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Eriacta 100mg pills $304.00 palsWelcome to the latest edition of Grand Rounds, eriacta 100mg pills $304.00 the weekly compilation of the best of the medical blogosphere!

Eriacta 100mg pills $304.00 Our theme this week comes to us courtesy of that loveable, eriacta 100mg pills $304.00 wacky duo, eriacta 100mg pills $304.00 Wallace and Gromit!

Eriacta 100mg pills $304.00 Many, eriacta 100mg pills $304.00 many submissions make for a wonderful ‘Rounds and this week is no exception.

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Eriacta 100mg pills $304.00 As Gromit reads up on “Electronics for Dogs”, eriacta 100mg pills $304.00 those of us in the U.S. Eriacta 100mg pills $304.00 are trying to keep up with the ongoing debate on health care reform.

Eriacta 100mg pills $304.00 Terri at Nurse Ratched’s Place scored a coup this week: an interview with Howard Dean!!! Read it here, eriacta 100mg pills $304.00 at Howard Dean stops by Nurse Ratched’s Place!

Eriacta 100mg pills $304.00 Wow, eriacta 100mg pills $304.00 what a great post from Glenna Crooks at Disruptive Women in Health Care! Ms. Eriacta 100mg pills $304.00 Crooks discusses how health care policies affect women, eriacta 100mg pills $304.00 and how women view certain elements of health care reform in She’s Not Buying…Healthcare Reform.

Eriacta 100mg pills $304.00 Canada’s health care system has been alternately held up as a model and demonized as socialist. Eriacta 100mg pills $304.00 How is this affecting the discussion of U.S. Eriacta 100mg pills $304.00 health care? Sam Solomon of Canadian Medicine weighs in with Barack Obama Feels the Repercussions of the Chaoulli Decision.

Eriacta 100mg pills $304.00 Will plastic surgeons – and their patients – be footing the bill for major health care reform? Henry Stern at Insureblog discovers another case of “cranial-rectal inversion” as he reflects on the proposed taxing of non-essential procedures to finance “deficit neutral” health care reform, eriacta 100mg pills $304.00 aka: the Nip/Tuck/Tax.

Eriacta 100mg pills $304.00 This summary was written so well I’m going to use it exactly as written: Steven Weinberger, eriacta 100mg pills $304.00 MD, eriacta 100mg pills $304.00 FACP, eriacta 100mg pills $304.00 ACP Deputy Executive Vice President and Senior Vice President for Medical Education and Publishing, eriacta 100mg pills $304.00 continues his monthly column for Eriacta 100mg pills $304.00 Check out Putting Effectiveness Into the Healthcare Equation: Rational or Rationing?

Eriacta 100mg pills $304.00 Evan Falchuk from See First notes that trying to adjust health benefits in the private sector is a sensitive subject, eriacta 100mg pills $304.00 so it isn’t surprising that the President is taking a hit for his attempts at reform. Eriacta 100mg pills $304.00 Perspective provided at Don’t Mess With My Healthcare.

Eriacta 100mg pills $304.00 Barbara at Florence dot com is riled and she takes on health care reform (with a nod to our Canadian neighbors) in Truth, eriacta 100mg pills $304.00 Like Rain, eriacta 100mg pills $304.00 Does Not Care Who Gets Wet and it’s worth reading for this alone “…advertisements portray middle aged men who can’t pee as the next generation of Outward Bound campers”.  But read it context; it’s even better!

Eriacta 100mg pills $304.00 I have to let DrRich of The Covert Rationing Blog introduce this post himself: “I have long been one of those unenlightened physicians who thought alternative medicine was evil, eriacta 100mg pills $304.00 but now I’ve seen the truth – ‘medical woo’ is our road to salvation.” So, eriacta 100mg pills $304.00 find out Why DrRich Supports Medical Woo.  It’s….so…logical!


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.

