Archives for February 2011

Last living U.S. World War I veteran dies –

Washington (CNN) — Frank Buckles, the last living U.S. World War I veteran, has died, a spokesman for his family said Sunday. He was 110.

Buckles “died peacefully in his home of natural causes” early Sunday morning, the family said in a statement sent to CNN late Sunday by spokesman David DeJonge.

via Last living U.S. World War I veteran dies –

Farewell.  And, thanks.

Dr. Watson and the 7 Qualities of an Ideal Physician

Dr. Watson and the 7 Qualities of an Ideal Physician.

Dr. Charles imagines a Dr. Watson. Pretty funny, and I very much liked the ending…

HIPAA Bares Its Teeth: $4.3m Fine For Privacy Violation | threatpost

The health care industry’s toothless tiger finally bared its teeth, as the U.S. Department of Health and Human Services issued a $4.3 m fine to a Maryland health care provider for violations of the HIPAA Privacy Rule. The action is the first monetary fine issued since the Act was passed in 1996.

A copy of a penalty notice against Cignet depicts a two year effort in which HHS struggled with what appears to be a dysfunctional Maryland provider unaware of the potential impact of HIPAA non compliance, and unwilling or unable to cooperate with HHS in any way.

via HIPAA Bares Its Teeth: $4.3m Fine For Privacy Violation | threatpost.

At first reading of the title, I was willing to rail against HIPAA, as I’m tired of it.

Then I read the post.

Wow. It’s like a test case designed to see just how far you could push HHS, and frankly how incompetent you can be while pushing.

Seems HHS was having trouble getting Cignet’s attention. Bet they have it now.

St. Baldrick’s – Participant – ShadowFax

St. Baldrick’s – Participant – ShadowFax, MD.

So, Shadowfax, of Movin’ Meat fame, is having his head shaved (again) to raise money for childrens’ cancer research. Yeah, he’s a squishy lib and subject to bouts of poli-hackery, but he’s a decent guy and nearly as good a blogger as I. (Heh).

It’s a good cause by a good guy, so please consider getting over to his site and giving a couple of bucks.


Dr. Wes

I stumbled across recently, thanks to an tweet by the well-respected web strategist and industry analyst at the Altimeter Group, Jeremiah Owyang. Needless to say, it’s not a place doctors venture much.

So I looked into the scores and characteristics of a few physician bloggers. The results were interesting.

via Dr. Wes.

Indeed they were. Go, read.

Thought Leader. I’ve never been accused of that before.

Meet the first Congressional EM Physician

Dr. Joe Heck, NV:

I was unaware this was the first Emergency Physician to be elected to Congress. Good for him!

I suppose that leave me to be the first for the Senate…

I’m actually very heartened by recent events

In some Northern State there has been a lot of protesting about teachers, unions, etc. This isn’t about that, at least not directly.

At this protest were a few doctors who were supplying ‘sick notes‘ for protesters. Let’s leave aside for the moment the desire to protest but not want to face the music for your actions, wanting a sick note to explain your absence. Not terribly brave. I wonder what would have been thought of a Declaration of Independence signed “anonymous”.

What I’m heartened about is the criticism leveled at the doctors who provided these notes, with (reportedly) no real history, exam, or documentation (beyond the note). It seems everyone expects doctors to be above obvious political motives, and not to offer a service even as seemingly trivial as a work note without, you know, practicing medicine.

Doctors: expected to be ethical. I think that’s great.

Doctors decry poor ER conditions via YouTube – FierceHealthcare

Doctors at LaSalle Hospital in Montreal have turned the cameras on the “intolerable, unhygienic” state of their emergency rooms, reports CBC News. They’ve posted seven videos on YouTube and launched the website as part of an online campaign to demand improvements.

“We weren’t being heard,” said Dr. François Langlais, one of the two physicians behind the campaign. “It was a last resort. It wasn’t something that we’re doing happily,” he told CBC.

via Doctors decry poor ER conditions via YouTube – FierceHealthcare.

Alerted to this story by AmedNews via Twitter ( @amednews ), I followed the link to their site (you’ll have read the Fierce Healthcare article to find the link).

