Tuesday, October 21, 2008

Grand Rounds

Welcome to another edition of Grand Rounds (v 5.5), the best of the medical blogosphere. Below I have taken the liberty to edit down to what I considered the most provocative, most interesting, or most literary posts published in the last week. I have included all submissions in the first comment of this post so that everyone can see all the posts submitted. (As far as the topic of changing goals of care, there were not enough posts that really focused on the topic so it will be shelved until next time.)

Question: What do you call physicians who write?

Answer: Physicians.

The best post I read in the past week comes from the The Literature Arts and Medicine blog and writer Jay Baruch. In "The Story Always Comes First", the physician-writer is clearly a must read for any physician-blogger and a great one to start off this Grand Rounds. Find yourself 10 minutes of peace and quiet and enjoy the ride.

The Cream of the Crop

Happy Hospitalist defines a population familiar to those who have ever worked in a hospital more than a month: "the hospital junkie." The commenters try to come up with the DSM criteria that may fit these frequent fliers.

A primary care physician at In My Humble Opinon gives an eloquent example of the many things you can say to a family when a patient dies.

A medical student in Australia has anti-abortion protesters outside the classroom and gives us a few thoughts on the potential overturing of legal abortion laws in the Australian Government. A good read over at Degranulated.

Laika's MedLibLog gives a great review of Addison's disease with a personal touch about her experience and missed opportunities for diagnosis.

Laurie Edwards at A Chronic Dose explores the importance of health care for voting in the upcoming election.

Bongi dazzles with tales of treating victims of violence by things with tails. Damn beasts!

Dr. Wes takes sitcom silliness and helps you understand why a 'Best Practice Alert' can cause alarm fatigue.

Sam Solomon at Canadian Medicine Blog posts a great interview with the Canadian Health Minister about the future of Canadian Health Care Reform. The best part of the interview:
TONY CLEMENT:...That's like wishing the sky were purple.

SAM SOLOMON: Do you wish the sky were purple?

TONY CLEMENT: No, I like to wish for things that are realistic.

Pallimed Select
Below are my own choices from blogs that I frequently read and think deserve a little more attention or posts that just happened to come upon my radar screen.

Dr. Shock consistently comes up with some very interesting journal articles. I really appreciated his take on impact of medical student biases towards patients with mental illness.

Maurice Bernstein at the Bioethics Discussion Blog discusses the role of hope for patients in many different variations: miracles, hopelessness, false hope, and more. The first comment makes great reading for Greek Mythology buffs.

Dethmama the hospice nurse shows how to win over the patient who doesn't trust you. Call his cat Tripod!

Leo Levy an ICU nurse at DNR/DNI shares that some trauma nurses don't wear seat belts because they have a desire to avoid being hospitalized like some of the very patients they treat.

William Lee at BMJ Blogs attended a public presentation by Dr Philip Nitschke, director of an Australian pro-euthanasia group, regarding the legal obstacles to getting medically hastened death approved in various countries. Lee highlights how his palliative care view of medicine contrasted with some of the claims made by Nitschke.

PookieMD provides an excellent rant-alysis of the missing pieces from the recent JAMA article on the Professional Ethics of Billing and Collections written by two lawyers aimed at physicians. (HT: Kevin MD )

Thanks to everyone who submitted. If you did not see your post above check the comments for all of the submissions this week. See you next time at Emerigblog!
Reblog this post [with Zemanta]

13 Responses to “Grand Rounds”

Christian Sinclair, MD said...
October 21, 2008

The following posts were all submitted for Grand Rounds and a few other notable ones I stumbled across. They are included here for completeness and are in no particular order.

Alvaro Fernandez from Sharp Brains interviews Michale Posner, an emeritus professor of neuroscience, about his work on attention and self-regulating behaviors and how this pioneering work in neuroscience may help improve education methods.

Frances Shani Parker at the Hospice and Nursing Homes Blog shares an excerpt from her book about how being a caregiver can make you feel many different emotions.

Have you ever used a car as an analogy for your patient's health? Well, Peter Avislak at Medical Pastiche has a even better analogy, Car Insurance & Health Insurance with some nods to the Obama Health Care Plan.

