Grand Rounds: February 14th, 2012–Valentine’s Day version

To those who submitted posts, I say thanks. I appreciate that you did. Medical Grand Rounds keeps going because of you, the medical blogger. Your voice, your impressions, your passions and your human stories make our field such a great canvas.

via Grand Rounds: February 14th, 2012–Valentine’s Day version.

I actually submitted this time around.

Anyone know the ongoing volume/edition number?

MedBlog Grand Rounds: Year 8!

I’m slow to the draw on this announcement, but you should go see it. This beats all of mine, combined, hands down.

We are in orbit around a remote County emergency department. My crew of young interns is greener than a vat of Vulcan hemoglobin, and being of the Millennial generation they insist on bringing their stuffed Tribbles to work with them. New Federation-mandated work hour restrictions make them as useless as a Romulan lounge singer at a Ferengi bar mitzvah.

My second year resident—Dr. Spock—insists on quoting evidence-based guidelines to me, reminding me constantly that my ad hoc treatment regimens are “highly illogical.” And our respiratory therapist Scotty tells me our CPR dummy “is barely holding together…she can’t take much more o’ this!” Worse still, some redshirt made a documentary of our adventures and put it on StarTube:

via The Wrath of Dr. Khan.

A taste of the ZDogg video empire:

Seriously: Genius. I am humbled.

Family Medicine Rocks – Family Medicine Rocks Blog – Mike Sevilla, MD – Grand Rounds Volume 7 Number 27

I’m honored to be hosting Grand Rounds for the fourth time. This is not the GR theme today, but I did want to mention that it’s Doctor’s Day tomorrow in the United States. Doctor’s Day was first observed on March 30, 1933. Eudora Brown Almond, wife of Dr. Charles Almond, decided to set aside a day to honor physicians.

The red carnation is commonly used as the symbolic flower for National Doctors Day. In 1990, law was passed designating March 30 as “National Doctors Day.” Big shout out to all my physician colleagues out there!

via Family Medicine Rocks – Family Medicine Rocks Blog – Mike Sevilla, MD – Grand Rounds Volume 7 Number 27.

From the formerly anonymous Dr. Anonymous, it’s the well-known Dr. Mike Sevilla at his new blog, Family Medicine Rocks.

MedBlog Grand Rounds 7:26 – Better Health

Welcome to this week’s edition of Grand Rounds, the Cliff’s Notes of the medical blogosphere. Each week a different medblogger reads through peer submissions and summarizes/organizes them all into one blog post (using their own unique structure or theme). Instructions for participation (and hosting) are here.

When I host Grand Rounds I like to organize the posts into emotion categories – kind of the way that movies are categorized into “drama, action, comedy, etc.” This achieves two goals: first, readers have the option of starting with their favorite emotion – maybe you need a “pick me up” or maybe you’re looking for something to get your blood pumping? Second, I get a general feeling for how my fellow bloggers are feeling these days. Judging from the volume of posts in each category, it seems that the majority of you are either surprised or outraged!

via Better Health.

Nicely done!

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.

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.

Medblog Grand Rounds 6:46 is up!

I once worked with a psychiatrist who called listening the most underrated skill, and his words are truer now than ever. Listening is hard work; too often, we just wait for our turn to talk. And that’s if we’re being polite. We don’t talk to each other; we talk at each other or sometimes over each other in the loudest voice possible.

At Dispatch from Second Base

other things amanzi: grand rounds on south african shores.

other things amanzi: grand rounds on south african shores..

Grand Rounds!

Grand Rounds: Edition 6.34 – Better Health

Grand Rounds: Edition 6.34 – Better Health.

It’s up, it’s great, I’m late.

Grand Rounds, May 11th Edition

Welcome to Grand Rounds, a weekly collection of excellent writings submitted by medical bloggers. The theme for this week is minimalism – I’m going to restrain myself and let the authors speak for themselves:

via Grand Rounds, May 11th Edition.