I’ve watched the videos. I also listened, but as they’re in French and that’s not a language I even sort of understand, I’m not sure what all the fuss is about. There’s not much in the videos that is distressing to me (blocked fire exits are the biggest thing I saw), and it’s pretty cramped.

Some of the gear is worn but appears clean and functional. Yes, there are patient beds in the hall. From a visuals standpoint their facility looks quite a bit nicer than the one I work in.

So, anyone out there able to translate these and give me the gist of why these docs felt compelled to make youtube videos deploring their working conditions?

2010 Medical Weblog Awards Sponsored by Epocrates and Lenovo: Meet the Winners!

The winner of the Best Medical Weblog of 2010 is Scott Weingart’s EMCrit blog. This is the golden age for emergency medicine blogs and Scott, an Emergency Department Intensivist from New York City, writes of interesting issues for other clinicians in the field. EMCrit blog also features popular podcasts where Scott discusses procedures, checklists, and other practically useful knowledge for others rescuing people in the ER. We’d like to congratulate Scott on winning the most coveted award in the medical blogosphere.

via 2010 Medical Weblog Awards Sponsored by Epocrates and Lenovo: Meet the Winners!.

Go to MedGadget and meet all the winners, each truly deserving.

Kudos again to MedGadget for hosting this yearly! I was originally scheduled to judge, but life intervened, and was forced to back out, adding to the MedGadget burden. While you’re there, maybe drop them a line and say thanks for hosting?

This is what one kind of stroke looks like

Update 2-17-11: Not a stroke, thank goodness, but a stroke mimic, a complex migraine:

LOS ANGELES — A TV reporter who lapsed into gibberish during a live shot outside the Grammys suffered a migraine, her doctors said Thursday.

KCBS-TV reporter Serene Branson was doing a stand-up Sunday outside the Staples Center where the award show was held when her speech became incoherent. The station quickly cut away, and she was examined by paramedics and recovered at home.

Branson’s incoherence fueled Internet speculation that she suffered an on-air stroke. But doctors at the University of California, Los Angeles where she went to get a brain scan and blood work done ruled it out.

I’m glad for her. The smart move is to assume this is a stroke until proven it’s not, and I’m glad it wasn’t.

Original Post:

The site I found this on assumed it was on-air jitters, and called it ‘the flub heard ’round the world‘.

Except it’s not a flub. This is one way a stroke can present (watch the video, it’s short and unforgettable):
I cannot suppress the autoplay, and for that reason the video and the rest of the post is below the fold. Apologies.
[Read more…]

MedBlogs Grand Rounds 7:21

Welcome to this weeks’ Grand Rounds, a self-selected compendium of the best of the Medical Blogosphere!

This is my 7th time to Host (first Seven Timer), and it’s always an honor. I asked everyone who submitted to send the date of their first blog post. After graphing them it’s a waste of time, nothing to see, you’re spared/welcome. Thanks everyone, anyway.

28 submissions by 27 authors, thanks to all.

First, the only post recommended by someone other than themselves (Liaka’s MedLibLog offered this, and kudos) is Dr. Wes with Social Media and The Challenge of Overcoming the Challenge of Intellectual Complacency. Tests (really, information / teaching) via Twitter. This would be cool, were I not complacent.

I’m partial to the ‘Joe Friday’ version of Grand Rounds, and here you are, in the order of submission:

BJC Connected Care: Am I a better doctor if I wore a tie? (Grammar alert). I don’t ever wear a tie in patient care.

Suture for a Living: Advertising. Not for her.

The Sterile Eye: Mirror of the Body. Medical photography of the past, with mirrors. Possibly NSFW.

GlassHospital: Beyond a spoonful of sugar. Points out an Alzheimer’s hospital that has it right.

InsureBlog: Pots, Pans and EMR. Overcrowding meets ingenuity. Shame it has to.

Get Better Health: Why Yoga Might Make me a Better Doctor. Well, if you’re not going to wear a tie…

Billy Rubin’s Blog: Readmission Rates as a Means to measure Hospital Quality. It’s more complicated than apples to apples. More apples to Kumquats. (Fun blog name).

