October 17, 2006, 9:03 am

Grab A Cuppa Grand Rounds!


Ah, time for that Tuesday morning cup of coffee and the weekly tradition known as “Grand Rounds”!

I’m your host this week!

Let’s get together at the local Starbucks and really indulge ourselves!

Join me as I peruse the best the blogosphere has to offer over an espresso drink and a few Madelines.

Oh, and don’t let the ad scare you.

There won’t be any Sanka within a hundred miles of this compilation!


I think I’ll go for my usual Iced Venti Non-fat, One Equal Latte.

What can I order for you? This one’s on me!


Grande House Blend

Sometimes just a good cup of fresh-brewed coffee hits the spot. Just like these:

Inhaled insulin is now available, and Amy at Diabetes Mine has a great interview, with a young, motiviated user of “Exubera” in Real, Live Exubera User (Under 50). I’m looking forward to seeing how Exubera user Jen does in the long term!

Dear Mother Jones, RN, proprietor of Nurse Ratched’s Place has laid it on the line for all you new interns in The Intern Survival Guide. You will know you are “in” with the nurses when they let you have the last piece of pizza.

Dr Lei at A Hearty Life discusses a new law affecting AEDs in Massachusetts Law Would Require AEDs in Health and Fitness Centers. Seems like a logical location for an AED. While the post is brief, be sure to click the link for an AED success story!


Our good Doctor Emer at Parallel Universes gives an excellent description of health care behaviours among Filipinos in Filipino Patient Traits. As I see a large number of Filipino patients, this was a great read.

Dr. Jolie Bookspan (The Fitness Fixer) discusses the upper back in Breasts Causing Upper Back Pain Is a Myth. Find out what exactly does cause the trouble and why men are just as susceptible!

Dr. Paul Auerback (Medicine For the Outdoors) gives us a heads-up on the upcoming Wilderness Medical Society Winter Specialty Meeting on Mountain Medicine (say that three times, fast!) to be held in Utah! This sounds like fun to me and the closest I get to the outdoors is listening to “Rocky Mountain High”!


At The Art of Conception, Dr. Carl Herbert, MD presents a concise report and discusses the nuances of male factor infertility screening in Male Evaluation. A bit technical for me, but of interest to others, I’m sure.

Rita from MSSP Nexus discusses “cutting out the middle man” in Caught in the Middle – Avoiding Crucial Conversation. The shortest distance between two points is a straight line, and yet it’s often hard to discuss/confront an issue directly. Welcome back to Grand Rounds, Rita!

Shinga, from Breath Spa For Kids, received permission from Dr Jest at Dr. Jest’s Caseblog to submit an inspiring story of a stong woman he had the honor of helping over the years in The Evil That Men Do. Thanks to Shinga for spotting and sharing this great story!


Nurse Cyndy R. King at Cancer Treatment and Survivorship gives a brief overview of clinical trials, including links for those looking to participate in the post: How Can I Find A Research Study To Be In?

Dr. Kavokin presents a very exhaustive examination/explanation of the causes of Yellow Poo posted at RDoctor Medical Syndication. I’m laughing as I write that, but you would be surprised at how many patients (especially parents) are concerned about stool color! This was a pretty good refresher course for me. It appears to the first of a series of stool-related posts.

Jon Schnaars at Anxiety, Addiction and Depression Treatments reviews a new book with a unique, common sense look at how and why people overeat in Small Changes Can Have A Big Impact on Your Beltline. Check out what some researchers have discovered. You may be rather surprised!


Dr. Lisa Marcucci interviews renowned health care attorney Alice G. Gosfield, Esq at Inside Surgery. Physicians will find this particularly interesting as Ms. Gosfield discusses a new health care model called PROMETHEUS and gives opinions on other topics such as pay for performance programs. I enjoyed reading how Ms. Gosfield decided on law as she comes from a family of medical practitioners and how she managed to integrate the two interests.

As distasteful as it sounds, maggots have been used for wound healing. Ruth at The Biotech Weblog describes a Hydrogel Dressing Developed for Maggot Biotherapy of Wounds.


Espresso. Make It A Double!

Hot, strong and energizing. These posts pull no punches!

