Like many physicians, she was very hard on herself…she refers to the limbic-hippocampal tracts…those are axons [not the soms cell bodies…that you can grow by knowing how to activate the limbic system when you study…I teach my doctors…all of my students [some are neurologists and EPs…yet they are never taught how to use this mechanism. I have a safe, ultra-low dose form of HRT that helps. I prove it to every class I treat to a sample shot that helps them for one week! That one vial of 6 mg can treat the whole class of 80mphysicians…it is just 6 mg divided by 80…[so I use a lot of diligent and a 31 G needle. Your body needs somatomedin C! All emergency physicians I have ever tested…thousands are deficient! [based on a low IGF-1 level; mean serum values are 92…normal is 240-245 depending on which lab you use; Labcore and other similar companies can perform the test; it is a simple venous blood draw. It proves to me that most EPs have pituitary dysfunction…that is why you are tired grumpy and easily catch a cold! It affects your skeletal/cardiac/muscle mass [both decline by early midlife]. I was tested over and over for 4byears and it was a 45 degree line heading lower and lower…so low Inbegan on a 6 mg vial every 2.5 weeks. Now one vial lasts me about one month…my level is not physiologic but I,notice enough benefit that I prefer to keep the dose as low as possible. This hormone increases the synthesis of critical pathways that promote the synthesis of critical bodily proteins…this includes myelin in the Bain and spinal cord! I created a protocol in the 1990s that treats a host of conditions: it is a true rapid cure for central spinal cord syndrome [both pure edema-related and/or those that include an MRI proven spinal cord hemorrhage [the first patient was a 75-y-o-chronic smoker with poorly controlled diabetes [type II] who needed and took insulin. Yet he had a Cadillac fall on his, suffered traumatic asphyxia and was in a trauma ICU bed with a tracheotomy x 6wks. Then “in early ambulatory recovery” walking on Boca beach he coughed so hard he ruptured his anterior spinal artery at C6. Within one h he had severe weakness with burning in his UEs [most symptomatic in his hands]. His legs were functionally a 1/5 then a 0/5 for motor power by the the 2nd hour. He was taken to the local hospital and had his bleed Dxed by MRI [boca Hospital. 4 days post his bleed I was notified and he agreed to try my protocol. He was fully ambulatory w/o need for any assistive walking device on the 8th day. Next it gets interesting! His son, a minister stopped his injections [they are just 0.15 mL] so he decided it was God not the medicine. His dad was back in his immediate “post-bleed state” with both hands burning like “fire” and the same pattern of arms weaker than legs but no useful motor function of either. The burning is due to iron [from senescent RBCs] still present on days 8-9-10-11…and likely present for weeks. By restarting his identical dose it took two days for his “second miraculous recovery.” He completed my 8nweek protocol but…WAS ABLE TO RESUME ALL DUTIES AS A MECHANIC BY WEEK TWO….he moved back to Brazil where he built a house with his own hands. He died at age 85 from a surgery while he was put under general anesthesia. He had an iatrogenic death! I have used my protocol to treat and cure radial, ulnar and median N neurapraxia injuries as well as a physician with common perineal N neurapraxia. I was able to eliminate agitated depression in one male physician age 52 in about 3 weeks. [He wrote to me; called me and told me this prevented his divorce!

What is my point. I don’t “just teach EM board prep”.


“Dear Doctor C” I could actually hear your voice while I was taking my oral examination. I started an alpha-dose dobutamine drip using the rule you taught us and the ABEM board wrote to me a “letter of excellence”. Because Imsaid I wanted 17 ml per hour of that mix [150 mg in 250 mL D5w…and I said I want 17 microdrops per minute [the same as 17 mL/hr] and I told the examiner to check my math and be certain it was exactly 10 micrograms per kg per min [alpha dose]…She was impressed! How often do people get such feedback?” I responded you are the second physician…the other was a participant of the 8-Day Review who scored 100% correct answers! One other had a 94% but he didn’t get a special letter…But a 94% on that exam is an A+!

