Officials investigate first Tarrant County measles cases in 17 years | Mom2MomDFW.com

Health officials are investigating two confirmed cases of measles, the first in Tarrant County in 17 years.

via Officials investigate first Tarrant County measles cases in 17 years | Mom2MomDFW.com.

Goody. I was tested years ago and was a vaccine responder, but still.

Yahoo! News: US News breaks out the best hospitals by 1 Mil Metro areas

To take a bite out of their guesswork, U.S. News tapped its latest annual evaluation of the nation’s nearly 5,000 hospitals and, for the first time ever, ranked the best ones in the 52 U.S. metropolitan areas with 1 million or more residents. Today’s release of those rankings represents the largest expansion of U.S. News Best Hospitals since the annual rankings began more than two decades ago.

via Yahoo!.

Interesting.

Update: Hmm, that article over-spoke. Here’s more what’s happening, from the WSJ: they’re just getting less support, not running away.

 

Google Drops Health Project – GLG News

Summary
Google Health being dropped is a setback for Electronic Medical Records EMRS in three ways: 1 Widespread adoption through cloud access; 2 Time-to-market and payback; and 3 Cross-industry collaboration.

via Google Drops Health Project – GLG News.

My summary: Google couldn’t find any way to make money doing this, so they bowed out.

I think that’s a completely rational decision for them to make. Unfortunate for the world, but that’s business.

Aggravated DocSurg: Waiting & watching for Jon

We were invincible. Packed into Jon’s pale yellow Olds Cutlass, the car I’d always wanted, careening down the road between our high school and its “sister” all-girls school, we’d sing along with whatever was playing on the oversized speakers garishly mounted in the back. More exactly, we’d usually be screaming along with the music, which was loud enough to rouse more than a few nearby drivers from their afternoon daydreams.

We were on our way to……take a typing class.

via Aggravated DocSurg: Waiting & watching for Jon..

It goes sideways after that.

Excellent post.

Dr. Wes: The Wren

Dr. Wes: The Wren.

A beautifully done blog post. Recommended.

A laryngectomy shakes this physician to the core

As an infectious diseases physician with a special interest in head and neck infections, I had extensive experience in otolaryngological illnesses. However, when I was exposed to new, different, and challenging experiences as a neck cancer patient, I had to deal with these as a patient — not as a physician. I endured the consequences of radiation, repeated surgeries, and prolonged hospitalizations. I confronted medical errors in my care, discrimination following loss of my vocal cords, and the hardships of regaining my ability to speak.

via A laryngectomy shakes this physician to the core.

I could not be that brave.

Definitely worth the read.

Why I don’t blog much anymore, and why I won’t stop

I don’t, and it’s not because I don’t appreciate the eleven of you. I do, it’s just that life, and blogging, evolve.

Here are my thoughts on why I don’t blog much anymore:

Technology changes. I Twitter more now than I blog. (@gruntdoc if you’re interested). What I twitter is occasionally snarky and completely useless and nonmemorable, so it’s not blogging, it’s just (sorta)-social media in action. Facebook is where people keep track of each other, and I’m engaging there, somewhat. I still prefer blogs.

My role in my Emergency Medicine group has changed. I’m now one of three ‘officers’ (I’m the Secretary, and no I don’t file or take dictation), but with a little more responsibility comes the awareness that people higher up than me are interested in what I think, and vice-versa. I’d hate for anyone to believe my blog is representative of my thinking (it’s not, the blog is better). Low expectations are better than high, in some circles.

I’ve said it. Frankly I’ve written 20 blog posts that I get halfway through and realize “I’ve said this before”, and that’s that. I’ll only rant about the same thing (excluding parasites) about three times, then it’s Done. Repetition isn’t fun to read on blogs, and I’ve spared you. Welcome. (Many bloggers have had this realization and had the decency to quit. Color me indecent).

I’m established. Yeah: stale, but present. There’s one continuous medblog I know of older than mine, and with that comes a sense of being, of not having to write to get attention. To be fair, stale isn’t what I aim for, but it’s what you get when you don’t push, and I’m not pushing. No argument. Also, not an excuse.

Parasites. There are ever-changing ways to screw docs, they’ll find them, and I’m less and less interested in handing them a blog post they can use against me. And, as I hate them, not worth the effort to rail at them. Doing so diminishes me, and certainly doesn’t elevate them. So, heck with that.

Commenting on the work of others is probably my best input/output option. Yeah, it’s sometimes lazy, but I think sometimes i have an interesting take on the blog/news of the moment. (YMMV).

A ton of my blog-peers, and blog-children, have packed it in. Nobody’s claimed blog-grandchild, and I understand that. It’s the blog version of an old-folks home sometimes, with the whipper-snappers causing problems and getting on the porch. No offense, but I haven’t added a blog to the blog-roll in probably a year. I don’t think blogging is dead, but it’s entirely possible it’s passed me by. Time will tell.

Shifting hobbies. I like projectile-oriented things, spend a lot of time (and the same dollars) on this hobby, and fearit’s not something people on this blog really dig. I don’t want to go all-shooting, but it’d be hard to stop if I started. So, restraint. For now.

Snootiness. Yes, me. I feel I’m setting a disapproving example in not blogging when others blog. About politics,  especially. Political hackery turns the seemingly most-eloquent, genius med blogger into a raving idiot, and not in a good way (either way). The disconnect between politics and the gentle practice of medicine is vast, and I choose to lead by Not Playing. True, I’ve lead in a direction nobody is interested in following, but I feel that it’s still worth the lack of effort. Someday my genius will be recognized. I hope.

