MedBlogs Grand Rounds 3:24

Thanks for coming!  It’s an honor to be the first four-time host.  As for how much things change, here’s the first time I hosted (November 9, 2004, #7).

The biggest change is the number of blogs, hence submissions, and the quality of the submissions has increased every time.  Also, GR is no longer dominated by a few ‘bigger bloggers’ but is now quite wide-open, hence the increasing quality and scope of the posts submitted.  By the way, I didn’t have 200 posts when I made the announcement, I had 5 (the +/- 195 was meant to be a joke), but I did wind up with 60 submissions.

Oh, and no theme.


Editor’s Choice:

M.D.O.D. and the Unintended Consequences of EMTALA.  In case you weren’t aware there is a problem with US healthcare in general, and in ED’s in particular.



Oasis of Sanity, with instructions for doctors and their staffs to completely tick off a patient.  (This doc is on his way out of business, but doesn’t know it yet).

Nurse Ratched doesn’t think much of Patch Adams, especially after he called her a Nazi.  Really.

Hospital Impact reminds you that if you’re smoking, it’s not just you you’re harming.  Quit today.


Amusements (second only to the rant as my favorite blog post style):

ImpactEDnurse : make your own faux poo.

Axis Deviation tackles one of the Questions of Our Time: Scrubs or Grey’s Anatomy?  Axis makes the correct diagnosis.

Medskool discusses the fact that in training we don’t practice what we preach about rest, diet, etc.  Bonus:video! 

Vitum Medicinus and the Top Ten med school app gimmicks to avoid.

Blogborygmi on loss of domain, from more than one standpoint.



Medical Training and Practice:

Scalpel or Sword isn’t feeling the EMR love.

Clinical Cases and Images has made available (free!) some PDA friendly ‘how to’s’ for procedures.  Neat (just don’t ask the nurse to scroll the pages during the procedure…).  Also, check the software requirements at the bottom of the post.

Med Valley High with a meconium delivery during training.

New York PI Law Blog (yes, a plaintiffs’ attorney) sends a link to a patient in Rio with a retained scalpel after surgery.  For 23 years.

Sumer’s Radiology Site alerts us to a study of realtime remote sonography.  Could have a lot of telemed applications.

Odysseys of George informs us of the hazards of smoking around a gas leak.  With pictures!  I’m guessing HIPAA isn’t big in Malaysia.

Health Business Blog discusses the pros and cons of giving kids ‘labels’ for psych diagnoses.

Medicine for the Outdoors is by Dr. Paul Auerbach (whose Wilderness Medicine is the reference book for outdoor medicine) sends an article about recognizing the erythema migrans rash, and what to think about when you see it.

Transplant Headquarters (by a transplant recipient) gives the Cliff-notes of rejection, and things to do after a transplant.

Borneo Breezes discusses care of Special Children in the undeveloped world.

On the Wards alerts us to occult HepB infection, HBV DNA in wrestlers’ sweat, and has some questions.

The Doctor Blogger and how the ‘you need to exercise more’ conversation really goes.

Type-B Premed wonders if some docs are difficult to work with on purpose.

The Fitness Fixer says all the exercise injuries are mainly from choosing bad exercises to perform.  I had no idea.

Junkfood Science is unhappy about the coverage of childhood obesity in general and one child/family in particular.

Shrink rap has a podcast, and the show notes indicate some good topics, including management of those who’ve Lost It In Space.

Doctor Moxie on communication, and its limits.

Doc Around the Clock on how patients really feel when considering suing their doc.

Improbable Optimisms discusses the ‘what have you done for me’ of illness, and advocates docs talk to their patients about it.

Paralell Universes dissuades a neighbor from taking Viagra as a fertility treatment.

Gardner’s Gate has the first ‘Spring Break’ casualty of the year. 

Parcho, MD tells about his first two recent intubation attempts.  Entertainingly.


Healthcare Financing / Reform / MacroPolitics:

NHS Blog Doc  and the increasing numbers of maternal injuries and deaths in Britain. 

DB’s Medical Rants has some thoughts on the poll showing people want universal care, and will accept higher taxes for it.  He’s not too sanguine about the future, single-payor wise. 

Universal Health talks about the Walter Reed debacle, military healthcare mission creep, and what to do about it. 

Kevin, MD has some thoughts, and a link round-up, on the Walter Reed scandal as well as the larger question of Big Brother and healthcare.

Dr. Val & The Voice of Reason with a good analogy of HC Finance, and why it’s so incredibly dysfunctional, and counterproductive. (Extra credit: linked to the Grand Rounds host in submitted post).  (Heh).

Healthcare Forum on docs as employees. (HCF is a new blog by an Endocrinologist).

InsureBlog calls BS on the HPV vaccine requirement.

The Diet Dish is for moderation, against food bans.

Blog, MD write about cows’ milk, the lactase enzyme, and infant anemia.  Hint: there’s a connection.

Dr. Wes asks if we’re doing no harm, when we do everything possible, and encourages us to think about living wills.

Emergiblog is on the same wavelength as Dr. Wes.  Talk about your desires for end of life care, now.

Teen Health 411 lauds Rev. Debra Haffner for her stand on adolescent sexuality education.

Colorado Health Insurance Insider on a very hard case, and their desire for Universal Healthcare.

Health Observances says US healthcare costs set to double by 2016.