To all of my future clients What is interesting IS MOST OF YOU FUNCTION W/CHRONIC UNCHANGING DOGMA/ALGOS. Yet the old algorithms are still so correct that anyone can pass with the Qs/As I wrote in 1989. Yeas Inadded 100s Of pages of updates but TDP [TORSADES] is still TDP and the basic “ rule of engagement“ have not changed!

TDP is either genetic [2 types] or it’s acquired via starvation or a drug…and T list of drugs [categories] hasn’t changed. If you see EtOH abuse plus AMS and a thread rapid pulse…it’s VT w/a pulse…and the monitor shows a “twisting of the axis”. Because the patient is an alcoholic you try IV magnesium first…next it’s a temporary transvenous pacer to increase the heart rate -that lowers the QTc] and the pt goes back into a sinus rhythm or they die from pulses VT…that is treated w/200J [not 100] as a of “asynchronous cardiversion [i.e. defibrillation]!

You start cardiac compressions too…usually the magnesium kicks in and by then you have all elytes…the K is low so you also replete that. You check all risky meds that induce TDP…and you call the PCP…the pt get icu admission, M/I workup…but shocks elevate the troponin/CPK!!! Remember “a long hypo”. HypoMg/hypoK lead to,prolonged QTc cases [YOU WILL NEED A LONG HYPODERMIC OF ELECTROLYTE TO HELP THE PT] NOTE: this is a PEER exam question from PEER V and even PEER I/I/I. Please candidates remember that if you are a member of ACEP you can purchase a copy of the pier exam as it is updated every year but one copy with his 500+ questions is not enough it’s not even close because I have over 500 pediatric questions just for pediatrics and over 500 images just for trauma plus the trauma questions which is another 500 screens. I have more data but it all comes from the core content and nothing more because the court content is based on 2500 pages which is based on 100,000 pages of references. I could write over 20,000 questions from Tintinalli in addition eight just that one addition and still not cover everything! So I have squashed it down to a few hundred pages of text into volume which is a classic manual that doesn’t need to change I need slight updates periodically and I made one that is a couple hundred pages long but you don’t really need all of that I also have a chapter called the superlatives which is in my pros of wisdom text addition seven which is coming out hopefully this year 2020 as an electron a textbook that you downloaded to your computer so you can have word searches if you put it on Microsoft Word document. I wrote it in density which means it’s in a condensed format so use density style words when you do your searches!! Remember also that most of my work almost every screen has a reference page to one addition of Tintinalli or even two or three sometimes because I pick and choose who wrote the best chapter or the best paragraph for the best sentence on a particular concept, topic, data set, or statistics etc. I learned that if you know the statistical presentation of any disease you can answer a lot of questions the math really does matter and I have a mathematical and artistic mind and not everyone is gifted with such a mind so you have to work at it it is a lifetime of study and I will always help you you just have to call me I am always a phone call away. If I tell you the truth people call me 247 365 days a year and most of the time I take everyone of those cars instantly and do not make them wait. Some people do tend to abuse my availability so there are a few people I have to limit my answers to text messages because they want to use all of my time. They even call me from the ER to help them manage cases and I do give them advice but then I tell them to call the poison control center if it’s a talks keys when I tell them to immediately call the cardiologist if it’s a heart attack that they are not sure about I know this all sounds bizarre and hard to believe but it happens to me almost daily. Here’s a classic from Dr. W Quote Dwight I have a patient actually twins who is swallowed “Ferrous fumarate tabs” and both were vomiting blood… he what do I do DWIGHT….? [panicked]. Answer start IV bonuses give Benadryl iv and start deferoxamine NOW…! That is stage III iron posonining. Diarrhea and esp vomiting blood means the iron level will be unreliable and there is free iron which causes hypotension, acidosis and