Did I understand the enormity of the task I had chosen to undertake?
Heck yes I did!
I chose to use a “Napoleon Dynamite” theme anyway as that is pretty much the coolest movie ever made.
If you’ve seen it, you’ll get it. If you haven’t, you’ll think I’m nuts (but I have great nunchuk skills….)!
So grab your coffee, and get ready for a good read!
Or, as Napoleon’s Grandma says, “just make yourself a dang quesa-dilluh!”
Welcome to Grand Rounds…
“What are my skills?” “Well, you have a sweet bike. And you’re really good at hooking up with chicks. Plus you’re like the only guy at school who has a mustache.”
(Napoleon with friends Pedro and Deb. Napoleon assures Pedro he does have skills to run for Class President.)
The Happy Hospitalist takes on relationships and skills in this provocative post on nurse practitioners, PAs and MDs. Check out Dr. Nurse, The PA Perspective, and Your Differential Diagnosis. Be sure to read the entire post and then join in the lively comments section!
“The Defect in That One is Bleach“
Sandy Szwarc at Junkfood Science finds a number of defects in the research touting the Obesity Virus – a New Risk Factor ? Sandy then emphasizes the importance of critiquing research reports vs. media headlines in What You Didn’t Hear About the Latest Study of Sudden and Unexpected Infant Deaths.
And then Doc Gurley takes on the same topic in Mentally Ill Does Not Mean Violent. Bottom line, it’s great news for those of us and our patients who deal mental illness and it the research results need to be disseminated to the general public!
Laika at Laika’s MedLibLog observes: “Personalized Medicine has not (yet) fulfilled its promises because there are often no good quality studies that show a clear and strong association with a particular gene (expression variant) that IMPROVES prediction.” Check out Personalized Genetics: Too Soon, Too Little?
What happens when you know the “what” but not the “why”? Canadian Medicine reports: Elevated Cancer Rates Found Near Oilsands, but No Explanation Forthcoming.
DrRich at The Covert Rationing Blog discusses the delicate (t)issue of intestinal screening procedures in Now Wait Just A Dadgum Minute. Hilarious, but you had me at the “David Geffen School of Medicine”! : D
(It looks like brother Kip is the lucky one here, as Napoleon “pulls” him into town on rollerblades. Hey, exercise keeps you healthy. The following posts could do the same…)
Jolie Bookspan, The Fitness Fixer discusses research showing Surgery for Knee Arthritis, Meniscus, Not Needed to Stop Pain, Restore Function.
After pointing out that most neck pain is not serious and will resolve on its own, Dean Moyer of The Back Pain Blog offers a simple checklist readers can use to answer the question, Neck Pain: When to See a Doctor?
A new, non-invasive way to monitor the aggressiveness of prostate cancer? Helen Jaques: In Sickness and in Health looks at the research behind the news in Researchers Identify New Prostate Cancer Marker Detectable in Urine.
“Build her a cake, or somethin’.”
(Pedro “built a cake” for Summer Wheatly, the cheerleader he wants to take to the dance. Here are some posts whose authors “built a cake” for some of the people in their lives…)
Award winning author Laurie at A Chronic Dose, discusses a recent New York Times article in her post Nurses and Patients. The Library Journal named Laurie’s book Life Disrupted one of 2008’s Best Consumer Health Books. Congratulations!
Even though she hates Valentine’s Day, diabetes blogger Kerri at Six Until Me writes a “thank you” to her husband for being such a supportive spouse of a person with diabetes in Mushy Stuff: Diabetes Edition.
“They say you’re not allowed to have pinatas that look like real people, but in Mexico, we do it all the time.”
(Poor Pedro. He gets in trouble for making a pinata in the image of Summer Wheatly, who is running against him for Class President. He didn’t know he wasn’t being PC!)
While we’re on politics, the stimulus package has funding for EHR. David at Health Blawg notes :“The EHR piece of the stimulus package will bring on one big feeding frenzy. Let’s make sure we spend the money wisely.” Observations and suggestions are found in HITECH Act Part of Stimulus Package Heading to President’s Desk: Steady, Boys!