A verdict of over two-hundred million dollars in a malpractice case? Kevin at Kevin, MD discusses The Medicine Behind the Navarro Stroke Case. Here’s another post where there is an active comments discussion ensuing (no pun intended).

Dr. Wes discusses the outsourcing of healthcare to other countries in Standing US Healthcare on Its Ear. This was news to me! But then Wes takes it up a notch in Medical Tours. As wonderful a country as India is, I think I’ll take my healthcare in the good ol’ USA, thank you very much!

Also worth a read is Dr. Bard Parker’s take on the same subject matter in A Chance to Cut is a Chance to Cure. Who do they think will take over the follow up on these patients going overseas for their surgeries? SeeGrounded“. The whole issue just seems….wrong.

Occasionally a post makes me angry. I’m angry. Medscape nurse blogger Beka is dealing the impending death of a friend. Begin with Is This Really Hospice Care? And then follow up with Weekend Hospice Care: Did We Ask For Too Much? Hospice nurses, can you give some feedback? My heart goes out to Beka and her friend and family.


Electronic Medical Records. The future of health care documentation? Maybe, maybe not. Dr. Anonymous explains his reservations on the issue in Electronic Records Rant. A lively comments section follows.

At My Journey, Myra, certified birth doula,lamaze instructor and nursing student gives an alternate look at the “fifth vital sign” in “And Now…” We have had it rammed into our skull that pain=bad and must be dealt with immediately. Myra believes there is an exception.

Louise presents a personal view and opinion of health insurance at Insurance Mergers and Network Shrinkage Hurts Consumers posted at Colorado Health Insurance Insider. It appears as though the citizens of Colorado are not the benefitting. Sound familiar?

And now let’s look at the other side.


Henry Stern, LUTCF looks at a current controversy in Blue Cross and makes the case for the insurance company in Feelin’ Blue… posted at InsureBlog. Henry is no shill; he makes a sound, logical argument for an insurance decision. As Henry says “let the firestorm begin” – the comments should provide some stimulating debate!

Do you take care of your workplace? In my facility, that is called “stewardship” and South African medical student Karen Little makes a case for it in Whose Hospital Is It Anyway? at her blog Just Up the Dose. Another example of how many issues we share no matter where we may practice. Karen’s in her final year of medical school and as her blog is new to me, I’d like to extend her awarm welcome to Grand Rounds and Emergiblog.


Venti Caramel Frappuccino

Every now and then you just have to indulge in a treat. Here are a few of my favorites!

A great story of a good man and a second chance is waiting for your perusal over at Tundra Medicine Dreams. Check out Binge Drinking and Theraputic Court. A compassionate way of dealing with alcoholism? Sounds good to me!

A beautiful post has been submitted by medical student blogger Vitum Medicinus honoring those whose gave the ultimate gift. Read In Loving Memory of Our Cadavers.

I never thought of a colonoscopy as an adventure. I just changed my my mind! The Resident Colonist over at Medical Humanities has a rather unique view of their specialty and shares it with us in A Coat-Hanger ‘Round An Old Sock. If she can boldly go where no man has gone before, I’m going along for the ride!

From the colon to the prostate: until I “met” Keagirl online, I never knew of a female urologist! In her submission this week, So You Want To Make An Appointment, she discusses the types of men who prefer a female urologist. Some obvious, some surprising!


David Williams at Health Business Blog weighs in on the Resident who decided she just could not in all conscience serve in the military at This Conscientious Objector Case Is A Little Shocking. The problem? Uncle Sam forked out $184,000 for her education. I left my two cents in the comments. What do you think should be done?

Confession: I’m a computer geek. That makes this post from fellow Bay Area blogger Dr. Enoch Choi (Tech Medicine)one of my favorites. He takes on the accessibiltiy of bedside computer tablets in (big breath) Intel Mobile PC Platform to Help Healthcare Providers Only If It Fits Our Workflow. Personally, I think Apple should get into this field, but then I’m a MacAddict so I’m biased.

Well, I’m always making fun of contstipation ads, but there is a serious side to that particular problem and Wandering Visitor offers a brief, concise look at what those problems are in Away, Fecal Matter, Away! Stock in Metamucil should soar after this post hits the blog-waves! Either that or a certain gag gift!


