Archives for April 2007

MedBlogs Grand Rounds 3:29

Dr Dork: Grand Rounds Vol 3, No.29

G’day and welcome to this weeks edition of Grand Rounds. Dr Dork is pleased and honoured to host your journey through some highlights of this weeks medical blogging.

From the Dr. Dork down under.

I don’t know

Those are the most frustrating words I have learned.


I don’t know


why your spouse died

why you hurt so much

why nobody can find answers


what I’m going to do when I get home tonight






I don’t know.

BritMeds 14

NHS Blog Doctor: The BritMeds 2007 (14)
Another in the series.

ED Nurses – Considering a Change in Careers?

This was on the bulletin board at the second job…

NO, I didn’t post it. Just a funny, like many seen daily in the ED.

No more Tigan suppositories

F.D.A. Orders End to Production of a Form of Anti-Nausea Drug – New York Times

F.D.A. Orders End to Production of a Form of Anti-Nausea Drug

Published: April 7, 2007

The Food and Drug Administration yesterday ordered drug companies to stop making and selling anti-nausea suppositories containing a drug that the agency said did not work when used in that form.

The move was part of a campaign by the agency to re-evaluate drugs approved before 1962, the year drug makers had to start proving that their products worked. Before 1962, they had to prove only that they did no harm.

The suppositories, sold by prescription under the names Tigan, Tebamide, T-Gen, Trimazide and Trimethobenz, all contain the active ingredient trimethobenzamide.

About two million such suppositories are sold each year, said Dr. Jason Woo, an official in the agency’s compliance office.

Trimethobenzamide in other forms, including pills and injectables, does have F.D.A. approval for use against nausea and vomiting, the agency said.

The agency has had evidence since 1979 that trimethobenzamide suppositories do not work. But the review “requires a lengthy analysis,” Dr. Woo said. Also, the drug makers requested a hearing, “which further slowed the process,” he said.

Hmm, that runs counter to my experience, especially in pediatrics. Interesting.

Charity Doc takes a break

Fingers And Tubes In Every Orifice: Taking a break

I’m taking a sabatical and won’t be blogging for a while. Will explain later. I’ve had tough days at work before but what I’m currently going through has driven me over the edge. Medicine’s too depressing right now. Lawsuits to deal with, hospital politics, the usual CRAPPOLA that have sapped the energy out of me. It’s all a slippery slope that I’ve ranted about last February. Here’s an excerpt:

Let’s hope he comes back soon.

Time article on Medical Specialization

How Special is Too Special? | TIME
Pretty good overview from an Orthopod who still ‘does it all’.

Change of Shift 1:21

Change of Shift: Vol. One, Number 21 // Emergiblog

Welcome back to Emergiblog for this edition of “Change of Shift”, a nursing blog carnival by and about nurses and the nursing profession!

We have two new bloggers submitting this week, along with patients and pastors and moms and, oh yeah, nurses!

Up, now.

End of the Code: Strips

MedBlogs Grand Rounds 3:28

UroStream: Grand Rounds Vol. 3, No. 28

Grand Rounds Vol. 3, No. 28

I have the honor of hosting Grand Rounds for the second time! I can’t believe it has already been a year since the last time I put all these great medical posts together. Time does indeed fly when you are blogging away.

I thought of many different ways to “spice up” Grand Rounds. After much deliberation, I finally decided to” stick to the basics” and just present “the facts”, as I did many times before as a resident during our weekly nerve-wracking, anxiety-inducing Urology Grand Rounds.

Very nice, and a Lot of posts.

I brought my coffee cup home yesterday

…and gave my wife a fright.

At work, we’re allowed to have a cup if it’s covered, so it took me about a millisecond to bring one to work for the coffee.  I can quit any time.  Really.

I like coffee, truth be told.  Not as much as my family, but there’s a space for all I appreciate in my life.  I digress.


So, after several months weeks days in continuous operation, I decided it was time to bring the caffeine chalice home to meet the dishwasher.  I put it in my lunch box, and brought the lunch box home, as usual.  In the middle of the night, of course.

The next morning I happened to be standing in the kitchen when my wife opened said box, took out the coffee cup, shot me a quick look and asked “Did you quit your job?”.  She wasn’t joking.

So, no, I didn’t quit my job or coffee.  She’s happy about the first, and resigned to the second.

MUST Act of 2007: ACEP Update

March 9th I wrote about Congresswoman Mary Bono’s proposed MUST Act which would modify the tax code and effectively allow physicians to deduct unpaid emergency care off their taxes.  The American College of Surgeons is on board, but nothing was mentioned on her site about Emergency Medicine, the biggest group of physicians that are impacted by EMTALA and would be affected by this bill.

There’s been nothing on the ACEP site, so I emailed ACEP President Brian Keaton, who was kind enough to respond today:

We have been working with Sen. Bono’s staff on this one and are supporting the bill. We agree that it is a great idea, but the bill has some technical flaws that would, as currently written, exclude about a third of our members from eligibility for the benefit.

Best Wishes!

Aah, so they have at least one of the concerns I did in the March 9th blog post, and the only one affecting 1/3 of ACEP is the “Board Certification” requirement (this is just a guess, but it makes sense from here).  SO, let’s hope they can get the Board Certification requirement dropped for this bill.


An aside: I’m all for Board Certification, and think it’s both valuable and necessary.  My desire to exclude BC from this legislation is based on basic fairness, that if the doc is doing the job they deserve to be paid for it.  BC will work itself out over the next decade or two.

Google conquers the last 200 foot problem

Google TiSP – symtym


Irishdoc on Intern hours

Is there a doctor in the house?: The Hours

Make sure and read to the end, then ask if this is particularly safe.

I remember vividly trying to survive the drive home post-call several times as an intern. I never fell asleep, but I did drive for miles with the parking brake on because I’d forgotten I’d set it, and was so sleep-addled I didn’t recognise it.