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Feathers McGraw under lidLooks like Wallace and Gromit are more than a little concerned about finding the evil penguin Feathers McGraw on their platter!

Child psychologist Catherine Busch at Child Psych notes that Parents are Concerned About Psychiatric Medications following a wave of media reports about rare side effects, eriacta 100mg pills $304.00 and discusses factors that influence the decision to use psychiatric medications in the pediatric population.

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Psychologist Philip Hickey at Behaviorism and Mental Health looks at non-medicinal approaches to depression and argues for the idea that Depression is Not an Illness. Eriacta 100mg pills $304.00 Illness or adaptive mechanism? Weigh in with your opinion.

Wow, eriacta 100mg pills $304.00 it looks like psychiatric medications are a hot topic this week! Louise at the Colorado Health Insurance Insider notes that The Drug Industry Is Dancing as psychiatric medications are prescribed ubiquitously.

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Eriacta 100mg pills $304.00 Our blogger colleague at How to Cope With Pain looks at Using Antidepressants for Pain Disorders. Eriacta 100mg pills $304.00 And using an anti-depressant for pain management does not mean it’s “all in your head”

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Eriacta 100mg pills $304.00 Amy at Science and Sensibility takes apart the The New GBS Cochrane Review: A Hot Mess! There are more holes in this research than Wallace finds in his swiss cheese! Kudos to Amy for making research an interesting read!

Eriacta 100mg pills $304.00 Jacqueline at Laika’s MedLibLog notes that a new aggregator has some major issues in Clinical Reader, eriacta 100mg pills $304.00 a Fancy New Aggregator – But All is Not Gold That Glitters.

Eriacta 100mg pills $304.00 Captain Atopic starts a series on the arrogance of some medical students in Arrogance I. Eriacta 100mg pills $304.00 Sometime a smirk can come back to haunt you!

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Wallace and Wendolene

Eriacta 100mg pills $304.00 Wallace makes a connection with super-knitter Wendolene. Eriacta 100mg pills $304.00 Looked like a love connection until he found out she didn’t like cheese! Not even Wensleydale!

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Eriacta 100mg pills $304.00 And the blogosphere has reconnected with The Examining Room of Dr. Eriacta 100mg pills $304.00 Charles!!! He is back and better than ever, eriacta 100mg pills $304.00 taking look at the Evolutionary Scorecard! Where else can you find appendices, eriacta 100mg pills $304.00 spinal cords and chest hair in one post?

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Eriacta 100mg pills $304.00 Toni at Everything Health connects with a suprising group of athletes in Prison Tennis!

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Eriacta 100mg pills $304.00 And that ends this edition of Grand Rounds.  Many thanks to Dr. Eriacta 100mg pills $304.00 Val Jones at Better Health and Colin Son for keeping the carnival up and running and to Nick Genes for starting it all way back when!

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26 Comments

  • rlbates
    rlbates

    August 3, 2009 at 3:24 pm

    Great edition! and Happy Blog Anniversary!


  • […] While there, check out Grand Rounds […]


  • Reality Rounds
    Reality Rounds

    August 3, 2009 at 4:53 pm


  • Adrienne Zurub
    Adrienne Zurub

    August 3, 2009 at 5:55 pm

    Kim!

    Your Blog is always great reading.

    Happy Blog Anniversary!!!


  • Grand Rounds @ Emergiblog
    Grand Rounds @ Emergiblog

    August 3, 2009 at 8:01 pm

    […] medical blogging, and one of the best ways to get reconnected with great medical writers is through Grand Rounds, hosted this week by Kim of Emergiblog.  It’s also her 4 year blogging anniversary, and she’s brought together a wealth of […]


  • Rita Schwab
    Rita Schwab

    August 3, 2009 at 9:44 pm

    Wow, nearly 40 entries and you still managed to post a bit early. Your blog energy is impressive!

    Nice job.


  • Jessica Otte
    Jessica Otte

    August 3, 2009 at 10:44 pm

    Thanks for including me; Wallace and Gromit are an excellent pair to make the Grand Rounds a cracking one indeed!

    Cheers!


  • […] blog birthday to Emergiblog, run by Kim, an ER nurse from San Fran. She just published a lovely Grand Rounds – and managed to include my “ Resident Physicans. Uh, What are Those?” […]


  • Am Ang Zhang
    Am Ang Zhang

    August 4, 2009 at 4:08 am

    Thanks for a grand Grand Round. I have just managed to read through the varied selections.

    The Cockroach Catcher


  • […] Vacation time, and still able to compile such a wonderful Grand Round overnight (!), excisting of al… […]


  • […] Grand Rounds at […]


  • hgstern
    hgstern

    August 4, 2009 at 4:39 am

    Outstanding job, Kim! That’s a LOT of info, but easy to follow.

    Thanks for hosting, and for including our post.
     


  • tammy swofford
    tammy swofford

    August 4, 2009 at 7:38 am

    Kim,
    A day late weighing in, but congratulations on reaching the milestone of five years of continuous blogging! smile

    Best regards,

    Tammy


  • Toni Brayer, MD
    Toni Brayer, MD

    August 4, 2009 at 8:20 am

    Great Grand rounds and happy happy blogging anniversary to you!


  • Barbara Olson
    Barbara Olson

    August 4, 2009 at 10:07 am

    Love it. Forget that I said it’s like being in a Fellini movie!

    http://florencedotcom.blogspot.com/2009/08/salute-to-grands-rounds-and-other-eye.html

    And thanks for including my “meanest post ever”!


