Ramblings of an Emergency Physician in Texas

Archive for November, 2009

From the department of bad timing…

Posted by GruntDoc on 29th November 2009

Update: A much better headline, from Overlawyered:

“Ask Your Doctor Whether Your Political Views Are Right For You”

GPs ‘should offer climate change advice to patients’ – Telegraph
The Climate and Health Council, a collaboration of worldwide health organisations including the Royal College of Nursing, the Royal College of Physicians and the Royal Society of Medicine, believes there is a direct link between climate change and better health.

Their controversial plan would see GPs and nurses give out advice to their patients on how to lower their carbon footprint.

The Council believes that climate change “threatens to radically undermine the health of all peoples”.

Wonder if this was a pre-programmed press release or if someone isn’t following the news.

Posted in Amusements | 5 Comments »

Docnotes: Ten years of blogging

Posted by GruntDoc on 29th November 2009

Docnotes: Ten years of blogging

Happy Birthday to (what I think is) the oldest continuous medical blog!  Ten years is forever in the world of blogs, kudos.

Posted in Announcements, MedBloggers | 1 Comment »

Who are my readers? Unscientific poll results

Posted by GruntDoc on 26th November 2009

Earlier I asked who my readers were, and had a poll. It’s time I posted the results a couple of weeks in (people have stopped voting, so it’s time):

A completely unscientific, Scouts' Honor survey

A completely unscientific, Scouts' Honor survey

Thanks to all of you who participated, and to you lurkers, too.

Posted in Announcements | 4 Comments »

DIY Botox Seller Busted by Texas Attorney General | Wired Science | Wired.com

Posted by GruntDoc on 25th November 2009

Well, good:

DIY Botox Seller Busted by Texas Attorney General | Wired Science | Wired.com

There seems to be no limit to either the desire for body modification or the willingness to serve that desire.

Posted in Current Affairs | 1 Comment »

Funny YouTube Post: ED Drug Seeker

Posted by GruntDoc on 25th November 2009

This is wayyy too close to reality:

Heh. Dunno why they’re in a convenience store, but that might me a commentary on the ED environment.

Thanks to a reader with a very recognizable name, who shall therefore remain nameless…

Posted in Amusements | 10 Comments »

Fun with Amazon

Posted by GruntDoc on 22nd November 2009

Tipped by Ace, here’s some hilarity brought to you by Amazon: Laptop Steering Wheel Desk.

It’s not the product that’s funny, it’s the comments.  For instance:

This has been a total lifesaver. It allows me to prop my sheet music against the wheel, allowing me to play the guitar with both hands while driving.

Except they just get better.

Posted in Amusements | 1 Comment »

Money for Nothing, Healthcare for Free : PANDA BEAR, MD

Posted by GruntDoc on 22nd November 2009

Panda has roused himself to post again.

Money for Nothing, Healthcare for Free : PANDA BEAR, MD

Dead on, as usual.

Posted in MedBloggers | Comments Off

Dr. Wes: What To Opt Out of Medicare?

Posted by GruntDoc on 22nd November 2009

Interesting. Dr. Wes links a major Medicare opt-out in Arizona:

Dr. Wes: What To Opt Out of Medicare?

Note, this is before the current health bill, which includes Medicare cuts.

We live in interesting times…

via Dr. Wes

Posted in Medical, Policy | Comments Off

iMedicalApps.com

Posted by GruntDoc on 20th November 2009

iMedicalApps.com is the new home for the former iphonemdeicalappreview.com I linked to a while back. (Kudos on the name change, the original isn’t easy or intuitive to type).

From their email today:

Just wanted you to know we changed our blogs name from iphonemedicalappreview.com, to iMedicalApps.com. We now have a team of physicians and medical students writing reviews and commenting on mobile applications for the iPhone and other devices (reason for the move: Our first name was entirely too long, and we moved to WordPress).

So, a site for medical app reviews, and a better name, too!