Joshua Schwimmer of The Efficient MD and Tech Medicine gives of this soon to be classic post about 100+ tips for doctors on call in the hospital.

Henry Stern at InsureBlog deconstructs proposed solutions for health insurance that supposedly shouldn't cost much.

How To Cope with Pain recently guest blogged at Invisible Illness Week Blog about how to learn to accept help from others.

Walter Jessen at Highlight Health applauds the NIH for coming up with two innovative programs to give research awards to researchers who have cutting edge transformative ideas.

Amy Tenderich at DiabetesMine interviews one of the lead developers on Microsoft's HealthVault and asks some great questions about the level of applicability to those with chronic conditions.

Nancy Brown from Teen Health 411 helps health care professionals see a different way of addressing the health concerns of teens by thinking of every interaction with a teenager as a chance to subtly address the many preventable illnesses teens are susceptible to.

Clinical Cases presents the World's Oldest Scientific Journal! Any guess on the year of first publication?

David Williams at Health Business Blog helps doctors think of some ways to overcome their biases when seeing patients that can be easily stereotyped (incorrectly).

RlBates at Suture for a Living gives a comprehensive review of all things Lymphedema. It's not just something you write on the physical exam. You can actually do something about it!

Doc from Day of the Doc comes up with plenty of examples to answer the statement 'more research is needed' regarding the use of 'Stayin Alive' to help with CPR timing.

Louise at the Colorado Health Insurance Insider blog ties together a couple of other bloggers posts to advocate for a more even approach to payments for different specialties.

We need a banjo to OR 3 stat! Not Totally Rad helps us see the little known banjo center of the brain in this great neurosurgery case.

Love the wilderness survival shows? Well then you will feast upon this entry by Paul Auerbach on how to survive in the desert at Medicine for the Outdoors.

Bob Coffield at Health Care Law Blog reposts an article written about the pros and cons of the personal health record.

What do you do when you are allergic to corn? Quickly learn about all the things that contain corn products (at Corn Allergic), and try and find a new normal.

Celebrities are real people too! They have allergies just like the rest of us. Thanks Allergy Notes.

Erik Turkewitz from the New York Personal Injury Law Blog comments briefly on a trend in Argentina of offering surgery as door prizes for nightclubs.

Jolie Bookspan, The Fitness Fixxer briefly comments on a study linking sedentary behavior in teens to anxiety and depression.


Christian Sinclair, MD said...
October 21, 2008

My hope in having two different sections, one in the main post and one in the comments was to try and get back to the heart of what I think Grand Rounds is meant to be. The best of the blogosphere per the host that week. I am not trying to trample on anyone's freedom of speech so I hope no one is upset that their blog post was included in the comments section.

I just did not want to feel like an automaton transposing links into a link farm. Again...not trying to offend, just do something a little different.

Feel free to let the comment section be a discussion on if you agree or disagree so other hosts in the future have some guidance.


Dr Shock said...
October 21, 2008

You're entitled to your own opinion. Makes it more interesting this personal touch, thanks Dr Shock


rlbates said...
October 21, 2008

Nice work!


Doc said...
October 21, 2008

I think that's an excellent way of presenting the material. It includes everyone, and still allows the presenter to construct the grand rounds in a coherent manner. Very nice edition of GR!


Henry Stern, LUTCF, CBC said...
October 21, 2008

Nice job!

Thanks for hosting!!
 


Laurie said...
October 21, 2008

Thanks for hosting! I really appreciate being included!


The Happy Hospitalist said...
October 21, 2008

Great Job


DrWes said...
October 21, 2008

Thanks for the inclusion!

Very nice job.


Laika said...
October 21, 2008

Hi Christian, very nice job.

I like the division in two sections, makes it easier to scan and read. With Dr. Shock I like the personal touch.

However, perhaps it might have been sufficient to place the Cream of the Corp above and the less chosen below instead of separately in a comment. It is practically the same, but it feels less like an appendix.


Frances Shani Parker said...
October 22, 2008

Thanks you for the inclusion, Christian. Your idea is interesting.


Cole said...
October 22, 2008

Excellent work, Dr. Sinclair. An interesting blog for the 1st time reader.


NurseExec said...
October 23, 2008

Great job, and lots of good reading!