Yep, it’s Grand Rounds!
Right on my own blog!
Excuse me for a moment whilst I don my professional demeanor. (I’ve been running around the room yelling “YES!” and pumping my fists in the air ever since Nick told me this was my week!
Until I posted the Rounds on Monday night, went to fix a few links and found that my html had become unrecognizable. Was it me or Blogger? I have no idea. What you will be reading and seeing is a resconstruction of one week of work in less than one night. Do I have your sympathy? Excellent! Now let’s get to business!)
(Takes a breath)
There, that’s better.
I’ve chosen our Dixie Cup nurse as the Grand Rounds mascot this week because this is exactly how I read Grand Rounds every Tuesday. With a cup of coffee (or three!) in my hand.
I do not, however, drink from a dixie cup.
Our theme this week is “Grand Rounds in the Emergency Department”! And since no one is ever turned away from an ER, all submissions will be seen, but not necessarily in the order that they arrive! They must first be “triaged”.
So please, have a seat in the triage room, your nurse will be with you in a moment.
Amy at Diabetes Mine gives some straight talk on the “herbal remedies” and dietary supplements that supposedly “cure” diabetes. Check it out at Herbal Remedies If I was ever diagnosed as a diabetic, Amy’s site would be the first place I’d go after seeing my doctor.
Jenni is the “editrix” of Chronicbabe and she submits a post written by Laurie Edwards entitled In the World of Doctors, First Dates Matter. Great, upbeat site for patients with all types of chronic illnesses. Laurie notes how her husband and the doctor who she works the best with share the same qualities. Interesting perspective.
Our friend, Nurse Practitioners Save Lives looks at her experience on the other side of the siderail over at The Nurse Practitioner’s Place in the post NPs Save Lives Goes Under the Knife. When you are done reading the submitted post, go to the main website and read the post previous to this. A very powerful look at what our patients (and we) think pre-op. I believe the phrase “kiss my missing meniscus” shall be my professional motto.
My favorite Difficult Patient recounts a horrendous experience in The Emergency Department: ARMY Style. One can only hope that there have been improvements in the last twelve years. If you know a military family, let them know you are available for help if they need it.
At HealthyConcerns.com , Elisa says “People blog a lot about health care gone wrong, but my first experience with non-routine care at Kaiser went smoothly, and I figured it’s only fair to share the good patient experience too!” Read about her experience at Healthy Story: You Know I Give Props When They Are Due
#1 – First place in my “Top Ten” this week goes to Rita’s submission from MSSP Nexus Blog and her post on patient safety: Triumph Built on Tragedy. She includes a link that I feel is important enough to include here: Josie King Foundation.
#5 – Mary at The Mote in the Light hits home with a post about children with multiple disabilities in the ER. It’s called Anybody Know Anything About This Kid? There are some good links within the post. Check it out.
#8 – Interested in the state of the nursing profession in the United States? I’ve never heard it said better than over at The Blog That Ate Manhattan. The post is entitled: Bi-Continental Bitching, but there is no bitching. Just an insightful, consise look at the nursing profession from a physician with a patient’s viewpoint. I wish I had written it.
#10 – Occasionally things in the ED get hot and heavy. Our pediatric colleage, Flea gives us our Grand Rounds “Code Three” of the week at When Kids Leave Home and the Dog Dies Don’t let the title fool you and don’t read it without checking out the comments section!
#11 – Being the closeted rock groupie that I am, what’s a Grand Rounds without a Spinal Tap moment? So I’m emulating Sir Nigel Tufnel and taking it to “eleven” with a post of my own entitled They Called Him “Mac”.
Whoa! Dr. Kevin at Kevin,MD gets a fiesty comments section going when he posts a blurb on Why This Mother Dumped Her Pediatrician ! Watch out for flying scalpels! And pacifiers!
I thought I had a warped sense of humor. Well Dr. Michael C. Hebert at the (appropriately) named Michael C. Hebert, MD – Journal has a post that will make you laugh. The Kool 100 . I can’t even give a synopsis and do it justice. You’ll have to read it!
I am personally familiar with incapacitating nursing burnout. Our Cheerful Oncologist takes a look at doctor burnout in The Hidden Lives Of Doctors, Part IV . The post is great, but as usual, there are wonderful comments attached.
Helen is a reader of the Nee Naw blog, run by London ambulance dispatcher Mark Myers. She could not believe this horrific story and neither can I. Check out Caring Goes Out the Window . And then pick your jaw up off the floor.
Shadowfax at Movin’ Meat weighs in this week with Well That’s Just Not Fair . I used to joke that if I could tell your scan was bad, you were in trouble because I’m not radiologically literate. That’s not funny anymore.
