Ramblings of an Emergency Physician in Texas

Archive for the 'GrandRounds' Category


MedBlogs Grand Rounds 4:46

Posted by GruntDoc on 6th August 2008

Pure Pedantry : Grand Rounds Vol. 4 #46
… Thus, this particular edition of Grand Rounds will be South Park themed.

Kenny may or may not have been killed.

Popularity: 3% [?]

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Blogborygmi Passes the Torch

Posted by GruntDoc on 29th July 2008

Grand Rounds: Change of the Guard


When this series started, the word “blogger” was just entering the public consciousness. The value of healthcare blogs — to entertain, inform, and improve understanding — this was clear to us, but we weren’t really sure if anyone outside our group would ever notice.

Two hundred weeks later, every major media site has a blog on medicine and health, the industry is paying to access what physicians write online, and the transparency of blogging is transforming healthcare from the ground up (or, in some cases, from the top down).

Healthcare bloggers now have access to figures like the Surgeon General or AMA president. Healthcare bloggers write op-eds for major papers, appear on TV, and publish books.

Grand Rounds, I think, has had a role in this. …

He thinks correctly.

Please go and read it all.  I won’t steal the end, but it appears Nick has chosen worthy successors and I look forward to a continuation of Grand Rounds, whatever its direction.

Nick Genes is as talented a blogger as there is, and Grand Rounds has been his baby from the beginning.  He’s shown remarkable patience with its growing pains (and didn’t tell me to be quiet when I griped about ‘themed’ rounds), in short he was just the leader the time and situation needed.  I look forward to his EM graduation so we can have more of his time as a blogger (darned Chief Residency lifestyle…).

GruntDoc wouldn’t be anywhere without Nick and Grand Rounds; the exposure of contributing early and often drove up my traffic to all 9 of you, and I have Nick to thank for that, too.

Thanks Nick, for letting me participate, and for keeping the best medical blog carnival rolling along!

Popularity: 12% [?]

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MedBlogs Grand Rounds 4:45

Posted by GruntDoc on 29th July 2008

MedBlogs Grand Rounds 29 July, 2008. ‘Why do we do it?’ at edwinleap.com
Welcome to Grand Rounds! This is my first time hosting, so thanks for your patience as I stumble through. And thanks to everyone who submitted! There are some extremely insightful folks out there, and I’m grateful to showcase their thoughts.

Another nice job, in his particularly well-written style.

Popularity: 12% [?]

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MedBlogs Grand Rounds 4:44 The 200th Edition!

Posted by GruntDoc on 21st July 2008

I’m Honored to be the first Sixth Time Host, but more importantly to be the host of the 200th Edition of MedBlogs Grand RoundsDr. Nick Genes deserves all the credit for starting (and maintaining) this wandering collection of links to the best of the MedBlogosphere (thanks, Nick!).

There were more than 40 submissions this week, and here they are in the order they were received, (with my ER Doc attention span review in parenthesis at the end of the link):

The Happy Hospitalist submits an excellent diagnostic sign of malingering, the Sleeping Husband Sign (must read for acute care docs and nurses).

Highlight Health says people lie about their fruits and vegetable intake (no!) in  Did You Eat Your Fruits and Vegetables Today? (I’d have the same reporting bias, unless coffee and beer are considered grains).

Vitum Medicinus describes how his medical school tries to convince students to become family doctors…and how they really end up
doing just the opposite in The failed mandate of our family practise course (surprise: medical students didn’t get into med school by being dumb or easily influenced).

Wait Time blogs about the upside of efficient time management: having time to spend with patients in Finding Time (this says a lot about his compassion, and makes the point that being efficient doesn’t mean heartless; it’s the opposite).

Dr. Val interviewed reporter (and Texan) Bob Schieffer about his cancer in A Survivor’s Story (Dr. Val is a good interviewer, and has some amazing access).

Amanzimtoti write about visiting Americans from an NGO (ugly Americans) in Third world aid (Bad behavior should be punished, by pointing it out).

Other Things Amanzi (yes, the last two are related) relates an arresting story from the ICU: captive (that’s some determination).

Diabetes Mine interviews an inspiring diabetes educator: The Diabetes Educator We All Should See (nice interview by one of the medblog worlds’ brightest lights).

Colorado Health Insurance Insider covers a push by ACOG and the AMA to label home births as unsafe: Shame On You ACOG and AMA (seconded here).

Dr. Tienchin Ho also has something to say about this ACOG statement in HBACM Statement on Home Births (also thinks the ACOG got it wrong; new blog is focused on good birth information, home and hospital).

Dr. Shock begins a series on the Patient-Doctor relationship with Empathy (quite good).

Insure Blog has nothing nice to say about shoddy reporting in Disturbing Carrier News (read it all to see the happy ending).

FreshMD introduces me to a new term in Tonsilloliths a.k.a. throat poo (another great term for the ED).

Suture for a Living reviews , well, Major and Lethal Complications of Liposuction (Fortunately, I don’t need it this week…).

