-16%) in the percentage of patients with WOCO across centers.
http://omniphysicians.com/2009/06/06/withdrawal-of-life-sustaining-therapy-in-injured-patients/

Is there any significance about thrombocytosis in hospitalized trauma patients? A retrospective review of all trauma intensive care unit (ICU) admissions (n > 3,400) between July 1998 and December 2005 identified patients with early (< =7 days), late, and no thrombocytosis. A comparison of the clinical and demographic characteristics with outcomes among the three patient groups was made. The overall incidence of thrombocytosis was 18.7%; early thrombocytosis was found in 72 patients, and late thrombocytosis was identified in 542 patients. All complications examined were significantly higher in patients with thrombocytosis.
http://omniphysicians.com/2009/06/06/thrombocytosis-in-trauma/

Paul R.