“The worst day of my life, what do you think?”
If I had to pick a post that had me absolutely floored, it would be this one by Alison at SpinDyeKnit as she details her desperate attempt to get authorization for her medication in So, Today… There is an afterward to this post that sent me reeling. Alison writes “The end result of this one is that Blue Cross and Caremark delayed getting me that Humira for five days, during which my colon deteriorated greatly. The doctor had tried to order the med after a colonoscopy. I will never know now whether it would have worked had they gotten it to me the next day like my doctor wanted; the end result is, two weeks ago Thursday, my entire colon had to be removed to save my life.” Oh my.
Neuroanthropology hosts an essay detailing the study of Post-traumatic Stress Disorder by Notre Dame undergraduates as they talk with veterans from all eras who suffer from this disabling syndrome. You’ll understand more, too, after you read Forever at War: Veterans’ Everyday Battles With Post-traumatic Stress Disorder.
In his email for this post, Bongi at Other Things Amanzi described this post as “frustrations seen philosophically”. Oh my. I have no words, other than to say my daily frustrations are nothing compared to what Bongi reports in Philosophical.
“Imagine you’re weightless, in the middle of the ocean, surrounded by tiny little seahorses.”
(And so goes Deb’s advice to Napoleon’s Uncle Rico as she takes his photo for the name tag he’ll use as he heads out to sell Tupperware. He’s pretty pleased with himself, don’t ya think?)
The “Sweet!” award for this GR edition goes to Am Ang Zhang over at The Cockroach Catcher for his post on….coffee! Panamanian coffee! Find out the secret at Coffee in Panama: Faking is not All Bad!. I’m up for any taste test between Kona and Panama coffee!
“I see you’re drinking 1%. Is that ’cause you think you’re fat? ‘Cause you’re not. You could be drinking whole if you wanted to.”
“You gonna eat your tots?”
Allergy Notes reports a relationship I never would have considered in Rhinitis/Sinusitis and Asthma Relationship is a “Two-Way Street”.
Clinical Cases and Images notes a study showing Low Temperatures in Winter Increase Blood Pressure in the Elderly. Check out the comments for what this means for dialysis patients!
Alvaro at Sharp Brains submits commentary on a study whose findings seemed to suggest that acquired characteristics can be genetically transmitted. See A Love Affair Across Generations: A Lamarckian Reincarnation?
“Pedro offers you his protection.”
Dr. Jeff Segal offers an interesting idea on How to Reduce Costs and Improve Quality in Health Care: A Legal Approach, hosted at Getting Better With Dr. Val. Truly a unique vision for health care reform!
Louise at the Colorado Health Insurance Insider notes: There are plenty of people who advocate a free market approach to health care, and are complaining that the government shouldn’t be allowed to dictate that a particular treatment isn’t cost effective. But private health insurance does exactly the same thing… Get the whole picture at Government Research and Health Care.
Protection. Restraints and seclusion can be used for protection of patients and staff. Rita, at Supporting Safer Healthcare looks at the regulatory side of in Restraints and Seclusion – A Hot Topic for Hospitals. She also writes a wonderful post on hanging in there as we go through the Culture Change in Healthcare – Weathering the Storm.
“… I love technology, but not as much as you, you see… But I STILL love technology… Always and forever.”
(I can’t say much about that quote without giving away a great part of the movie. Napoleon loves to draw Ligers, saying “It’s pretty much my favorite animal. It’s like a lion and a tiger mixed… bred for its skills in magic.” Well, I don’t know about the magic, but I couldn’t resist this shot of my man, Steve Jobs!)
And I do love technology, the technology that makes fun projects like Grand Rounds possible.
Many thanks to those who submitted, who shared their wonderful work and put up with my silly theme!
And while Deb here solicits sales for her boondoggle keychains, Peggy at The Blog That Ate Manhattan will be soliciting submissions as she takes the hosting duties for Grand Rounds next week.
Check her site for details.