Odysseys of George finds and cures a rare cause of upper GI bleeding: A Rare Bleeder or is it really? (with pictures!).

How to Cope with Pain wonders Are You Mindful 24/7? (something I wonder about in the ED chronic pain patients…)

In Sickness and In Health finds she can vacation in My Own Private Idaho (I like happy endings in stories).

Health Business Blog on The Medicare monster (which Will eat us alive, as no politician is going to push Means Testing until we’re past broke).

Canadian Medicine reports in the over-regulation isn’t just a US thing with It’s a wrap for dangerous donairs after health warning — and good riddance, I say (I don’t want one).

HealthLines’ Health Connects wishes Nelson Mandela a Happy 90th Birthday (do I want to be 90?  No, I want to be this age twice around…).

Unique but Not Alone write about a conversation with her daughter: But we’re not like that Mom… (I’m impressed she can write about this talk at all…).

HealthLine’s The Fitness Fixer wants to set the record straight about Three Common Swimming and SCUBA Myths in the News Again (nothing about waiting after eating before swimming…).

Covert Rationing submits Fun With Randomized Trials, and Breasts (the comma is unnecessary, as is any comment from me).

Medical Jokes alerts us to an acupuncture technique guaranteed to stop, well, any problem: Roman Acupuncture (not much repeat business).

Neuroanthropology introduces us to Bench and couch: genetics and psychiatry (I read it, and I think I understand, but I hope it’s not on the test).

Notes of an Anesthesioboist on the self-describing Why The O.R. is NOT a “Meat Market,” Grey’s Anatomy Notwithstanding; and, Looking a Patient in the Mouth: What’s That About? (good intro to one aspect of the pre-anesthesia eval, and some really interesting pictures…).

Doc Gurley on steroids for atypical infections in Body’s Too Eager… (good post, but her prestigious award under her picture got my attention).

Anatomy on the Beach has some Thoughts of a Generalist (and I think the blogger is correct).

HealthLine’s Teen Health 411 (lotta HealthLine bloggers out there) says correctly Youth Need More Exercise (though I think statins in the teens is too much).

HealthLine’s Medicine for the Outdoors (the esteemed Dr. Paul Aurebach) alerts us to MRSA Madness and Tomato Update (good info on MRSA; I disagree on wound cultures, and our food supply is laughably vulnerable.  Where are those Rajneeshees, anyway?).

The Back Pain Blog answers the age-old question Sciatica and the Epidural: Are You a Candidate? (good info for those who are considering it).

Life. Not Terribly Ordinary went to dinner, and it didn’t go well.  Awkward much? (very).

Rural Doctoring submitted several (she’s on a tear these days) but this one fit: What is Transparency? (only Flea knows for sure…).

The Cockroach Catcher advises how to get out of trouble: Try Illness First, then Children (it didn’t work; read it anyway).

Clinical Cases has found a way to use Google Trends for Research (with videos, even).

Allergy Notes has found a potential screening tool for asthma: Portable Exhaled Nitric Oxide Meter as a Screening Tool for Asthma (at 52% sensitive and $4200 it’s going to be a tough sell).

Dr. Penna has an intro to Molecular Orthopaedics - What is it (orthopedists are getting smarter…).

HealthLine’s Tech Medicine has a  Review of Epocrates on the iPhone (does anyone own Palm stock anymore?  If so, why?).

HealthLine’s Fruit of the Womb has a comment string highlighting that Amniocentesis is Not Without Risk (good and bad outcomes within).

and Last but not Least,

Emergiblog thinks MedBloggers should have their own conferences, and outlines her thoughts  in A League of Our Own? (I’m in).

If you’ve read this far either I accidentally missed your submission (sorry, attach it in the comments) or you’re in desperate need of an actual life.

Or, you’re reading to see this: Next Weeks’ edition will be found at Edwin Leaps’.

Thanks for coming!

Update: Kim from Emergiblog has found an illustration of my grand round skills:

funny pictures

Heh.  Thanks, Kim!

Popularity: 31% [?]

Posted in GrandRounds | 33 Comments »

MedBlog Grand Rounds Here 7-22-08

Posted by GruntDoc on 15th July 2008

Ladies and Gents,

I’m the proud host on 7-22-08 for MedBlogs Grand Rounds.  It’s either my 5th or 6th time hosting, depending on how you score the April Fools’ Edition.  (I’ll let you vote in the comments if this is #5 or 6).

Please send your submission to allen@gruntdoc.com, or use the contact form at the top of the blog.  Submissions accepted until Noon your time 7-21.

No theme.  I’m not that creative.

Popularity: 15% [?]

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MedBlogs Grand Rounds, Vol 4, No 42 - The Seinfeld Edition

Posted by GruntDoc on 8th July 2008

The Blog that Ate Manhattan: Grand Rounds, Vol 4, No 42 - The Seinfeld Edition
Most things in life can be related, one way or another, to an episode of Seinfeld.