Up a little early.  I like the minimalist approach.

MedBlog Grand Rounds 6:32: The Non Narcissist, Non Personally Aggrandizing Edition

I’m pleased to host this roving blog carnival, and thrilled suitably humbled to be the first 7 time host.

Which is a terrible way to start this, the first Non-Narcissist, Non Personally Aggrandizing MedBlog Grand Rounds, and thanks for putting up with my first theme. 31 submissions from 23 submitters makes this theme viable, and well-attended.

Editor’s Pick:

Where romance and medicine collide

by Movin’Meat.  A tale you’ll retell.  Recommended by Musings of a Dinosaur.

Most Recommended Post:

Why We Need Private Primary Care Doctors

from Musings of a Distractible Mind, recommended by both ACP Internist and Musings of a Dinosaur.

The  body of work, in order of receipt*:

On call- tips from the trenches by Dr. Grumpy (self descriptive), and Only in the Country: Sunshine by Dr. Sanity (people with decompensated psych problems are usually interesting), both recommended by Melissa.

Questioning ‘one in four’ from Mind Hacks (a cogent analysis  of whether that’s the right ratio of people who will have mental illness at some point) recommended by Dr. Shock.

significant moments from other things amanzi (peds and surgery mix poorly) recommended by Jill of All Trades, MD.

Boyfriend Doesn’t Have Ebola. Probably. *UPDATED* from Hyperbole and a Half.  The title has nothing to do with the subject: the funniest, most accurate facial pain scale chart, ever.  Recommended by How to Cope with Pain.

Story-telling in the Age of Corporate Medicine (or more on being called an AIDS denier) by Mad in America is his reply to reviews of his book, which is done well.  Recommended by Behaviorism and Mental Health.

This is what you don’t want to think to yourself upon entering a room: by Head Nurse about the thought and action process (just go read it).  Editorial: awesome and prolific nurse blogger, who you should add to your daily reads.  Recommended by Geena of CodeBlog.

Are WHO rankings entirely worthless? from Healthcare Economist points out an astonishing flaw in the WHO’s ranking measurements.  Recommended by InsureBlog.

The Estrogen Dilemma – Hope, Hype or Just One Woman’s Story? from TBTAMLife, Death and Everything In Between by A Day in the Life of an Ambulance Driver,  Numbers by Dr. Wes (who knew a Navy man could rhyme polite words?) and  choice by OncRn were all sumbitted by #1 Dinosaur, who also happens to have a book!

Blood Pressure Control: No Excuses. Just Do It! by is self descriptive, and was recommended by Common Sense Family Doctor.

Primary Care shortage Predicted to Worsen by Everything Health is sobering, and worth the time.  Recommended by ACP Hospitalist (not to be confused with ACP Internist).

Doctors Push to Change “MD” Titles by M.D.O.D. was described, correctly, as gallows humor.  Recommended by Doc D.

The next all-natural blockbuster drug by Common Sense Family Doctor may just be onto something.  Recommended by Dr. Pullen, indicating a mutual-admiration society.

The Golden Smile by StorytellERdoc and Basketball by Methodical Madness are both excellent stories, recommended by Suture for a Living.

Life cycles is from Medical Moments, a nice story in 55 words.  Prose needn’t be wordy to be powerful.  Recommended by Muse, RN.

Gutter, by intueriDr. Charles knows how to pick ’em.

Through my husband’s eyes… by Olivejooice is an homage to her husband for being there (outstanding).  Recommended by Instructions Not Included.

Sugar-Sweetened Beverages by Dr. Paul Auerbach, one of the powers in Emergency Medicine, recommended by Dr. Jolie Bookspan (now blogging on Twitter!).

Coping, and her Wellness Section by Chemobabe were recommended by Doc Gurley (whose posts about her volunteer efforts in Haiti are not to be missed).

Money Matters by MerryCherry, MD shows the Phillipines have trouble with health costs, too.  Recommended by Dr. Emer who submitted his complimentary post.