#1Dinosaur gives an online inservice on how to insert an IV bevel down in the post entitled, what else? Bevel Down at Musings of a Dinosaur. I’m going to work tonight and I’ll try to get my courage up to try it. Hard to change habits after 28 years but I’m game!

Clinical Cases and Images Blog gives us information on research showing that Red Wine Can Prevent Stroke (In Mice). Are you a man or a mouse? If you are a mouse, this should be good news to you! Good news for me, too, as hubby has quite a collection of fine wines!

Here is a unique submission from a unique source! The editor of the Blawg Review (Carnival of Law Bloggers) has submitted a video of a man with an amazing talent, born with a congenital hip disease. Check out Extreme Crutch. Now this is something ya don’t see every day. Loved it! Thank you so much for sharing this with us!


If I ever wanted to put my arms around a blogger, it would be Kerri at Six Until Me. In a post called No Title, but a post that says so much Kerri faces her fear that after 20 years good just won’t be good enough. The ache radiates through the computer. Hang in there, Kerri and keep fighting the good fight.

Wow! How often can you influence society for the better? Our colleague at The Blog That Ate Manhattan tells us of her behind-the-scenes influence in the New York decision to ban smoking in 2002. Helping a client led to making a huge segment of the City a healthier place to be and to work. Read A Smoke-Free Story!

Dr. Rob at Musings of a Distractible Mind discusses the effect of being able to give Good News to his patients. An uplifting, affirming post that brought a smile to my face. Thanks for submitting, Dr. Rob!

“I’m going to die, aren’t I?” Words that bring dread into the heart of any nurse. Pixel RN describes a patient who said just that in Angels in the MICU? Find out who those angels are! And they aren’t who you’re expecting!


Tall Hot Chocolate

When it’s all about the kids…..

Neonatal Doc discusses the intimacy of receiving a transfusion and its effect on parents of premies in “Blood”. As usual, there are conflicting studies regarding transfusions, but Neonatal Doc never forgets the tiny humans affected by the conclusions.

Medical student Topher has decided that pediatrics may not be his forte in I’d Make A Poor Flea. Find out why at his blog, The Rumors Were True. And, uh, I didn’t get the joke, either. At first.

A fantastic descriptive piece on what exactly transpires in a PICU when a child first arrives. This should be printed and given to every parent who finds themselves in this position. See Demystifying PICU – Part 2: Chaos Theory. By Paeds RN. Who else could write so vividly and so well? At Mediblogopathy.


Well, this is all about the kids, before they are born. Are you pregnant? Know someone who is? Check out Dr. Ken Trofatter’s post on The “Flu” and Pregnancy: Get Smart, Get Vaccinated NOW at (I love this title) The Fruit of the Womb. Risks and benefits are presented. If you are pregnant, discuss your options with your obstetrician.

Andrea N. Giancoli is a registered dietician who discusses using nutrition to keep our kids healthy this flu season in Keeping the Cold and Flu at Bay in her blog (gotta love the title) The Family Fork. I live for my veges and I was so sick last week! Maybe it doesn’t work for nurses!


Grande Pumpkin Spice Latte With Extra Whip

When you just have to curl up with some comfort.

Disappearing John, RN, needs some feedback on what to do with this rather unique request from a family member in To Pray or Not To Pray. The comments are interesting. Join in.

Tony at Hospital Impact is starting a new series. Get the details in Wanted: Great Patient Stories. So many of our hospital stories are negative; Tony would like to start highlighting some of the good things that happen for patients in our facilities. Got a good patient story? Here is the place to share it!

Medscape nurse blogger Julie wrote a beautiful post about what you can do to offer comfort and support to a cancer patient in Offering Support To Those With Cancer. Julie comes by this knowledge first-hand; she has just finished her therapy for breast cancer. She also discusses her post-treatment adjustments in Feeling Down.


Volunteer ER Chaplain Susan Palwick (and Carnival of Hope host) discusses the emotional benefits of Reaching Out to patients who are alone. Or hurt. This poignant tale is found at Rickety Contrivances of Doing Good. Thank you, Susan, for sharing this story.