It’s true. That TV show which claimed to be “about nothing” pretty much said everything that needed to be said about, well, everything.

Take this week’s Grand Rounds, the best of the Medical Blogosphere. It’s totally Seinfeld. Every post. Why I can hear Jerry, even now…

Very fun.

Popularity: 11% [?]

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MedBlogs Grand Rounds, Vol 4, No. 41

Posted by GruntDoc on 1st July 2008

The Covert Rationing Blog » Blog Archive » Medical Grand Rounds, Vol 4, No. 41
Welcome to Medical Grand Rounds, Volume 4, Number 41, July 1, 2008. This week, bloggers from across the Internet have submitted articles that will help us celebrate the 232nd birthday of the United States of America. Their patriotic postings, organized according to their relationship to the Founding, follow:

Another nice job.

Popularity: 11% [?]

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MedBlog Grand Rounds 4:40; ShrinkRap and the iPhone Grand Rounds

Posted by GruntDoc on 25th June 2008

Shrink Rap

Welcome to Grand Rounds, Volume 4, #40 (see future GR schedule). If you missed our first Grand Rounds last year, with our amazing Clicky Brain, then feel free to pause and enjoy.

This year, since the anticipated release of the Apple iPhone 3G is just around the corner (July 11), we asked for submissions to have some connection to the iPhone, no matter how twisted the logic is to make the connection. The medical blogosphere obliged. So we are including, free of charge, our Clicky iPhone, which will let you visually navigate this week’s Grand Rounds submissions (yes, the buttons on the phone really work).

I am in awe. Wow.

Popularity: 16% [?]

Posted in GrandRounds | 1 Comment »

Marianas Eye: Grand Rounds from the South Pacific (4:39)

Posted by GruntDoc on 17th June 2008

Marianas Eye: Grand Rounds from the South Pacific

Welcome to this island edition of Grand Rounds. Yes, I really live and practice on a tropical island in the South Pacific. And yes, you can too. I’ll let you know how, in next week’s edition of Grand Rounds, which will be hosted by My Three Shrinks. But now, on to this week’s edition.

Hmm. Saipan. Sounds very nice.

Popularity: 15% [?]

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NHS Blog Doctor: Grand Rounds (4) 38

Posted by GruntDoc on 9th June 2008

NHS Blog Doctor: Grand Rounds (4) 38

From across the pond.

Popularity: 13% [?]

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The Happy Hospitalist: Grand Rounds Is Here, Turn Off Your Dang Cell Phone

Posted by GruntDoc on 6th June 2008

The Happy Hospitalist: Grand Rounds Is Here, Turn Off Your Dang Cell Phone
Welcome one and all to my very first Grand Rounds. I was handed Volume 4 Number 37 by the one and only Nicholas Genes of Blogborygmi fame. Thank you Nick for this opportunity. It is an honor to present to you all the greatest the web has to offer this week, organized in my own Happy little way. As many movie do gooders have learned, all actors and actresses in this universe can be traced back to Kevin Bacon through a maximum of 6 movies. Aptly known as the Six Degrees of Kevin Bacon.

If all themes were like this, I wouldn’t mind a bit.

Popularity: 11% [?]

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.PARALLEL UNIVERSES.: Grand Rounds, 4.36

Posted by GruntDoc on 27th May 2008

.PARALLEL UNIVERSES.: Grand Rounds, 4.36

His 5th time hosting!

Popularity: 13% [?]

Posted in GrandRounds | 1 Comment »

Musings of a Dinosaur: Grand Rounds Volume 4, No. 35

Posted by GruntDoc on 20th May 2008

Musings of a Dinosaur: Grand Rounds Volume 4, No. 35
IN THE BEGINNING, Nick Genes created Grand Rounds. And the Rounds were unformed and void; and Nick Genes said, “Let there be Hosts!” And there were Hosts; and Nick Genes saw that it was good, so he did pre-Grand Rounds interviews with the Hosts on Medscape. And it came to pass that on May 20, 2008 Grand Rounds did come to be hosted by #1 Dinosaur, who was pleased as punch to be hosting for the second time.

A themed Grand Rounds even I like.  Good work!

Popularity: 21% [?]

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MedBlogs Grand Rounds 4:34 - Health Business Blog

Posted by GruntDoc on 12th May 2008

Health Business Blog
Welcome to the latest edition of Grand Rounds at the Health Business Blog. This is my fourth time hosting (fifth if you include the April Fool’s edition).

Good one!

Popularity: 30% [?]

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MedBlogs Grand Rounds 4:33 : Suture for a Living

Posted by GruntDoc on 6th May 2008

Suture for a Living: Grand Rounds 4:33
I had no theme for this Grand Rounds, but thought I would share some links and photos of Arkansas. This first one is of the Trail of Tears (photo credit). This first post may well bring tears to your eyes –

The near-perfect Grand Rounds.

Popularity: 24% [?]

Posted in GrandRounds | 1 Comment »

 
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