death rapidly. This doctor called me on a repeated basis he is a board-certified pediatric cardiologist who switched to emergency medicine and he knows nothing about toxicology yet I spent two weeks teaching him toxicology and a private tutor him after the course in toxicology and iron overdose is a major toxins that I teach every single doctor more than once and we do an iron poison in case every time I taught him the oral board tutorial and I let him be an instructor to give him even more education… That just means he sat at a table and gave an exam with the answers right in front of him all typed up…by me. What is wrong is it’s time for him to retire because he just refuses to study or there is something wrong with him because I have tested him and he is a nice person who is super intelligent and that he’s the smartest cardiologist I ever met but for some reason he freezes he jokes when it comes to pediatric toxins if I said it was a blue baby he would be happy if you could hear a murmur other than that he cannot function in the world of pediatrics. The truth is I see this all over the United States because I have worked all over the United States including on cruise ships including in the Caribbean including virtually the west coast the west middle of the United States the south and the north eastern United States and it’s all the same everywhere I go there are doctors who are misinformed or ill-informed and do not study and then there are great doctors also but there are very few that are “in-between”

Published by DrC

Clinical Emergency Physician Faculty for Midwestern University EM Author/Educator/Medical Ilustrator Expertise: EM Pathophysiology and healthy physiology [both pediatric/adult] Designer of a silicone membrane ECMO Trained ⅓ of the world’s EPs for EM board certification Trained Oral Examiners for a decade: the Board of Certification in Emergency Medicine [5000 original the second largest EM group in the United States]; he was a compensated consultant for that and numerous other emergency medicine organizations. All of his presentations have Co-sponsored AMA/ACEP category 1 CME ACCME accreditation through thecAAPS, National and The Fl Chapter of ACEP and The Fl Medical Association since 1989. Publisher of numerous EM manuals, and educational materials [all items were have copyrighted notices and have been sold sold by the ACEZp Bookstore]; all authored by Dr Collman: 2 Vol program syllabus of thousands of Q/As and pathophysiology discussions of all chapters from eds 3-8 of “The Study Guide” [All chapters of the core content knowledge for completion of an emergency medicine residency]; teachs Resususcitation, CV Emergencies, Pulmonary Emergencies, The EKG lab [the 60 most important EKGs/management; Truama Emergencies, Pain Mgmt, Orthopedic Emergencies, Toxicology [Toxins and Antidotes, HEENT Emergies, Environmental Emergencies, Pediatric Emergencies [500 Q/As], HIV/AIDs-Infectious Diseases, Emergencies, Rhematologic Emergencies, Neurologic Emergencies, Acid-Base/ABG Presentation, Dermatological Emergencies, CT/POCUS [point of care ultrasound], Bariatric Emergencies, Endocrine Emergencies. Dr Collman is endorse by virtual all of his programs participants [13,000+] Examples: Dr James SULLIVAN MD DABEM; and others program participants describe Dr Collman as a “National Treasure” Others: “He is the guru of EM”. [Jerry Solot DO, an EM Director for a Pittsburgh Community Hospital [and one of his private tutor clients] Others call me “The Boca University of Medicine”[BUM] and know I grandfathered into EM after completing a rotating Gen Surg Internship at UCLA School of Medicine [June 1981]. I was offered a directorship position at age 25, the contract to Illustrate “Emergency Management of Pediatric Trauma” [author:Thom Mayor MD FACEP] published by WB Saunders Dr Collman provides psychological support to his program attendees...many chose him to be their permanent career mentor and return annually to his live interactive conferences. Dr Collman has designed computer-based programming to numerous organizations in ACLS algorithms [Univ of Pisstburgh] He provides Interactive grand rounds as Case Simulations by invitation: He designed the an 8-h Visual Stimuli Presentation for Johns Hopkins Dept of EM [their board prep program;a second 8 hr presentation “The Genitourinary System-a Comprehensive 