From Health Psych, written by a post-graduate student in health psychology we have Caring for the Caregiver. This week is Carers Week in Australia, where recognition is given to the unsung heros who give their time, their lives to caring for family and friends. What a great concept!

Kathleen at Living With Diabetes gives a glimpse into the difficulties of keeping on track in Food. You need not be diabetic to relate to a lot of what Kathleen is going through.

Keith Carlson describes life with a caseload in Detail Management posted at (the newly re-templated) Digital Doorway. The best sentence I’ve seen in a long time is found within this glimpse into the life of a community nurse: “How to find that balance of empowerment and assistance?” Indeed. Good to see you back, Keith!


Venti Irish Coffee With An Add-Shot

Hey! Who brought the booze into the Starbucks? I could use a wee bit. Medicinal purposes only , of course.

Grunt Doc discusses an insurance seminar in Insurance Seminar: Lessons Learned. Only the inimitable style of Grunt Doc can take a yawner of a topic and make it….blogable! All I have to say is, “Uh huh…..”

I know we all want “glowing hair” but this is amazing. Last week’s host, Dr. Jon Mikel, presents a “quiz” that stumped me (easily done, by the way). Check out Hair-On-End Skull at Unbounded Medicine. What is that stuff? And Jon takes it up-to-eleven with this post, where a photo is worth a thousand words. A bit of a stunner, check out Limb-to-Crotch!

Get your Kleenex ready. Not for the reason you think. Deacon Barry discusses a most unusual treatment for glaucoma in, believe it or not The Application of Leeches. Eyes watering yet?


Somebody pass me the bottle, will ya? Dr. Emer weighs in again with Stylish, Flirty and Fertile. Do women dress differently when they ovulate? Hmmm…what about those of us soon to be on the other side of ovulation age? Ah, maybe I will have an excuse to run around in sweats!

Okay, now I really have heard it all! Interested-Participant found a study that shows that a Parasite In Mom Promotes Birth of Boy. I can’t even do it justice, you’ll have to check this one out for yourself!


It’s been a blast getting together with everyone here at the ol’ watering hole. Glad they had Motown on the radio today!

Many thanks to Nicholas Genes (my, aren’t I formal?) for his continuting work on keeping the massive undertaking known as Grand Rounds up and running!

You are appreciated more than you will ever know.

Thanks to Medscape, for their support of Grand Rounds and for providing a venue to “Meet the Host”. You can find an updated interview with yours truly here. My head didn’t fit through the door for 24 hours after reading that!

Our host next week will be Health Care Law Blog.

And last but not least, my thanks to Word Press for not being Blogger.

Those who remember my first time as host will know exactly what I mean!


  • AmyT of www.diabetesmine.com

    October 17, 2006 at 9:06 am

    Fantastic job, Kim! And thanks for leading with me. I too am so the ultimate Caffeine Girl ๐Ÿ™‚

  • Deb

    October 17, 2006 at 9:14 am

    Wonderful, clever and subliminally evil (I want a delicious barista drink in the worst way now).

  • Dr Emer

    October 17, 2006 at 9:16 am

    Awesome work, Kim. There’s so many entries here. I hope you get enough rest. Thanks for hosting.

  • tony of hospitalimpact.org

    October 17, 2006 at 9:18 am

    fabulous! how did you know I like pumpkin spice!

  • Susan

    October 17, 2006 at 9:38 am

    Wow! Amazing job, as usual, especially given your work schedule this week! Thanks for including me.

  • Hsien Lei

    October 17, 2006 at 9:40 am

    Ooooh. Now you got me wanting a pumpkin spice latte in the worst way. ๐Ÿ™‚

    Psst Looks like you had a bit of a hiccup up above with the Inside Surgery post.

  • Rita Schwab

    October 17, 2006 at 9:46 am

    Great job Kim – and after a 12 hour shift! I’m impressed.

  • Dr. A

    October 17, 2006 at 10:09 am

    Kudos! Need a BIG cup-o-joe for this week. Thanks for hosting.


