Monday, April 25, 2005

Grand Rounds XXXI

Welcome to this week's Grand Rounds. As you know, each week a different department here at the institution hosts this conference. Registration is free and attendance is not taken. This should come as a great relief to the medical students, who have learned that there is no advantage to being anywhere you don't have to be.

The conference chair this week is in the Family Medicine, Emergency Medicine, Insurance Medicine and Sports Medicine departments, so please forgive the schizophrenia seeming lack of focus.

Almost every department at the institution has contributed lecturers to make today's conference successful.

Here is the schedule for this week's conference. Please feel free to attend all of the lectures, or pick and choose. Audio recordings are not available, but transcripts are available at the lecturer's blogs.

Family Medicine



Kevin, MD, reminds us that zebras do exist. A local man dies of neuroleptic malignant syndrome at a psychiatric hospital. Kevin is more famous than most of us, just see.

In his poetically eloquent way, Dr. Charles introduces us to an interesting patient. Wow, if only I could write this well.

Emergency Medicine



How does he do it? A busy ER doc in Texas found time to submit humor and economics.

Health Business



Coming in from BeanTown, Mr. Williams, co-founder of MedPharma Partners, wishes to present on Electronic Prescribing.

Internal Medicine



DB is ranting again, this time about too many medications. Amen. Folks, we all know that complications and drug/drug interactions skyrocket the more drugs we prescribe. Try to stop one for every one you add.

Galen's Log has a very interesting post about something that, at times, can be very irritating to us, when our patients have access to information that lets them know more than we do about their problems. But, hey, what's wrong with that?

General Surgery



Everyone knows that nothing heals like cold hard steel. Never one to let a little thing like skin get between him and a diagnosis, Orac shares a tragic story.

Aggravated DocSurg (who looks suspiciously like John Belushi, I never really believed he was dead, anyway) has a patient with an interesting x-ray. In addition, he is peeved. I tried to shoot golf once. I thought I was doing well with a 68. Then they wouldn't let me play the second hole! Geez, he likes Diana Krall, so he must be a good guy, even if he is a surgeon.

Student Representatives



MudFud, who deserves special honors for being one of the first to blogroll me, has a confession to share. In addition, she is hosting Grand Rounds next week. She requests submissions by 6 PM on 5/2/02. She has a test the next day. I don't know what the deal is with midnight anyway! Send submissions to mdphdstudent AT gmail DOT com.

God Nick, who started this whole GR thing, still hasn't put me on his link list, but he did write an interesting post about Todd Krampitz, the guy who bought billboards advertising his need for a liver.

"A" is a medical student in Little City, USA. She hasn't achieved sufficient status to warrant a name, apparently. Anyway, she will speak about Vanishing Lung Syndrome. She wrote here that no one other than she reads her blog. I don't think this is an inferiority complex, as this is probably normal for a second year med student.

The Anonymous Clerk has bad news to impart.

A self professed dork, Graham interacts directly with GOD.

Ob/GYN



There are so many great MedBlogs out there, not to mention all the other blogs, that it is almost impossible to keep up with them all. But you should definitely read what Red State Moron has to say. Today he writes about elective cesarean delivery and birth defects.

Oncology



Dr. Hildreth, The Cheerful Oncologist, lectures on My Last Spring. BTW, note his new office location and update your bookmarks! Recently, St. Elsewhere tried to steal Dr. Hildreth from our staff and didn't succeed. As you browse his blog, you may note some of his comments regarding his tour of their facility.


Allergy/Immunology



Dr. Andy reflects on Living Pancreatic Islet Cell Donation. What he is running from, I will leave to your imagination.

Pediatrics and Neonatology



Dr. Suresh, from Charleston, SC, one of our new faculty, has an interest in evidence based practice, with a slant towards pediatrics and neonatology. I am not sure when he works, as his blog suggests he spends all his time downloading articles and attending journal club. (Just kidding, doc). He is just starting and didn't submit any particular link. However, because his blog is so new, read the whole thing.

"Pure" Sciences



Pharyngula (he says it is a particular stage in the development of the vertebrate embryo, but I think it is one of those dangly things, perhaps in the throat, that we studied in Gross Anatomy) wants us to think about cockroaches. Just let me get another glass of wine. Would this be red?

Healthcare Resources



Another with finely discriminating taste (read--he likes my blog), The Hospice Guy refuses to be scared or intimidated. I wish every family in the world could understand this, for hospice, general hospital care and the ER.

Dr. Emer, one of the premiere med bloggers in the Phillipines, warns us the RP is running out of doctors.

HospitalImpact wants us to imagine what it would be like if Disney ran our hospitals. Yesterday was their one month birthday!

Nephrology



Here's good info from KidneyNotes. Follow his advice and make more money!

Nursing



Mrs. Geena, RN now!! :-), wants us to spend the morning with her in the CCU.

I found this one when I was surfing GruntDoc. The nurses I work with loved it. You will too, if you have ever worked with a patient.

BioEthics



DoktorMo asks if we think the politicians should overrule science.

Other Interested Input



Interested-Participant interests us with this story about a woman who has to wait for surgery under a system of socialized medicine. I was also interested in this one. Wow, what empathy.

El Capitan had an interesting, er, urologic/gastronomic problem. Of course, if you perform this type of nighttime ablution without luminescence, you might not notice. I am always tempted to ask patients who complain of hematospermia, "How do you know?" One of my urology staff just tells them to turn the lights off.

Time Gee is a connectologist who writes about Smart IV pumps.

An engineer, Political Calculations warns us that the US Government is trying to regulate the vaccine stockpile out of existence!

Another engineer, at Power and Control, let's us know about a possible blood test for PTSD. How exciting!

Here at this institution, we recognize the value of technology in our work and play. Here, MedGadgets reports on using electricity to diagnose CIN.

I'm Not Too Sure, But I Think They Work Here



Polite Dissent, with his interesting viewpoint, let's us in on The Treatment of Pleurisy in the early 1700's. Don't try this at home, folks!

An EMT in the UK let's us in on the smelly truth of the hidden danger of drugs.

I know that Johathan, of Catallarchy, is a resident at Harvard Medical School, but I don't know in what. I do know that he posted, in a typical thought provoking way, on prenatal ultrasound.