Archives for January 2007

And my big Screw You award of the evening

…goes to the nursing home (and the nursing home doctor) who sent their discharge failure to my ED tonight with copies of their medical record and a hand-written order on the chart “Discharge patient to Emergency Room”.

The patient was accompanied by a social worker who was trying to effect this discharge, as they had been unable to do for several days.  To this individuals’ minor credit, when it was explained that a) there seemed to be no emergency condition, b) that an emergency screening exam would take place, and that c) at the conclusion of that exam, if no emergency condition was found, the patient would be discharged Right Back To Them, and that d) any failure to take the patient back would result in a blizzard of reports to any and every state agency who would listen about their attempted dump, they acquiesced and took their patient back.


Every day I go to work and think I’ve seen it all, and every day I’m surprised, in some way. 

You’d think I’d learn.

MedBlogs Grand Rounds 3:16

Another of the ‘themed’ grand rounds, here: Dr. John LaPuma

Since it’s not on his blog, next week’s host: six until me.

Update: Bard-Parker is of the same opinion as I, though his is stated plainly. features medical bloggers

..and once again proves itself marginally relevant by being available to AMA member or subscribers only.  (My prior gripe about closing to non-AMA members).

Bloggers’ Grand Rounds: The evolution of medicine’s netroots

Nicholas Genes, MD, PhD, thought it would be a good idea to collect the best of medical blogs into a weekly digest. As medical blogging has taken off, his idea has grown more popular than he had ever imagined.

By Tyler Chin, AMNews staff. Jan. 15, 2007.

The short history of the rapid growth of medical blogging can be seen through the progression of Nicholas Genes, MD, PhD.

In 2002, Dr. Genes discovered blogs — online diaries — for the first time. The next year, he started Blogborygmi, chronicling his life as a University of Massachusetts Medical School student. The following year, he started a “carnival,” organizing the small cadre of medical bloggers to host a weekly Grand Rounds featuring links to the best of what their niches had to offer. Dr. Genes figured there were about 50 blogs written by clinicians, with at least a dozen written by physicians.

During the last few years the number of clinician-written blogs has grown at least tenfold, boosting the popularity of Grand Rounds, which recently passed its 100th edition and has spawned specialty-specific offshoots.

And Dr. Genes isn’t even out of residency yet.

The state of medical blogging has “never been better,” said Allen …, MD, a Fort Worth, Texas, emergency physician who has been blogging as “Gruntdoc” since 2002. “When I started, there were probably about 10 medical bloggers. We knew who each other were online. [Now] every time there’s a Grand Rounds, there’s more medical bloggers I never heard of.”

Nobody knows exactly how many medical blogs there are, but it appears that those written by clinicians are the tip of the iceberg. Approximately 120,000 American adult Internet users are blogging about a specific health problem or illness, said Fard Johnmar, founder of Envision Solutions LLC. The New York-based health care marketing communications consultancy recently conducted what it calls the first global survey of health care bloggers with The Medical Blog Network.


Full text of AMNews content is available to AMA members and paid subscribers.

(emphasis mine)

I shouldn’t gripe, I am one of two quoted ‘above the fold’, but still: now I get to wait about six months to read this this article.

Dr. RW says it’s a nice write-up.

PDA feed now available

And at no extra charge!  I finally have a Treo700p, and noticed how PDA unfriendly most blogs are.  So, ripping off borrowing code from scriptygoddess, there’s now a PDA friendly feed at

Should you forget that, there’s a handy link in the navbar above.


Many thanks to scriptygoddess for making this very easy.

Anecdotal Evidence

# 10.7bn:

I was working during tonight’s Cowboys/Seahawks game, and saw exactly 6 (six) patients in the first two hours of my shift that started the same time the game did.  (For comparison, the day before I saw 21 in the same time)(really).

The game ended, and, yes, in the patients came.  Weird.

Oh, the score: Seattle 21  Dallas 20.

MedBlogs Grand Rounds 3:15

I’m late to the program this week, but it’s up:


Musings of a Distractible Mind 

Happy New Year, my fellow bloggers and blogees! Welcome to the first Grand Rounds of the New Year!

Yes, the voice of the masses (all 30-something of you) has spoken and you have made my work a bit harder by voting for exploding things as the theme of this year’s inaugural grand rounds. I am a little bit worried about the mindset of the voters; but be that as it may, I will do my best to…uh…start the year off with a bang.

And nicely done it is.

Medical Weblog Awards Voting 2006

Ready, now, through January 14th.

The 2006 Medical Blog Awards

Geostationary Banana over Texas

Geostationary Banana Over Texas

I’d give a few bucks, just for the grins.

Another new medblog: Miami, M.D.

Miami, M.D.

New, but worth reading.  And his URL is simplicity itself.