    October 17, 2006 at 10:14 am

    A cuppa grand rounds and a cuppa joe – I know of no better combo.

    Thanks for all your hard work, Kim!

  • Jay

    October 17, 2006 at 10:19 am

    Good work on that Venti sized Grand Rounds!

  • grand rounds 3.4 at My Life, My Pace

    October 17, 2006 at 10:33 am

    […] …is pipin hot and ready for your enjoyment at Emergiblog! These icons link to social bookmarking sites where readers can share and discover new web pages. […]

  • […] Kim at Emergiblog is hosting this week’s Grand Rounds. She’s hosting it at a “cafe” where the smell of pumpkin spice latte is drawing me in. […]

  • […] Kim at Emergiblog is hosting this week’s Grand Rounds. She’s hosting it at a “cafe” where the smell of pumpkin spice latte is drawing me in. […]

  • TheTundraPA

    October 17, 2006 at 10:47 am

    Hey Kim–what a totally awesome job! and thanks SO much for squeezing me in late after I screwed up my submission email (darn that 911 tail!). Now if only I didn’t have to work today, so I could read all the good stuff! You rock, Kim!

  • GruntDoc

    October 17, 2006 at 10:51 am

    MedBlogs Grand Rounds 3:4

    …over at Emergiblog: Ah, time for that Tuesday morning cup of coffee and the weekly tradition known as โ€œGrand Roundsโ€! Iโ€™m your host this week! Letโ€™s get together at the local Starbucks and really indulge ourselves!   First, it’s always…

  • Dr. Wes

    October 17, 2006 at 10:53 am

    Kim –
    I have NO idea how you do all this. Excellent job, as always.

  • InsureBlog

    October 17, 2006 at 12:06 pm

    Grand Rounds…

    It’s difficult to expresso just how frothy this ‘Rounds turned out. It’s grande, yes, but it’s also well grounded. Really, with 53! posts, it’s the cream of the crop.

    It’s difficult to expresso just how frothy this ‘Rounds …

  • hgstern

    October 17, 2006 at 12:08 pm

    WoW!! What an absolutely stunning effort!

    Thank you for your (obvious) hard work, and for hosting this week.

  • […] It’s a giant sized Grand Rounds over at Emergiblog today.ย  Kim, an emergency room nurse, has put together a Starbucks themed compilation of the weeks best healthcare blog posts. […]

  • The Angry Medic

    October 17, 2006 at 12:37 pm

    whoa, whoa. so many blogs! and all so experienced compared to my n00b medic arse! TOO…MUCH…INFORMATIONNNN

    *head explodes*

    in other words, brilliant job. this’ll keep me occupied all week ๐Ÿ™‚

  • Myra DeLuca

    October 17, 2006 at 2:34 pm

    Thanks for the great job! I would like to order a Chai latte with whipped cream. ๐Ÿ™‚

    I cannot get the maggot therapy link to work… It sounds interesting, too.

    I’m enjoying the posts!

  • Health-Psych

    October 17, 2006 at 3:11 pm

    Excellent job. I love the theme. So many choices, I don’t know where to start, although I might pass on the maggot therapy. I could never go and visit patients when they were getting maggot therapy – I always had to go back later…such a wimp!

    Thanks for including me!

  • Kerri.

    October 17, 2006 at 3:23 pm

    Thanks so much for including my post. Great job hosting. I’m itching for both a coffee and a hug now. ๐Ÿ™‚

  • Jon Mikel

    October 17, 2006 at 5:01 pm

    Just what I need! A cup of coffee (or a couple).

    Nice edition Kim, as always you find the way to make editions easy to read and very entertaining.

    Thanks for hosting and thank you very much for including my contribution.

    Great edition.

  • Grand Rounds 3.4 at Unbounded Medicine

    October 17, 2006 at 5:16 pm

    […] Emergiblog by Kim, is hosting this week’s edition of Grand Rounds. […]

  • PaedsRN

    October 17, 2006 at 5:32 pm

    God, I really want a coffee now. But does it have to be Starbucks?