Colorado Health Insurance Insider: When the Media recommends over-consumption of healthcare. Prevention…

Health Business Blog: myDrugCosts provides transparency on a mobile platform. Patient empowering. Nice.

HUB’s LIST: Cranberry Juice, Medical fun facts…. Various medical doings in easy bullet format.

Covert Rationing Blog: How to sell assisted suicide. Death is cheap. Who pays the bills?

ACP Internist Blog: Overdiagnosis and the potential for harming patients. Culture of illness. Nice description.

ACP Hospitalist Blog: ZDoggMD’s Hard Doc’s Life. Worth a watch!

HealthBlawg: Measuring patient experience of care. Happy patients, measured.

health AGEnda: Caring begins at home. Elder family, and challenges. Excess Death. Stop smoking. Really.

D.O.ctor: The D. O. dialog. Misconceptions and the D.O.

Behaviorism and Mental Health: Overeating is not an illness. DSM. (Follow the money).

In White Ink: Pride and Prejudice. Happens. (Based loosely on a recent flamewar).

Hanging by a Stethoscope: Are Resident Physicians Workers or Students? Supremes say Workers. Get the bennies, then.

scan man’s notes: A Parable of Rigidity. Red tape.

The Happy Hospitalist: Before and After Arby’s Fast Food Pictures. Maybe overeating is an illness.

Medical Lessons: The King’s Speech is Not Just About Stuttering. A movie I need to see, apparently.

Laika’s MedLibLog: The Web 2.0-EBM Medicine Split. Nice! Go read. No summary for you.

Pensive Pediatrician: Text4Baby. Interesting idea. Leveraging cell phones for baby messaging.

WhiteCoat’s Call Room: Birthright? Patient want the right to tape in hospitals: so, the reverse is okay?

Aggravated DocSurg: Henny Penny in the Hospital. Catastrophizing. Word of the Day.

If yours isn’t in here I lost your email, or my dog at my HTML. Either way, drop it in the comments, and Mea Culpa.

Next Week’s Host: Dr. Rich’s Covert Rationing Blog! Thanks to Nick for starting it, and to Val for helping keep it going. And my wife for understanding.

Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ — CHICAGO, Feb. 9, 2011 /PRNewswire/ —

This weekend, Dr. Jeremy Hampton, an aviation enthusiast and amateur photographer who is also an emergency medicine specialist at Kansas City’s Truman Medical Center and assistant professor at the University of Missouri – Kansas City School of Pharmacy, will be Boeing’s (NYSE: BA) guest at the debut of the newest 747 passenger plane, the 747-8 Intercontinental.

via Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ — CHICAGO, Feb. 9, 2011 /PRNewswire/ —.

Pretty cool, and smart of Boeing to reward those who advertise for them for free!

MedBlogs Grand Rounds 7:21 HERE next week

The rules of this one are simple: old school, send me your ONE best post of the week or so, and it’ll get in. Don’t send me two, send one. Use the Contact Form above, not the comments. Submit one for a friend if you’re so inclined.

ALSO, please include the date of your first blog post, doesn’t have to be your current blog. I want to get a sense of the state of the medblogosphere.

Deadline is noon your time, Monday the 14th (Valentines’ Day).  Happy Blogging!

Suture for a Living: Grand Rounds Vol 7 No 20

Grand Rounds Vol 7 No 20

It is my pleasure to bring you this week’s Grand Rounds. As I am sick of winter and looking forward to spring, I am going to sprinkle this edition with images of some beaches near the contributors. Enjoy!

via Suture for a Living: Grand Rounds Vol 7 No 20.

Go hither, and enjoy Dr. Bates’ excellent compilation.

Come here tomorrow, and I’ll announce the guidelines for next weeks’ Grand Rounds.

Physician who had nurses prosecuted is placed on probation | State | News from Fort Wort…

AUSTIN — Texas medical regulators on Friday placed on probation a West Texas doctor involved in the unsuccessful prosecution of two nurses who complained anonymously that the physician was unethical and risking patients’ health.

The Texas Medical Board technically suspended Dr. Rolando G. Arafiles Jr. but allowed him to continue to practice medicine while on probation for four years if he completes additional training.

via Physician who had nurses prosecuted is placed on probation | State | News from Fort Wort….