Grand Rounds 2.08

Doc Shazam is honored to host this week’s roundup of the best in medical blogging. I usually don’t read every entry linked in grand rounds, but hosting this week has helped me expand my understanding of what blogging is about. Some of us are politicians, some are patient advocates, some are great storytellers, and others just like to make people laugh. I’ve grouped this week’s entries into a few broad categories, so either read them all, or just straight to your pleasure. Here we go!

Specific Diseases
President Reagan made a decree in 1983. Can you guess what disease he was bringing attention to? The Corpus Collosum tells us what acetylcholine receptors have in common with fish oil and mice. Shamefully (or not), i must plug my own recent post here about a novelist’s struggle with writer’s block. I wonder if she should have been taking fish oil?

Unbounded Medicine’s latest post may save me a lot of money on co-payments for sumatriptan. Read why an over the counter pain medicine may not be such a headache after all.

Training
Medsleuth reminisces about his first days of medical school. Anyone else smell formalyn? How about turkey for lunch?

Barbados Butterfly recalls a particularly stressful month for a surgical intern…floor medicine! This story is really about a personality conflict and how to leave the bad vibes at work. Thanks for the advice, Butterfly!

Is there a place for teaching alternative medicine in medical schools in the twenty-first centure? Dr. RW doesn’t think so.

Debates on resident work hours continue, only this time, resident’s advocate FOR violation of the work hour rules. DB “rants” on over a recent lunch with cheif residents.

Technology
Diabetes Mine gets exclusive previews of upcoming diabetes technology being previewed at upcoming conferece.

Medical Connectivity discusses Smart Pump News… the latest rumblings on wirelessly enabled “smart” infusion pumps and the impact this new type of medical device is having on both vendors and hospitals.

Biotech Weblog gives us even more reasons to brush our teeth and gargle. Can gene thereapy be delivered via mouthwash?

Ethics
While the USA has HIPAA, the UK has HFEA (which has nothing to do with patient privacy). Genetics & Public Health Blog discusses Embryo Screening for Genetic Diseases.

Humor
The only thing that could have improved this post is a photo of the ugly spiral fracture with displacement and shortening. Tall Med Student ponders his way through classes after some ultimate frisbee trauma.

Meanwhile, the Mad Scientist gets the real scoop from Tall Med Student’s injury, and life as a Canadian. A short excerpt:
Mad Scientist says:As a doctor, are you planning to practice medicine in Alberta?
Tall Med Student says:Maybe, docs are stinking rich here. Unbelievably so. A good lifestyle, low stress.
Mad Scientist says:Why do they call it “practice”? That terminology freaks me out.
Tall Med Student says:’Cause you always need more practice.

Did you ever wonder just what it is all those doctors and
nurses are writing in those charts? Candystripers help decipher those cryptic notes over at Political Calculations


Delivery

MSSP Nexus Blog has a new toy, and she’s excited about her new teenage friends. But why aren’t doctors and nurses as helpful as the young man at the electronics store? What we do is vital. It matters. It matters far more than purchasing the latest electronic toy. But as a person who has worked in healthcare for many years, I can attest that something systemic is broken, and it doesn’t appear able to heal itself.

Geek Nurse advocates for consistent nursing care for the wee ones in the PICU, aka Primary Care Nursing. What I’m wondering, is…is Pandoro’s five grain bread better than Panera’s?

InsureBlog describes a new healthcare delivery model – “drop in” medical services with prices posted upfront. My hope is that these will flourish, leaving me, in the ER to see only acute adrenaline pumping emergencies and orthopedic cases. Marcus Welby meets Jiffy Lube

Are generics costing teachers millions? Or saving them millions? Health Business Blog discusses an interesting suit in which both sides might be right.

Geekery
Mic at Antifaust discusses geekery, acronyms and free medical software, right up my alley! I’m sure if you searched his archives you’d probably find posts on Linux, GNU and OpenSource software as well. Just guessing.


Psychology

The next time you’re in Akron…
Clinical Cases shares a terrifying story of being strip searched in McDonald’s and it’s relation to deviation in social psychology. [Editors note: Could have also filed this under Geekery due to references to Google search and Digg.com]

Medical Trivia
THe integration of music and medicine isn’t always obvious, unless you visit Parallel Universes today. ‘Truly a remarkable man. He played the piano with gusto and passion even if he was deaf, and suffering from “long-term hepatitis.” Find out who the remarkable man really is.

Narrative
Kim at Emergiblog gets a sad yearly visit from a deceased patient. Read Kim’s letter to her patient, starting out, “We met around midnight…”

My first thought while reading this submission from the Cheerful Oncologist was, ‘Wow, the Cheerful Oncologist writes really well!”. ‘Somewhere deep inside me I heard the sound of a tree falling. Its crash shook me as I stood there, leaving me more exposed to the fury of the skies.’ Read more about what keeps an oncologist going back to his office day after day, when his patients consider that leaving him to go back to their PCP is the highlight having been treated. I find some similarity between his days and mine when he writes, ‘oncologists seem to be constantly running a crisis center. We scramble throughout the day putting out the fires of suffering, taking calls from emergency rooms holding more patients in search of relief, monitoring a dozen situations in our treatment rooms, always bracing for the next catastrophe.’

Intueri’s writing is right on par with the Cheerful Oncologist, Hermes and Doc Charles. Reading this post feels like unraveling a mystery novel. It would be a page turner if in fact the post were longer than a page. The written words went straight from my occipital cortex to my limbic center, completely bypassing my left brain’s need to articulate each word silently in my mind. Funny, though, because what she thinks it’s about [her frustration as a forensic psychologist] is not what it’s about at all. At least I don’t think so. I’ll let you folks decide.

Dr. Andy discovers the dirty little secret of ER medicine that I’ve been hiding from my friends and family for years…it’s just about the ABCs. Read how an allergist may have saved a life!

And last, but not least, your’s truly, (Doc Shazam) gives some style tips for removing the stylet from endotracheal tubes.

Conclusion.
It’s 3:30 Sunday morning. I’ve just spent about 1:30 updating the most recnet batch of Saturday submissions. I have to say that this is much more fun that I anticipated. It’s enjoyable getting to see each post first, digesting them and presenting them in a way that I think today’s visitors will find interesting. If you think you’re too busy to host grand rounds, think again. It’s worth the effort!

Fast forward…Monday night, 11PM, watching the last quarter of Eagle’s vs. Cowboys. As a lifelong Stillers fan, I’m not really sure who to be rooting for, but the game is enjoyable nonetheless.

So what have I learned from hosting Grand Rounds? That there are many more facets of blogging that I have yet to explore. While my initial mission on “Long Underpants” was to provide clinical narratives of patient encounters, I see that my blog reporesents only a small sample of blog-typologies. As much as I enjoy story telling, I see that others enjoy politics, technology and policy.

Next Week’s Host: Code Blog

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