    Nice work ๐Ÿ˜‰

  • NPs Save Lives

    October 17, 2006 at 5:37 pm

    What an awesome job Kim! I can’t wait until I finish school so I can host one as well.. It’ll take me a few hours to get through this pile of great reads for sure…

  • Neonatal Doc

    October 17, 2006 at 6:59 pm

    Whoa, this is hyge! Good job, and thanks.

  • Neonatal Doc

    October 17, 2006 at 7:00 pm

    Whoa, this is huge! Good job, and thanks.

  • ripple of hope

    October 17, 2006 at 9:15 pm

    I’ll take a venti 190 degree stirred caramel macchiato . . . Wonderful GR, Kim!!!

  • bob coffield

    October 17, 2006 at 9:54 pm

    Great job Kim. Just getting around after a long day to check in on this weeks edition. I’m looking forward to hosting next week. One item, I checked the link you have for Health Care Law Blog and it leads to another blog. Please adjust and point the link to: http://healthcarebloglaw.blogspot.com/

  • Al Kline DPM

    October 18, 2006 at 4:52 am


    Nice links! Your blog looks great! If you could , maybe you can give my FOOT BLOG a little plug in here.

    Al KLine DPM

  • That Girl

    October 18, 2006 at 9:04 am


  • nurse m

    October 18, 2006 at 1:46 pm

    Great post this week!
    Just wanted to let you know I get Medscape emails weekly and the first thing mentioned in the email this week was “Emergiblog” Leads a Legion of Nurse Bloggers — so congrats!!!!

  • enoch choi

    October 18, 2006 at 5:15 pm

    here you are on tailrank: http://tailrank.com/689654/Grand-rounds-is-up

    but i haven’t seen you on digg or current medicine

  • […] The Ever-entertaining Kim at Emergiblog, ER nurse extroardinarre, serves up a very full edition of ground rounds. The meat of the matter is that you should not grill me about the contents. Just flip on over to her website and dig in. If you don’t you’ll be in a pickle to ketchup with all of the content. Lettuce enjoy her wonderful job (although no one from the Mayo clinic had input). […]

  • Cyndy King

    October 19, 2006 at 4:58 pm

    Thank you for recognizing my blog that gave an overview of clinical trials. I think this is an important topic for patients and families to understand before they agree to participate in a trial. Good luck with your site

  • Grand Rounds is up.

    October 28, 2006 at 5:12 pm

    […] Grab A Cuppa Grand Rounds! // Emergiblog Medical Issues Medical Issues […]

  • […] It’s a busy week at Emergiblog, which is currently hosting two carnivals: Grand Rounds and now the nursing carnival, Change of Shift. […]

  • […] Check out Grand Rounds, the best of the week’s medical blogging, at Emergiblog. […]

  • Insurance » Grand Rounds…

    February 4, 2007 at 4:56 am

    […] Grand Rounds… Filed under: Insurance — admin @ 9:00 am ER nurse Kim, hostess of Emergiblog, presents this week’s edition of Grand Rounds. What’s all the more remarkable is that she posted it immediately after working a 12 hour shift. WoW! It’s difficult to expresso just how frothy this ‘Rounds turned out. It’s grande, yes, but it’s also well grounded. Really, with 53! posts, it’s the cream of the crop. I was particularly impressed with this post at Inside Surgery. Blogress Lisa Marcucci interviews noted healthcare attorney Alice G. Gosfield, who discusses how she sees healthcare today, and tomorrow. […]

  • […] Grand Rounds… Posted on October 17th, 2006 in Fetch Blogs by The_Prof (H G Stern, LUTCF) ER nurse Kim, hostess of Emergiblog, presents this week’s edition of Grand Rounds. What’s all the more remarkable is that she posted it immediately after working a 12 hour shift. WoW! It’s difficult to expresso just how frothy this ‘Rounds turned out. It’s grande, yes, but it’s also well grounded. Really, with 53! posts, it’s the cream of the crop. I was particularly impressed with this post at Inside Surgery. Blogress Lisa Marcucci interviews noted healthcare attorney Alice G. Gosfield, who discusses how she sees healthcare today, and tomorrow. […]

  • […] week’s Grand Rounds is up at Emergiblog. Not familiar with this blog carnival? It’s a weekly glimpse into posts […]

About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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