Grand Rounds, Old School Style

August 25, 2009

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Old schoolWelcome to Grand Rounds, a weekly gathering of medical people interested in sharing their best writing from the past week.  I was there in the beginning, back in 2004, when Grand Rounds first started.  Some might say that makes me old, but I prefer the term old school.

Scattered among excellent posts are flashbacks to the old school world of 2004 in which Grand Rounds was first conceived.  To add some extra relevance I’ve visited some of my favorite medical blogs and mined them for good stuff. Here we go, Old School Grand Rounds, a nod to 2004 when it all began, with some of my homies lending their street credibility:

Orac of Respectful Insolence considers the slurs that compare Obama to Hitler, and Healthcare reform to Nazism, and how congressman Barney Frank expertly responded to a particularly rabid critic.  Orac calls for Democrats, Republicans, and the media in general to speak out more bluntly against such outrageous accusations.

Dr. Schwab, author and surgeon, rebuts the “utterly, idiotically, cosmically ass backwards” interpretation of HR 3200 by Betsy McCaughey, as seen on The Jon Stewart Show this week.  He calls for honesty in the debate over end-of-life decisions.

Kevin, M.D. is a tireless medical blogger and proponent of a strong primary care system. He recently published an article on CNN.com about the dual imperatives of increasing Americans’ access to health care and bolstering our nation’s primary care foundation.

Facebook

Newly published author (congratulations!) and family physician Dr. Hornstein considers what makes a student choose a career in primary care: “Some decisions should be made with the heart instead of the brain.”

Want to know what an NHS doctor in the U.K. thinks of America’s health care squabbling?  Dr. Crippen’s perspective is quite opinionated and fascinating, and shows that many outside the U.S. react to our uninsured and underinsured masses with as much horror as they did when Katrina exposed the shameful realities of poverty in America.

Tara Parker-Pope runs the New York Times Well Blog, and one of her guest authors, Brian Nelson, courageously writes about his numerous medical adversities, including 3 kidney transplants, a pancreatic transplant, chronic Type I Diabetes, and a recently disfiguring surgery for head and neck cancer.  You can’t read this piece and not be moved.


Dean

Dr. Rosenbaum, a sports medicine doctor at Wake Forest, has an excellent post about the 18 year-old running phenom named Caster Semenya, who unfortunately made international headlines after the track and field authority IAAF ordered her to undergo “gender testing.”  Other runners have accused Semenya of being a man posing as a woman.  The ensuing debate over what constitutes one’s gender, or even one’s genitals, is more complicated than you might think.

“I felt unkind for having resented his earlier demeanor so, and clueless for not having remembered that hostility almost always conceals some kind of fear or pain.”  Good literary-style case from T. at Anesthesioboist.

I’m not sure if the Founding Fathers sacrificed their dignity and used tobacco smoke enemas, but Dr. Lamberts at Distractible.org explores the many purported uses of the “medical” relic.

Lost

Maria of Intueri.org has a very in depth analysis of psychiatric principles, in which she concludes: “Not to get too shrinky about it, but in prescribing medications to people, psychiatrists can send the message, “There’s nothing you can do to help yourself. Here. Take this pill instead.”  She acknowledges the importance of medicines, but refuses to reduce everything to a pill.

Clinical Cases Blog examines the issues surrounding doctors using social media, and speculates about possible pitfalls and barriers.

If you can make sense of this crazy ECG, then you are a better doctor than I.  Via Grunt Doc. Hint – I suspect either electrical shock therapy as he’s claimed, or perhaps the patient was Magneto (HIPAA rules prohibit divulging X-men’s identities, too).

Reagan

High fructose corn syrup, government subsidies, and large cans of soda amaize Dr. Logan as he reads The Omnivore’s Dilemma. Did you catch the pun?  Wasn’t that awesome!  Nurse Barbara Olsen contributes a post in the same vein, lamenting the rise of the Happy Meal and childhood obesity.

Rita Schwab of Supporting Safer Healthcare highlights the danger of granting temporary clinical privileges to physicians and other providers before taking time to carefully evaluate their credentials and background and smugmug coupons.

Emily Dickinson’s poetry marks an occasion for Laurie Edwards to reflect upon the importance of patience and hope.

PhelpsAthens

And speaking of poetry, an Oncology Nurse crafts a lovely poem about a couple she’s taken care of. So much misery and beauty in this calling, and it helps to put thoughts into written words.