  • On The Wards
    On The Wards

    August 4, 2009 at 6:03 pm

    Great job with the skillful integration of a Wallace and Gromit theme with this week’s medical grand rounds! I had an amusing time reading the commentaries.


  • A Cracking Grand Rounds | Dr Shock MD PhD
    A Cracking Grand Rounds | Dr Shock MD PhD

    August 4, 2009 at 10:55 pm

    […] extensive grand round with a lot of posts in a funny theme on Emergiblog: Our theme this week comes to us courtesy of that loveable, wacky duo, Wallace and Gromit! Many, […]


  • […] Rounds, a medical-blog carnival, is published at Emergiblog this […]


  • Dr. Vikram
    Dr. Vikram

    August 5, 2009 at 11:13 am

    Great article, but was too lengthy, eyes got tired while reading, but it was interesting, keep blogging and Happy Blog Anniversary!!!


  • […] extensive grand round with a lot of posts in a funny theme on Emergiblog: Our theme this week comes to us courtesy of that loveable, wacky duo, Wallace and Gromit! Many, […]


  • […] I close, I must draw thy attention to my blog mum…she has just celebrated her 4th blogiversary and prod… Keep up the good work […]


  • […] found Glenna’s article in Grand Rounds, hosted this week by Kim at […]


  • aqua
    aqua

    August 9, 2009 at 12:16 pm

    Hi Kim,
    In support of all the people struggling with mental illness, and in particular, MDD, I just have to respond to the Philip Hicky article, “Behaviorism & Mental Health: “depression is not an illness”. My response is long and wordy, but I fear Mr H will not post this resonse to him on his website, and I worry people with MDD might end up there and think their illness is their fault. That is how I felt reading his piece.

    Here goes:

    in response to Philip Hickey’s “depression is not an illness:

    For me severe depression really did just pop out of nowhere. There was nothing wrong with my life during these episodes…I had a great life. It was the depression that stopped me in my tracks, not the other way around.

    When you wrote, “When things are going well in our lives, we feel good”…I understood immediately that you misunderstand MDD. The sad thing about MDD is that even if things are going well this illness destroys a person’s ability toi feel good.

    I find it difficult to understand how you treat people with depression when you place so much distance and dogma between yourself and your patients. When you say,

    “Many of these individuals lived on a diet of soda pop [I can count on my hands the numer of sodas I have drank in the last 5 years], cigarettes[don’t smoke], and salami sandwiches[I think the last salami sandwich I ate was in high school…I’m 44]. Others drank enormous quantities of alcohol [I used to drink periodically…like many other happy people I know…until I got as severely depressed as I am now. In which case it drove me to drink more to try to help my symptoms]. Few ate vegetables regularly[ was vegetarian.so did well here]. Many stayed indoors almost all the time [see my above list of favourite and common activities]. Physical activity was almost always minimal [ditto]. Purposeful activity – i.e. activity directed towards some kind of goal – was seldom present [university? , and good honest, open relationships almost non-existent…[great frienships?]…

    …Chronically depressed people, however,are individuals who have been neglecting these areas for years. They spend the vast majority of their lives indoors, watching television and eating snack food. They are often over-weight, have no goals other than the next TV show, and although they may have many acquaintances, they do not share their concerns and worries in an open and honest manner”

    …it struck me that you believe very strongly that “we”are so very different from you. We just don’t try hard enough to be happy. If only “we” would try harder, “we” could be as happy as “you”.

    Have you ever really worked with someone with clinical depression? Contrary to your statement that we are indoorsy, crappy food eating, inactive, solitary, lazy, unfocused, fat, slobs.. [actually slob is my word…it’s how i sense we seem to you) people with MDD are a wide range of people…some of us even active, outdoorsy, friendly and friend supporting, anti-t.v., fit and interested and interesting people.

    It becomes clear you have never understood what it is to be depressed when you state, “Depression or despondency is not as acute a sensation as pain”. In the past I broke both my elbows at the same time, had a severe case of CMV related hepatitis that required hospitalization, have broken my leg, my ankle, my wrist, had three concussions, was injured in a car accident, had a doctor drill into my leg bone for bone marrow, basically have suffered a lot of physical pain.

    NOTHING is as painful as severe and chronic MDD. When I broke my elbows I had just come out of the hospital after having ECT. For the first time in years I felt mentally well. I REFUSED any pain medication for my physical pain, for fear that my psychic pain would recur. NOTHING hurts like mental pain…NOTHING.


  • Intransigentia
    Intransigentia

    August 17, 2009 at 3:00 pm

    Aqua, I felt the same way when I read his post, and honestly I was a little surprised that he was included in the Grand Rounds. I mean, on the one hand there are interesting questions around the neurochemistry of depression; the old serotonin hypothesis doesn’t seem to work and yet antidepressants do seem to help people. All sorts of good research to be done there. But going off about how depression is just a sign that you need to get your $h!t together already? Really?


  • Kim
    Kim

    August 17, 2009 at 3:17 pm

    A quick note from the hostess here: when I host Grand Rounds, it is extremely rare that I exclude a submission. I will disagree, from time to time, with the opinion of a blogger, but I put it out there and let the discussion take off.

    Each Grand Rounds host does things a bit differently; you will find hosts that are all-inclusive and those who edit the submissions via content. I’m 99.9% inclusive – I’m not really a fan of flat out sales pitch sites.

    And, for the record, I firmly believe you can have all your, uh, $hit together and still suffer from depression – been there, done that! : )


  • Intransigentia
    Intransigentia

    August 18, 2009 at 8:56 am

    Thanks for the clarification, I appreciate it.


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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