Aging. As I become more mature I’m letting things go I didn’t before. The realization that some things are temporary, and those that aren’t don’t usually matter have made me (a little) more tolerant of folderol and foolishness. And get off my lawn.

Why I don’t plan to stop:

I’m a blogger. Yeah, not an auspicious beginning, but an actual description of an organism. (Or, to be fair in describing a blogger, an onansim, but I digress). That likes to blog.

I’m too lazy to quit. I’ve goofed on this before, but really, why quit (more than) now?  The world will miss me when I’m gone (I mutter this to myself continuously).

Blind squirrels, etc. Nuts are my especitalty…

I like all eleven of you.

Thanks for coming around now and again. I promise you…nothing, but when the Spirit moves, I shall keep blogging.

 

 

Texas budget crunch could delay M.D. program in Fort Worth | Texas Legislature | News fr…

AUSTIN — A proposal to add an M.D. program to the medical school in Fort Worth could be delayed because of state budget woes, lawmakers and local officials said Thursday.The possible setback for the M.D. school — which would be at the University of North Texas Health Science Center at Fort Worth — was just part of the grim news that confronted scores of Tarrant County officials as they spread out in the state Capitol to lobby for local priorities.

via Texas budget crunch could delay M.D. program in Fort Worth | Texas Legislature | News fr….

Interesting.

Dr. Wes

I stumbled across Klout.com 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.

Doc Rob: Unplugging

I have made a very big decision: I am going to unplug myself from the internet world for a while.  That means that I am hanging up my blogging for now.

via Unplugging.

I’m not going to swipe any more of his post, go have a read.

He’s been a good, prolific blogger with smart thoughts expounded in an entertaining way.

I speak for many that I hope he returns with his humor and voice intact, but even if he doesn’t we’re the better for having had him for this long.

Thanks, Dr. Rob, and enjoy the Llamas.

Joint Commission – Anti-Safety in Action | WhiteCoat’s Call Room

“Severe pain can trigger suicide in hospital ERs” the headline reads. If they’re still calling it an “ER” you already know they’re clueless.

Since 1995, there have been 827 reports of patient suicides in the United States. Of those, about 14% are in non-behavioral health units, making a total of about 116 non-psychiatric inpatient suicides in 15 years.  That’s about 8 inpatient suicides per year out of 198 million inpatient days per year (644 inpatient days per 1000 population in US x 307 million US population) for a total chance of an inpatient committing suicide on any given day of … 1 in 24.75 million.  Now I admit that the numbers may be off by one in a couple million or so because reporting suicides is voluntary for hospitals, so not all suicides get reported.

via Joint Commission – Anti-Safety in Action | WhiteCoat’s Call Room.

Again, I went into medicine as I understood there would be little math.  Others are good at it, and thanks to White Coat for doing the heavy lifting.

Read his post, and enjoy the probably well-intentioned silliness.

And, marvel at what happens to every organization that outlasts its original mandate: it eventually has to keep ‘doing something’ to make all its parts relevant.  Unfortunately, what it does makes it more irrelevant than had they done nothing.

It must take a lot of fortitude to do nothing when that’s what is the right thing to do in these realms…which is why it seldom happens, if ever.

Darvocet is banned, Primatene mist still available

FDA is therefore illogical. At best.

Dr. Arafiles arrested – Winkler County

Jailed and bailed as the person who sent he the link says…

KERMIT The ongoing saga of the whistle-blowing Winkler County nurses took a turn for the karmic Tuesday with the arrest of Dr. Rolando G. Arafiles on charges of retaliation and misuse of official information. Both are third-degree felonies.

Arafiles left the Winkler County Jail on a personal recognizance bond and had his passport revoked, CBS 7 reported. (Arafiles is a native of the Philippines).

Arafiles arrest results from the criminal investigation of nurses Anne Mitchell and Vicki Galle.

They were fired from Winkler County Memorial Hospital and were indicted and arrested by local authorities in 2009 in connection with misuse of official information after they sent an anonymous letter to the Texas Medical Board with examples of 10 patients they believed Arafiles had not properly treated.

Arafiles’ criminal charges come from the Texas Attorney General’s Office. In the arrest warrant affidavit, Arafiles is accused of giving patient information to Winkler County Sheriff Robert Roberts, Arafiles’ friend and also a patient, so that Roberts could investigate the source of the anonymous accusations against him. After determining the patients themselves hadn’t made the complaints, Roberts identified Galle and Mitchell as the whistleblowers, setting into motion all future events that brought national attention to the small community.

via Winkler doctor arrested | arafiles, winkler, county – Local News – Odessa American Online.

I had hoped this wasn’t over.

Captain Atopic : Degranulated: Full Time.

Sunday, December 19, 2010 by Captain Atopic

So this is it; During the course of this wee blog, I had several ideas about how to wrap it up- the range from just disappearing to a protracted series of farewell posts.

Like a long list of medstudent bloggers, I’m pulling the pin now that I’m finished. My aim with Degranulated was to blog weekly until graduation, and, well, that’s where I am.

via Captain Atopic : Degranulated: Full Time..

It was a good ride.  I predict Captain Atopic will return, though in the Residency form.  And if not, we still got the free entertainment.

Thanks, Captain Atopic!

Mom | The Blog That Ate Manhattan

We tried, Mom. We tried so hard.

via Mom | The Blog That Ate Manhattan.

A Beautiful, Loving Tribute.  I mourn your loss.