Another excellent bit of reflection from Reality Rounds, connecting the timeless words of Shakespeare to a modern ER situation in 2009.

Dr. Penna has found a useful compendium of mobile applications for the physician with iPhone-type skills.

Tillman

Given that Jewish cuisine is a collection of cookery traditions linked by Jewish dietary laws and holiday traditions, and that certain foods, notably pork and shellfish, are forbidden, how can an Orthodox Jewish patient be allergic to Shellfish?  A puzzle by Allergy Notes.

Is Grandma’s Alzheimer’s a medical condition or a social problem?  InsureBlog feels that the British Health Service considers it a social problem not covered as a medical expense.

Dr. Auerbach of Healthline reflects on the lessons learned from the Australian wildfires, and summarizes a few key points for survival.  Medifast coupons.

MontrealExpos

Chocolate consumption seems to be higher for those with Parkinson’s Disease, according to research discussed by Dr. Shock.

Laney from Nursing School Chronicles adds a brief post about the *ahem* inappropriate behavior of one of her 4 year-old patients.

And finally, a quote from the 2004 Grammy Award Winner for Record of the Year, Clocks written by Coldplay:

Confusion never stops
Closing walls and ticking clocks
Gonna come back and take you home
I could not stop what you now know
Singing: Come out upon my seas
Curse missed opportunities
Am I a part of the cure
Or am I part of the disease?

Dr. Joseph Kim hosts next week’s Grand Rounds at Medicine and Technology. I’d like to thank everyone for their great posts and contributions to the medical blogging cloud. Grand Rounds does help sustain community, and helps to introduce new voices that will rise through the meritocracy of ideas.

Be well.

rlbates August 25, 2009 at 7:42 am

Wonderful edition, Dr Charles!

JoshMD August 25, 2009 at 7:46 am

This is the Run DMC of grand rounds, well done.

hgstern August 25, 2009 at 8:44 am

Nice job – Thanks for hosting, and for including our post.
 

robin andrea August 25, 2009 at 10:51 am

Well done. I love the flashbacks.

Sid Schwab August 25, 2009 at 10:53 am

Ah, yes, those were the days…

Nicely done, and thanks.

Reality Rounds August 25, 2009 at 5:44 pm

Great Job, and thanks for hosting. I love the year 2004! Just like Grand Rounds, that was the year my daughter was conceived.
http://realityrounds.com/2009/08/25/grand-rounds-circa-2004/

Joseph Kim, MD, MPH August 25, 2009 at 6:25 pm

Very nicely done!

Carol August 25, 2009 at 9:37 pm

Awwww Charles – that was a REALLY corny pun… ;-)

DrV August 25, 2009 at 10:23 pm

Dr Charles! I looked for you a couple of months back. So excited you’re back. Not sure you remember me. I used to write at Parenting Solved but have been spending more time at my shiny home 33Charts.com Gonna subscribe just as soon as I can get to the button.

Gary L August 26, 2009 at 6:34 am

I don’t know how I missed your blogging the first time around….my loss. And welcome back..

Barbara Olson August 26, 2009 at 7:53 am

I was off the grid yesterday but am enjoying catching up this morning! Thanks for including musings from “Flo & Bo.” Here’s a link:
http://florencedotcom.blogspot.com/2009/08/blog-carnivals-car-dating.html

Rob August 26, 2009 at 12:32 pm

No, it’s not the Run DMC of grand rounds; it’s the WWE Cage-Match Throw-Down Extravaganza of grand rounds. It beats being the “War and Peace” of GR like I was.

Ciarin August 28, 2009 at 3:31 pm

First time here – very much enjoyed it!

Ron August 28, 2009 at 11:13 pm

“Is Grandma’s Alzheimer’s a medical condition or a social problem? InsureBlog feels that the British Health Service considers it a social problem not covered as a medical expense.”

It’s interesting that you use the word “feels” when InsureBlog has this quote:

NHS Worcestershire ruled that Judith Roe, 74, did not qualify for NHS funding because her condition was a “social” rather than “health” problem, even though she was so ill she could not make a cup of tea and regularly left the stove on.
She was forced to sell her £200,000 home to pay her £600-a-week nursing home fees, which would have been funded if she had been categorised correctly.

DP August 30, 2009 at 11:54 pm

Nicely done! I was there in the beginning too . . . but I no longer feel the need to write (the old blog is gone . . .). It’s good to keep up on all of the great blogs though! :o)

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