Snow and the business of skiing

Today was crazy in the emergency room. I have been asking myself why and have come up with several reasons.  1. the ER is unpredictable, you never really know when you are going to have a rush of patients.  2. It is Sunday, most urgent care centers are closed.  3. There hasn't been much snow to accumulate on the mountains, many ski resorts are making snow because they were determined to open by this week, but the snow it is like ice instead of a nice thick bed of powder. Ice = injuries!  Today I saw three patients with vertebrae fractures, two of which had to be transferred to nearby trauma centers for emergent surgery. One patient should have been paralyzed after viewing his images but his motor and sensory neurological exams were still intact.  For many reasons I am hoping for some snow while I am here, one of them being I have some exposure to ortho cases other than spinal injuries.

Lake Tahoe