8-hour Review”; he teaches each program Johns Hopkins University. He trained Examiners for the BCEM [AAPS] Atlanta GA: presented a combined certification review [both certification part I/orals] numerous time in Atlanta, Hawaii, Lake Tahoe, and Orlando, Fl 1991-1996. He created their entire bard exam [part I and Oral Examination and a computer-operated Visual Examination [2 Versions] in 1996. This included 700 certification test items and 25 Oral Examination Live Test Simulations as well as trained their AAPS [BCEM Examiners twice a year for 10 years [throughout the 1990s] Texts Authored Editor in Chief 4th-7th Ed of: “Pearls of Wisdom in Emergency Medicine [7 eds] and 35 Cds [33 are critical analysis of the 52 OBT Live CD set: audio recording made Live at Conference [cost $1515.00 (Oral Board Case studies)+ ASA/APAP toxicology CDs [each is 1 hour w/manual purchase price $65.00 for each + “CT Video: CT for the Emergency Physician”. Videotaped Live in Boca Raton, FL by Pear Productions; director and producer: Clayton Pereira. Contributors: Kris, Katie, Ryan Collman Barbara Schwartz [voiceover] Original music: Kris Collman on Acoustic Guitar Chapter Voiceovers: Katie and Ryan Collman Katie and Ryan: Pediaric calculation presentation [at ages 6 and 4 they presented a 2 h lecture for 2 years at 6 conferences to every participant of “The 8-Day Interactive Review!” “Dwight Collman MD DABEM DABFM Provides the most rigorous CME Education”...documented by EM News and EMRA [in 2002 ranked Dr Collman’s EM 8-Day Interactive Review! with the top 8 University or top ACEP chapter programs [an independent study they published for all of America’s Emergency Medicine Residents preparing for their board certification examinations. 2009 Jan Issue EM News Editor-in-chief ranked Dr Collman as the “premier educator for board preparation in the US” Core Competencies: Bedside Clinical Instructor all EM Medicine Clinical assessment/training EPs in all EM Procedures [over 90 procedures] Core competency: illustrates human Anatomy as it pertains to EM/EM procedures [he does this Live and his clients request to keep his illustrations] Dr Collman edited Emergency Management of Pediatric Trauma [while he illustrated this First-Ever Text devoted to Pediatric Trauma; he spent 2 years creating the illustrations for this text [983-1985 and they were reproduced and resold bynthe publisher and appear in the Pediatric Trauma Capter of The Text: The Clinical Practice of Emergency Medicine” Ed 1., author Ann Lattimer-Harwood-Nuss [now Professor Emeritus, retired]. Completed a Fellowship in Gen Anesthesia: University of Utah School of Medicine Awarded 5 specialty rotations [mentor ship programs in medical school:ICU President: Collman Institute Inc [a Fl S-Corp] 1994-2007 and 2018 to present. Clinical practice x 40 Yrs ABEM certification Life Fellow Am Board of Forensic Examiners Trains EPs in triage/emergency Pt care/documentation to mitigate litigation risk Has been awarded contracts [per physician] from over 400 US Hospitals Trains EPs from every branch of the US Military since 1989 -first group I traine included the CO of the Portsmouth, Va Naval residency [Michael Gonzalez MD FACEP who officially made the Oral Board Tutorial! As mandatory education to graduate his residency program in 1989. I am a “trainer-educator, author, medical Illustrator” Additional self funded missionary physician to Ukraine, Carribean, S America since 1987...[ongoing] Supplied Orphanage in Kherson, Ukraine with new supplies $5,000. I have treated college students at no cost since the 1990s Additional skills/competencies: Documentation [chart review consultatnt], Test item Writer [wrote the entire certification partI/part II examinations in 1996 Teach/train using interactivity/I teach the statistical/mathematical precognitive approach to physicians for pediatric IV fluid protocols for resuscitation, 3 forms of dehydration, burn fluid calculations + formula for airway [pulmonary burns] 52 simulations in 5 days; the role of the CANs/EXRs; I have a program syllabus for both of my CME programs Program author/presenter: “The Clinical Documentation If the Emergency Medicine Hospital Chart”, a 2-Day program conducted in Park City, Utah [1992s] As a Forensic Examiner he has reviewed and consulted emergency Physician defendants [approx 300 cases over 25 years] He