Posted in Announcements, from the iPhone | Comments Off

Health Care Law Blog: A 1930 Medical Record

Posted by GruntDoc on 20th November 2009

Very cool glimpse into the past:

Health Care Law Blog: A 1930 Medical Record

Here are photos of the medical record of a patient from 1934. The medical record format is simple yet complete.

Today’s medical record takes up pages on pages, and is a giant time-sink when compared with this notation system. Before 3rd party billing (and monkeys with guns) this was all that we needed.

Thanks for sharing, Health Care Law Blog…

Posted in Medical | 1 Comment »

Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN!

Posted by GruntDoc on 19th November 2009

Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN!
2009 totals – MARINES WIN!
Thanks to all who participated and or contributed to this campaign. A lot of technology for our wounded heroes will be purchased because of you!

Total brought in for all teams, including donations not designated to any team: $113,124.90
By team -
Air Force: $15,662.17
Army: $32,758.80
Marines: $43,060.89
Navy: $19,108.04
General donations: $2,535.00

I swiped her whole post, so go over there if you want to leave some kudos.

Many thanks to all for donating. Really good cause…

Posted in Announcements | Comments Off

BBC News : Alcohol ‘protects men’s hearts’

Posted by GruntDoc on 18th November 2009

Lifestyle validation, or confounding variable?

BBC News : Alcohol 'protects men's hearts'

Wine, beer, vodka – the type of drink did not appear to change the results

Drinking alcohol every day cuts the risk of heart disease in men by more than a third, a major study suggests.

The Spanish research involving more than 15,500 men and 26,000 women found large quantities of alcohol could be even more beneficial for men.

Female drinkers did not benefit to the same extent, the study in Heart found.

The researchers from centres across Spain placed the participants into six categories – from never having drunk to drinking more than 90g of alcohol each day. This would be the equivalent of consuming about eight bottles of wine a week, or 28 pints of lager.

How much drinking are we talking about here, really:

For those drinking little – less than a shot of vodka a day for instance – the risk was reduced by 35%. And for those who drank anything from three shots to more than 11 shots each day, the risk worked out an average of 50% less.

Wow. That’s a lot more than a glass of wine with dinner.

The data on this isn’t settled (by a long shot). The biggest thing I get from this is there’s a lot of drinking going on in Spain.

Posted in Medical | 5 Comments »

Listen to Your Doctor, Uncle Sam – Nurse Ratched’s Place

Posted by GruntDoc on 16th November 2009

Listen to Your Doctor, Uncle Sam – Nurse Ratched’s Place
Dear Uncle Sam:

I know it’s been a rough week. I’m sure you’re grieving the lost of life at Fort Hood just like the rest of us, but I’m compelled to write you this letter. I hope you take it in the spirit in which it is meant.

Indeed.

Posted in Medical | 3 Comments »

I need a new explanation

Posted by GruntDoc on 16th November 2009

Because mine no longer makes sense to people…

Many of the abscesses I drain require wound packing (I generally use 1/4” iodoform gauze, so these aren’t giant cavities), and during the procedure I tell the patient why I’m doing a wound packing, and what to expect.

When we’re done with the procedure, until yesterday I used to tell patients to remove their packing in 3 days “Like you’re starting a lawn mower, just get it out”.  That’s when the nurse laughed, and said her mower is an electric start.

I asked the patient if they’d ever started a lawn mower, and the answer was no.

So, what shall I use as a universally understood analogous action to smoothly but quickly pull something?  Zipper?  I’m coming up blank…

Posted in Emergency | 23 Comments »

The People’s Cube – Local Man Claims Responsibility For Own Problems

Posted by GruntDoc on 15th November 2009

If you need a chuckle, here it is… (the first paragraph; the rest is just piling on…)

The People's Cube – Local Man Claims Responsibility For Own Problems
In an odd exposé that has left the worlds of politics and academia abuzz, a local homeless person revealed yesterday that he only blamed himself for his failures.

Posted in Amusements | Comments Off