The ED doesn’t often get of view of what it’s like “upstairs” when we send a patient, but this week GeekNurse gives us a peek into a PICU admit in Incoming! God forbid you should ever need a PICU, but if you did, you’d want this nurse at the bedside.
This post from Jodi, in her last months as a student nurse, at Coffee and Conversation In A Smoky Room had steam coming out of my ears. It’s called Scut and it’s about her ER experience. Why do nurses treat future colleagues like they have the plague?
Dr. Aidan at The Examining Room of Dr. Charles takes a lighthearted look at Medicare Part D (is that an oxymoron?) in Bridging the Gap – One Doctor’s Approach To Explaining Medicare. Wish him a quick recovery, won’t you?
Whether you are a fan of Johnny Cash or not, you must check out this post submitted at
Clinical Cases and Images – Blog. A very unique post for Grand Rounds, it includes a video of Johnny’s rendition of “Hurt”. Powerful.
New to Grand Rounds, Barely, MD discusses the Avian Flu (H5N1) and Why We Care. and the relationship between research and journalism at Premature Birth and Journalism. Hits a double on his first “at bat”!
Our favorite Internal Medicine Doctor reads between the lines in a medical/sports post at Doctor as he points out some informational discrepancies in Does Ian Thorpe Have HIV? Let’s hope this world-class athlete can shake whatever it is that is plaging him.
He’s new to Grand Rounds, he teaches anatomy and he’s starting medical school in September! Let’s all give a Grand Rounds welcome to Brad Wright at Anatomy Notes who describes for us his experiences with Nasal Irrigation (his own). He uses only the finest ingredients, not the least of which is humor.
Here in the non-urgent, but no less important, category are submissions that look at hospital life and patient care “behind the scenes” through an administrative capacity, or posts that delve into research and its applications.
Grrlscientist from Living the Scientific Life (Scientist, Interrupted) submits a fascinating post on the Avian flu. In her words: “A new report (linked) shows that industrial poultry farming is smack-dab in the middle of this avian influenza crisis, NOT WILD BIRDS, as is so widely reported. So what shall we do about this?” See Avian Influenza: A Story About Industrial Fowl Play?
Truma teams are amazing. I’m lucky enough to live in an area with many Level I facilities. Dr. Bard Parker at A Chance to Cut is a Chance to Cure tells us why in his submission entitled Practice Makes Perfect V. He explains the difference between designation and verification in Trauma Center Confusion.
Tony at Hospital Impact submits a hilarious post by Nick Jacobs entitled Classic Email Thread At My Hospital. Sounds familiar, doesn’t it? And do not miss the link at the end re: the email between two attorneys.
Ruth over at The Biotech Weblog looks at Detecting Exposure to Bioterrorism Agents Using Genetic Blood Test. Cutting edge research, with potential applications for other diseases.
Chemist Gloria submits her post at Straight From The Doc discussing studies showing that Xenon Gas Prevents Postoperative Brain Damage in Bypass Patients
InsureBlog contributes with a post submitted by H.G. Stern with the great title of InsureBlog: Perry Mason vs. Dr. Kildare. Can medical malpractice reform actually lead to lower health insurance rates? Better service? Good links with additional information.
Adam Scavone submits an interesting post from The Agitator. Per Adam: “Radley Balko is following the appeal of Dr. Bernard Rottschaefer, who is being prosecuted by the D.E.A. in their war on pain doctors…They’re accusing Rottschaefer of not being able to correctly identify a patient who was lying to him… the prosecution of pain doctors for not being omniscient needs to be known. The post is at: Rottschaefer’s Appeal This Week: Comments.
Kumbaya? Dmitriy, the Publisher of The Medical Blog Network reports from the California Regional Health Information Organization, Summit III, making sense of how capable are RHIOs of truly serving the interests of consumers. What Is Rhetoric and What Is Reality? I’m hoping the ED linking is the “reality”!
David at Health Business Blog wonders Can Blogging Boost the Rate of Progress in Medicine? I’d love to find out the answer to his hypothetical research example! It would explain a lot!
Our friend over at Interested Participant jumps in with Macho Mammas Give Birth to Boys (!) and I think I’ll let him give the synopsis: “Scientists have established that eggs taken from female mammals have varying levels of testosterone and that those with the highest levels are more likely to develop into male embryos.” Intriguing findings, but all I can picture is women with beards!
(Epilogue: I’ve spent nine hours re-doing the work of an entire week. Twice. Blogger is bad and Firefox crashed. I apologize for how this is going to look online, but if I don’t post, I’ll lose it again. News in my next post. Next week’s host: GeekNurse . Don’t forget the Grand Rounds archive on Blogborygmi and Nick did a prerounds interview with me on Medscape – I’ll get that link tomorrow. When I stop seeing links before my eyes. For now it’s GOOD NIGHT NURSE!)