Archives for February 2007

Unsolicited Endorsement: Pepid

I don’t endorse many products, but this one I’m glad to tell you about.

PEPID is software that is meant for a range of PDA’s, be they my Palm (Treo 700p), Windows, Blackberry, etc.  I use the PEPID ED Suite at work, which is described on their site as:

PEPID ED is the first choice of emergency physicians for point-of-care reference. 40 board-certified emergency physicians originally created PEPID ED and now the number of contributors is in the hundreds! Written in a concise and quickly assimilated format, it allows instant access to critical medical and pharmacological information. With PEPID ED you can find the answers you need in seconds. Favorably reviewed in JAMA, PEPID ED helps you to work more efficiently and reduce the risk of error in busy emergency departments.

Yeah, that sounds very generic, so let me tell you about when I decided to convert from the free (14 day) trial and spend the bucks.  A patient presents feeling frankly terrible and with a diffuse vasculitic rash.  Very early in the history it’s determined the patient has been taking quite a lot more methotrexate than intended (mixup, not sure why) so I tried out my new Pepid: ‘methotrexate’ brings up not just the drug, but throws me a lifeline: ‘overdose’ is on the front-page drop down menu.  I clicked on that, and it took me to the antidote (Leucovorin AD, liquid folate, which I didn’t remember), and then, tells me it’s dosed based on body surface area, then offers a calculator, all in serial – sequential clicks.  Amazing, and terrific.

If you’re an EM resident you need this, as it’ll let you lose 3 or 4 pocket stuffers; if you’re an attending it’ll save you from the ‘I used to remember that’ disease, which is truly worthwhile. I also have epocrates, but it’s now relegated to serious backup status only; now what I used it for is more than covered by PEPID.

What to do in your Third Year Med school rotations

Panda Bear, MD, has an increasing primer on the subject, and it’s well written and, so far, dead on by my recollection (to include plantar fasciitis during my IM months, as well).  Recommended.


..for treatment of Dysphoric Social Attention Consumption Deficit Anxiety Disorder.  I have to confess, I didn’t even know I had it until I took the test!

Pretty funny site.  Someone has way too much time on their hands.


via Kevin, MD

The Rumors are True adds to the Healthcare Financing Debate

The Health Care Debate ? the rumors were true

This has been an interesting week in the blogosphere. The debate over Health Care, whether it should be universal, whether it is a right, and how or why we would strive to enact it has been healthy. I’m incredibly interested in this and have been reading as much as I can. What follows is a synopsis of the debate as I have seen it. Throughout, something has not been sitting well with me, and that I finally figured it out is why I’ve brought these excerpts together. My conclusion is at the end.

Read the post (very good) and his recommendations at the end. Makes good sense.

Doctor, Nurse are sexy jobs

No, really:

How sexy is your job?

If you’re a fireman, chief executive or interior designer, you top the list, according to a new survey of local respondents by, an online job search site located in Saratoga Springs.

Rounding out the top 10 list were: Doctor, flight attendant, police officer, nurse, teacher, lawyer and — tied for No. 10, drum roll please, bartender and reporter.

Nobody tell these folks, it’ll make their heads explode.

Change of Shift 1:17

Looks like they’re going to make this a regular thing, and good for them, they’re good reading!  This episode is at Nurse Ratched’s Place.

MedBlogs Grand Rounds 3:20

Tales from the Emergency Room and Beyond…

Grand Rounds 3.20

The People Behind the Medicine

More than most other professions, medicine has the ability to devour all it touches. Those who enter the world of medicine as patients soon find it difficult to identify themselves beyond the confines of their label– at least within the walls of the hospital. Those who enter into it as a career soon discover just how far-reaching a life in medicine is. Interests and relationships that once defined us as people too often take a backseat to the demands of medicine. Too easily we find that we lose sight of ourselves. We advise patients to rest, exercise, eat right, deal with stress, develop good coping mechanisms… and then we go home, order out, catch up on paperwork and try to fit in a few moments with our loved ones before catching a few hours of sleep.

Nicely done, for a theme (I even got into this one!).

Interesting Article on Cervical Cancer Vaccine Economics

Via CNN:

But in the real world, Gardasil is getting used less than doctors would like. Pediatricians and gynecologists from Arizona to New York are refusing to stock Gardasil because of its $360 price for the three doses required and “totally inadequate” reimbursement from most insurers.

It’s a well-written piece, much better than usual.

And, it’s another reason I’m glad I don’t have an office practice.

Brit MedBlogs 5

Is up, at NHS Blog Doctor.