has presented to children at the local middle schools for Spanish River Christian School Three presentations: a “suturing practical in which young students sutured wounds created on Pigs feet’s, a Gastrointestinal presentation for the 4th grade; “what is an X-ray” lecture for the entire school; Dr Collman donated funds and participated in annual fundraising events at Spanish River School for 8myears]; he created background scenes for both Spanish River Christian School and recreated the Parthenon for a Greek Play for the second Grade at Westminster Academy in Ft Lauderdale. He greatest achievement is his role as a single father and he has watched his aforementioned adult children all have successful marriages: Kristopher David Collman will soon be an MD., JD; Katie is a school teacher since age 19 [retired after 11 years at Bethany Christian School as a primary school teacher 1st/3rd grade]; Katie has a successful site on Etsy and has been an annual missionary all 4 years of her undergraduate education to a Bolivian Orphanahe. She is a mother and married a minister. She has a son who she devotes her days but will likely return to education and she is an excellent artist and gifted/enjoys creating personalized crafts [her website on Etsy:”The Black Pearl” Ryan David Collman has completed a BA, 2 masters and now is again on his 4th fully funded Scolarship at Edinburgh University for his PHD in Christian Studies; he was able to and did Marry Kristopher to Amanda When Ryan was 22 year-old! He his also a self-trained painter and has been married to his wife Lauren who was the Salutatorian of their high School. All three have chosen service-oriented lives and qualify as the brilliant, talented and loyal loving spouse [both sons married brilliant accountants who are amazing mothers. Amanda is also a gifted artist. I call these three ladies “the sisters and they support each other no matter how far they live apart. Ryan and Lauren have e tensively travelled Western Europe with their daughter and currently since November they have a newborn son;his toddler sister attends school 3 days a week and reads her baby brother and sings. My eldest grandchild is in her 2nd grade year and she too has a younger baby brother and she is like her cousins happy, brilliant and all are healthy and thriving! They are my greatest joy! I don’t list their names because I want them to have their privacy/security. I did have to take a break from teaching to care for my parents who are both deceased as are two of my brothers; my mother was the owner/operator of Lil Audreys Health Spa USa and received a Lifetime Achievement Award from the State of Utah fir her work in keeping 40,000 women in Utah in shape/for helping thousands lose weight; many lost up to 100 lbs. Many were Lifetime members. My father, Joel Collman was an electrical/mechanical engineer by training, a brilliant man who became a designer for electrolysis on the first United States Nuclear Submarine then moved us from my birthplace [Huntington, NY] to Utah in 1959. Where he designed and built the rocket motors for our countries ICBMs [Miniteman I, II, and III series] and may have held as many as 90 patents; when he irked he then worked with mom as her accountant/collections Manager/he reengineered her Healthspa [a school they purchased]. my mother exercised and ate a healthy balanced diet was known by every woman in the State of Utah, often worked tirelessly for 12 h a day; never took a “sick day from medical illness.” I have 2 remaining siblings who live in Utah. I hope to one day reopen the “SPA” as a pvt medical facility for Antiaging and regenerative medicine while I continue all of my other above activities. Because of my mother I followed her advice to do everything in moderation, to protect my skin, and to sing as she did and to remember that your “true wealth is your health”. She lived by such rules and I would be nothing without her wisdom and love forvservice to others...I learned how to be a servant as a physician from my mother...I learned how to make rocket fuel from dad! I’m actively seeking new teaching opportunities and clinical practice as a faculty member or a clinical emergency physician while Incontinue to write and teach as many EPs andAPPs. I also hope to marry and have two more children.

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