EHR Certification – A Delicate Balance by On Healthcare Technology shows acronyms aren’t just for medicine, HIT has plenty (and on a serious not argues whether we should be trying to certify EHR’s).  Recommended by Occam Practice Management.

Pre-emptively, the Grand Rounds post you’re reading now was recommended by The Happy Hospitalist, making him very funny!

Last but certainly not least, Paucis Verbis Card: Vasopressors and Inotropes for Shock in Academic Life in Emergency Medicine is a very nice pocket reference card for the pressors.  Nice! It was recommended by Blogborygmi‘s Nick Genes.

(*=except for these) And then, the Old Fashioned submissions:

Do Antidepressants Really Work? from A Better View, and Is That A T. rex Up Your Nose? New Species of Nose-dwelling Leech Discovered From Living the Scientific Life were auto-submitted.


Would you please include a request for submissions to the May 13 Change of Shift rounds at the end of your Grand Rounds post? 
Details for the theme are at my site (, but the reason I’m asking for your mention is that it would be extra special to include and refer blogs/ posts from the doc group on the topic of “The Greatest Nurse I’ve Ever Known….” in honor of National Nurse’s Week.

Submissions no later than 5 pm your time, May 12.

End Notes

All Hail Nick Genes, the creator of MedBlog Grand Rounds! (I know, but it’s a requirement now).

The next installment is at The Examining Room of Doctor Charles.

Thanks to all for participating!

MedBlog Grand Rounds here May 4th

The schedule can be found here, and this Weeks’ is HERE.  Nick’s nearly always looking for hosts, so drop him a line if you’re interested.

As for my upcoming Grand Rounds Hosting on May 4th, all submissions are due May 3rd by noon your time.

Though I generally dislike themes, I thought of this and therefore think it’s clever:

don’t send me a post of yours, send a post of someone elses’.

That’s right, the First Non-Narcissist, Non-Personal Attention Getting Grand Rounds.

All of us read several different medical blogs, and many of those bloggers never submit to Grand Rounds; here’s your chance to be altruistic, and get someone else some attention!

I plan to post the referred link, with a ‘recommended by’ after it, so tell me who you are, please!  (If you want, send me the link of another blog, and add the one you’d like to see included from your blog as well.  It’s not exactly perfect, but better than sitting it out).

So, start thinking about that great post you read that didn’t get the attention it deserved, and start sending them. Use the contact form, above, or send them here:  but don’t spoil the surprise and put them in the comments, okay?

Doctor Anonymous

Greetings from Atlanta, Georgia which is about 800 miles from Doctor Anonymous World Headquarters in Northeastern Ohio. What am I doing here? Well, I'm attending my first HIMMS conference (which stands for the Healthcare Information and Management Systems) annual meeting.

These are the 37 best posts that the medical blogosphere has to offer this week. In my editors picks, I wanted to highlight what I think are well-written stories. There is also a short excerpt from each of my picks this week.

via Doctor Anonymous.

The nearly-perfect Grand Rounds.

MD Whistleblower: Whistleblower Grand Rounds Vol. 6 No. 22: It’s ‘Alimentary’, Doctors!

It’s been a while since I’ve attended a conventional medical Grand Rounds. These were events where a medical luminary would fly in to give a medical audience a state-of-the-art presentation on a medical subject. Ideally, the speaker was a thought leader and a researcher on the issue.

These presentations were usually not a demonstration of the virtue of humility. We physicians, as a class, have generous egos. Academic physicians occupy a higher rung on the ego ladder. Medical Grand Rounders (MGRs), who are on the GR speaking circuit, often must bring their own ladders to assure they will be able to reach their desired atmospheric height.

via MD Whistleblower: Whistleblower Grand Rounds Vol. 6 No. 22: It’s ‘Alimentary’, Doctors!.

Grand Rounds is up, with the longest preamble in GR history.  Another first!