Archives for January 2007

2006 Medical Weblog Award Winners

The 2006 Medical Blog Awards at medGadget:

The people and the judges have spoken! We are very proud to present to you this year’s winners of the Medical Weblog Awards in seven categories. In its third year, Medical Weblog Awards are designed to highlight the diversity of the medical blogosphere, its newcomers, its rising stars, and its old time favorites. With so many blogs to choose from, these medical publications keep their readers with up to date latest in all fields of medicine, be it clinical specialties, technology, society’s trends, or the latest ethical controversies.

Without further delay, this year’s winner of Best Medical Blog is…

Go, now, and see!  And a hearty congratulations to all the deserving winners, and thanks to medGadget for holding this competition yet again.

Google Reader makes me chuckle

I mean, really:

Heh.  It happens to them, too!  Perhaps I should copyright my goofs.

ED waiting room patients offered $10 to leave

via Kevin, MD, who must have the AP newswire in his living room…

Woman files complaint that doctor offered patients $10 to go home

Frank Dobrovnik
Local News – Wednesday, January 17, 2007 Updated @ 7:27:58 AM

An Echo Bay woman plans to file a complaint with Sault Area Hospital that an emergency room doctor was offering patients $10 to go home.
Diane Edwards had been waiting eight hours to get a prescription refilled when a physician told the “room full of people he’d pay them $10” each if they left, she told CBC Radio in Sudbury this week.
“I didn’t appreciate it, being there for that long,” said Edwards, who does not have a family doctor.

I don’t know of a working emergency physician who hasn’t at least thought it, and I occasionally joke about it, but someone has an impulse control problem, at best.

Oh, and the ED isn’t a place to go to get your prescription refilled.  Sorry.

Predicting the ICD future

The Blog That Ate Manhattan: What’s Inside?

I wouldn’t bet against her.

Pictorial of Pharma Gifts

Via Magic Blue Pill: How Many Viagra Items Can You Find?  Pretty funny, but not an endorsement.

MedBlogs Grand Rounds 3:17

Poetically arranged though impossible to know to whose blog you’re going: Six Until Me.

And, unfortunately another of the ‘themes’ next week.  I’m not done with Grand Rounds (yet), but I’ve given up hope of appearing in them again for the near future.

I’m off All Day!

One of the curse/blessings of working irregular shifts is not actually having an internal clock in the ‘I’m working, I’m off’ sense.

I thought I was working this evening, and was steeling myself to nap, etc in preparation, then looked at the calendar, and Eureka!  Off!


Really, it’s like getting a vacation when that happens.  Or, maybe I need to work a little less.

Bird Flu: Next Month (joke)

I put the joke in the title, as last time I wrote about bird flu symptoms I got a lot of search-engine hits, and I felt a little bad about that, as it was a joke.  So is this, but…

At work, one of my genius colleagues has spent a lot of time reading about bird flu, studying the medical experience of bird flu, and is the de-facto emergency expert on bird flu for our hospital.  He’s a terrific resource, and very pleasant to work with.

And, he asked for the entire month of February off.  We’ve kidded him about doing it because he knows something, and he laughs.  But he’s not working next month.

All I know is, if it happens in February, he’s got some explaining to do.  Probably from home, though.

A different style of Concierge Medicine

…this time from an Emergency Medicine perspective:

Vail Daily: Doc HollywoodResortMed now employs eight Vail-area doctors and four more in the Aspen area, and their 24/7 service hits the road in three specialized Jeeps. Far from the classical house-call doctor’s black bag, these Jeeps come armed with everything an emergency doctor needs, including IV fluids, meds, oxygen and even a hyperbaric chamber, when necessary.
“We can distinguish between what is routine and what is truly an emergency – with our equipment and training, chances are good we can handle 99 percent of problems in a hotel room or home,” Davis said. “It’s a dramatic shift when you think about it. A guest comes to the valley, and they spend a lot money to be in a resort property. The idea of replacing those moments with a hospital stay or time in a waiting room is not good. This is a good substitution. The idea of watching TV in their comfortable hotel room when the doctor comes to them became very appealing once guests became aware that the service exists.”

It’s written by one of their entertainment reporters, which (I suppose) explains all the name dropping, though I’d have thought discretion would be the better part of valor in such a business.

Roy Williams is a Class Act

He and I have something in common, and it’s not athletic ability or being selected to the NFL Pro Bowl Team, but that we grew up in the same city, one block apart, and went to the same schools, Ross Elementary through Permian High School (but different generations, I don’t know him and have never met him).  Still, he’s a class act:

Permian grad sponsors raffle for Pro Bowl trip

By Chris Gove
Odessa American

Roy Williams got some exciting news this week and apparently wants to share the feeling with many others in his hometown.
The Permian High School graduate, who recently completed his third season as a wide receiver for the Detroit Lions, got official word Friday from the NFL that he has been added to the 2007 NFC Pro Bowl team.
Williams finished the season with an NFC-leading 1,310 receiving yards and 82 receptions and will be making the first Pro Bowl appearance of his career. He was named to replace original selection Torry Holt of the St. Louis Rams, who pulled out with an injury.
The Pro Bowl, which is the NFL’s annual all-star game, will be played at 1 p.m. Feb. 10 at Aloha Stadium in Honolulu.

