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[[File:Augustine Volcano.jpg|400px|thumb|right]]
* Outside of the hospital, someone with a '''head of steam''' (or '''full head of steam''' ) has gained momentum* A health care professional with a '''head of steam''' is on some sort of roll, either discharge [[Discharge Haiku|discharging patients ]] at will or block blocking [[Admission|admissions ]] like a true [[Wall|wall]]* Like a volcano about to erupt, a patient with a '''head of steam''' is a red flag and might progress to full-on having their [[Mind-Blowing|mind blown]], which is a neurosurgical emergency