MSSPNexus Blog notifies us that a WV physician is self-insured, and the State is OK with it.  (A mil to put into an account?)

AADT notifies up that the American Psychological Association has found military health services deficient.



ScienceRoll informs us of the Human Variome Project, to collect data on mutations causing disease.

Doc in the Machine analyzes the DARPA major achievements, sees links to medical applications, and looks forward to more.

NeoNurseChic posted her paper about a possible relationship between PFO and migraines. (Answer: close only if prior stroke).

Diabetes Mine interviews Dr. Pugilese of the Diabetes Research Institute on reversing autoimmunity.

The Tangled Neuron on statins and current Alzheimer’s research.


Life, Death, and the Pursuit of Happiness:

Musings of a Distractible Mind discusses ho hard it is to be a patient.  Especially when you’re a doctor.

ChronicBabe and setting attainable goals.

Six Until Me with a personal story of low blood sugar and the urge to overtreat.

Indian Medic on how blood donation, and transfusion, is arranged in India.  A very personal tale.

Wandering Visitor seems way too happy to be a resident.

Neonatal Doc, the Blue Man Group, death and days off.  I hope that entices you to read it.

Codeblog (hello, Geena!) has a patient write about how nice the ICU nurses were to her. 

Rangel, MD talks about docs, death, and expectations. 

Surgeonsblog has two posts this week about professional burnout.  Recommended reading.



As always, heartfelt thanks to Nick for getting this started, and for entrusting his Grand Rounds to me this many times.  I’m as humble as I can be.

Next Week’s host: ScienceRoll


  1. Thanks for the heads up, and great work on the lengthy GR!!

  2. Hello, GruntDoc!! Very nice quadruply hosted GR! Thank you for including me :)

  3. Nice job Grunt Doc. I like the simple, uncluttered style. Looks like lots of good reading this week!

  4. Wery well hosted. Clean and uncluttered. Bang to the point.
    Looking forward to all the interesting reading.
    And thanks for including my post.

  5. Nicely done. Your no-nonsense style is refreshing.

  6. Allen-
    Great job. Can’t wait to try the faux poo…

  7. Nicely done. Thank you.

  8. This is fantastic! Thanks for the extra credit, Allen. I’m a big fan of the non-theme… gives us a better sense of what’s on people’s minds. You’ve taken the true pulse of the blogosphere this week. Looks like it’s alive and well!

  9. Re: “Nicely done. Your no-nonsense style is refreshing.”

    I concur.

    Thanks for including me.

  10. Your blog is a fantastic resource. Thank you for including me!

  11. I loved that simplicity and the subgroups. Well done, Doc!

    Great job, Doc! Thank you for histing this week!

  13. Allen,
    Thanx for your time and effort. Thanx for the inclusion. Surely we can solve all the world’s problems if we did a Grand Rounds weekly if it’s hosted by you!

  14. Kudos, 4x!!! No-theme is great. Variety is what makes us interesting.

  15. Great job putting together a nice-looking Grand Rounds! I appreciate the clean look.

  16. travelingdoc says:

    Thanks for hosting and for including my post. It’s a long read but worthwhile reading. Hats off to you for doing your 4th edition. I found the first one interesting as history.

  17. Clean, crisp, straightforward. Excellent. Thank you.

  18. I will now pay homage to the great philosopher of our time, Sir Austin Powers, as I say wholeheartedly: “YEAH BABY!!!!!!”

    This looks wonderful and after I read my two chapters on health care organizations (Whoopee!) I’m digging in!

    Oh, and just for fun…..”OH BE-HAVE!”

  19. And to quote another famous Brit:
    “Brevity is the soul of wit…” Thank you Grunt Doc, for including my post. JC Jones RN Health Observances

  20. Thanks loads, Allen. It looks like a lot of work.

  21. Great job! This is the best GR in a long time. Short, sweet, and to the point. Thank you!

  22. Thanks for putting it all together!

    I’m a pretty happy resident (depends on which day you ask – just kiddin’!)… most derms are happy people :)

  23. My most humble thanks to those who commented. I couldn’t have done it without you.

    As for Neonatal Doc, really this took me a total of 8 hours to do. That includes reading the posts (very fun), categorizing (easy, if your categories are broadly defined) and making links. I cannot say enough nice things about the Windows Live Writer I use, which makes the mechanics of posting painless.

    Frankly the hardest thing about it is a) making sure you’re adding all the comnributors to an email for one-time announcement that it’s up, and b) not missing a post that was submitted. I missed one (the last submitted) but added it in this afternoon. (Sorry, Parcho!).

    If there’s anything to take from my hosting, it’s that if I can do it, anyone can. Nick can always use hosts, so volunteer, already!

  24. Awesome linkage.

  25. Thanks for a great Grand Rounds. The themeless theme idea is great – akin to the healthcare nonsystem system. All of your work is muchly appreciated.

  26. Nice!

  27. Hi GruntDoc,
    I’m new to the scene (have been posting consistently since January), and not sure how to get involved in Grand Rounds – but I would love to participate. My blog can be found at:
    It can fit into any of your categories. Thanks, hope to hear from you.

  28. Hi GruntDoc – Thanks for hosting GR (4 times!) and thanks for including my post! Excellent job!

    Take care,
    Carrie :)

  29. Thank you sir! I am honored to be included so prominently in your grand rounds. Hooyah!

  30. Well done Doc.! Congraturations