Good stuff, but here’s where the Class kicks in:

Williams won’t be making the trip to Hawaii without a little company, however.
He has teamed up with the NFL Man to organize a benefit raffle for the Boys and Girls Club of Odessa, the grand prize of which is a trip for two to the Pro Bowl.
Raffle tickets are $25 each and can be purchased at the NFL Man in Music City Mall from Monday-Jan. 21. The tickets will be available for purchase from 11 a.m.-2 p.m. and 5-8 p.m. Monday-Saturday and 3-6 p.m. Jan. 21, with the drawing scheduled for 7 p.m. Jan. 22 at the NFL Man.
All proceeds will benefit the Boys and Girls Club of Odessa, an organization near to Williams’ heart. Three prizes will be given — a Playstation3 to the third-place winner; $1,000 to the second-place winner; and the grand prize of the Pro Bowl trip.
“I was the one who wanted to do this,” said Williams, who will be on hand for the Jan. 22 drawing. “My agent asked me why, but this is for the people of the Permian Basin. There are a lot of football fans here and this will be a chance for them to see the best of the NFL. Hopefully, this is an annual thing and not just this one time.”
The trip to the Pro Bowl will include airfare for two, tickets to the game and three nights of hotel accomodations [sic] in Honolulu.

(emphasis mine)

So, he’s not selling his tickets, he’s organized a raffle to help the Odessa Boys and Girls Club.  I’m entirely impressed.   Now I have to start watching Detroit Lions games, I suppose.  Anything for a fellow former Odessan.


Hat tip to my folks, who have been taking the Odessa American forever, and keep me up to date on the hometown.

Woman Dies after Water Drinking Contest

Did this radio station not consider the implications of their stunt? Via CNN:

SACRAMENTO, California (AP) — A woman who competed in a radio station’s contest to see how much water she could drink without going to the bathroom died of water intoxication, the coroner’s office said Saturday.

Jennifer Strange, 28, was found dead Friday in her suburban Rancho Cordova home hours after taking part in the “Hold Your Wee for a Wii” contest in which KDND 107.9 promised a Nintendo Wii video game system for the winner.

“She said to one of our supervisors that she was on her way home and her head was hurting her real bad,” said Laura Rios, one of Strange’s co-workers at Radiological Associates of Sacramento. “She was crying, and that was the last that anyone had heard from her.”

That’s utterly horrible.  And for a Nintendo game.

Water intoxication.  Another bad way to die.

Medicalization of Life

Recently I read somewhere (it was through ER hater Flea) the term “Medicalization of Childhood”, meaning kids no longer have colds, they have Viral illnesses, sometimes with mild reactive airway disease, and must see a doctor and get a prescription.  See also ants-in-the-pants, i.e., ADD.

The Blog that Ate Manhattan indicates this medicalization of normal life isn’t restricted to kids.  Her “How to Get Pregnant” is a cry to just live, and stop worrying.  Not everything needs a test, a procedure, etc.

Dr. Ostrovsky get is Right

medGadget, a site well known for medical gadget and industry news, is not predisposed to the rant.  As a matter of fact, I think this is their first.

And it’s Dead On:

Medgadget weblogYour correspondent, a double boarded practicing clinician, just doesn’t get it. California governator Arnold Schwarzenegger comes out swinging with a proposal to tax MDs 2% off their income to finance insurance scheme for all. From few, to all: just like in the Soviet Union.

That’s just the warm up, Dr. Ostrovsky is on a roll. 


Change of Shift 1:15



Frying pan to fire

Today the charge nurse approached me with an unusual question: “Did you prescribe ‘marinol‘ to a patient”?

me: No.  I’ve never written a prescription for it in my life.

Charge Nurse: “What is it, anyway?”

me: It’s THC, the active ingredient in marijuana.  Why?

CN: “There’s a parole officer on the phone, who says that one of their parolees tested positive for marijuana, but they have a prescription for marinol from you to explain it.”

me: Nope.  Not from me.


The prescription was faxed to us.  Yes, it’s written on one of our current Rx pads, yes my name is circled.  No, it’s not my hand writing or my signature, and the DEA number is way off (and doesn’t follow a basic convention every pharmacist would look for, and which I won’t give away here).

CN: “The parole officer wants something written out that this prescription wasn’t written by you.  They wanted it typed on letterhead, but I said we were a little busy for that.” 

me: (Again noting how our charge nurses are smart and save me a lot of work): Okay.  Handwritten note disclaiming the forged prescription goes off to the Parole Officer.


Now this parolee has two problems, at least: testing positive, and having a forged prescription for a Schedule III drug.