Okay, eriacta 100mg pills $304.00 this is a big “Ouch”! Ramona at Suture for a Living describes a condition I never knew existed in Raynaud’s Pheomenon of the Nipple. And, eriacta 100mg pills $304.00 thank goodness, eriacta 100mg pills $304.00 there is a treatment for it!

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.

Nancy at Teen Health 411 gives us information on a new RWJF program aimed at Ending Teen Dating Violence. Eriacta 100mg pills $304.00 The statistics will floor you!


Eriacta 100mg pills $304.00 picture_8Ah, eriacta 100mg pills $304.00 Wallace would give the world for a good bit of Wensleydale cheese to nibble with his crackers. Eriacta 100mg pills $304.00 It does wonders for his mental health.

Eriacta 100mg pills $304.00 The ACP Internist notes that another favorite snack is suspected of improving physical health. Eriacta 100mg pills $304.00 You have got to read this! Blue M&Ms Treat Spinal Cord Injuries. (Editor’s note: as long as M&Ms sponsors Kyle Busch in Nascar, eriacta 100mg pills $304.00 I’ll pass on any color!)

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”

Eriacta 100mg pills $304.00 Rita at Supporting Safer Healthcare notes notes “If you are an effective meeting facilitator people may actually look forward to participating in committees that you manage, eriacta 100mg pills $304.00 and in today’s over-meeting’d world, eriacta 100mg pills $304.00 that’s high praise indeed.” She discuses what it takes in Are You A Star Meeting Facilitator?

Eriacta 100mg pills $304.00 If Wallace is drinking green tea, eriacta 100mg pills $304.00 he may be better off health-wise! On the Wards explores the question Does Green Tea Prevent Hematological Cancers?

Eriacta 100mg pills $304.00 We see a lot of asthma and chronic sinusitis in the ER, eriacta 100mg pills $304.00 Allergy Notes looks at one option for treatment and wonders Does Surgery Help Asthma Symptoms in Patients with Chronic Sinusitis and Asthma?


mean with feathers

Eriacta 100mg pills $304.00 Uh oh! Looks like Gromit has about had it with the antics of Feathers McGraw, eriacta 100mg pills $304.00 evil penguin!

Eriacta 100mg pills $304.00 Over at the ACP Hospitalist comes advice from the AHA Leadership Summit: How CEOs Can Avoid Getting Fired. Eriacta 100mg pills $304.00 To paraphrase Wallace, eriacta 100mg pills $304.00 getting fired can certainly take the bounce out of your bungie!

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!


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!

Eriacta 100mg pills $304.00 Rachel at Tales of my Thirties made some connections last week at BlogHer 09 and she looks back in Unlocking Some Doors. Eriacta 100mg pills $304.00 It was great meeting you, eriacta 100mg pills $304.00 Rachel! Thanks for the moral support during my panel!

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 Barbara at In Sickness and in Health, eriacta 100mg pills $304.00 makes an unexpected connection with Leonard Cohen in Anthem by Leonard Cohen: Words of Wisdom.

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



Eriacta 100mg pills $304.00 Gromit is quite the meticulous gardener, eriacta 100mg pills $304.00 assessing his legendary gigantic watermelon. Eriacta 100mg pills $304.00

Eriacta 100mg pills $304.00 Speaking of legends, eriacta 100mg pills $304.00 Dr. Eriacta 100mg pills $304.00 Rob and I have produced a blog spawn in Max E. Eriacta 100mg pills $304.00 Nurse over at It Shouldn’t Happen in Health Care. Eriacta 100mg pills $304.00 Max goes on to discuss the Legends of the Past he worked with in his ER days. Eriacta 100mg pills $304.00 Such a polite boy – we raised him well! : D

Eriacta 100mg pills $304.00 Some of the stories of the dissection room can be quite legendary themselves. The Hippocratic Oaf muses over a summer anatomy session in Dissection: A Brief Reminiscence.

Eriacta 100mg pills $304.00 Wikipedia has become bigger than Gromit’s watermelon! Clinical Cases and Images is amazed to find out that Wikipedia Used by 70% of Junior Physicians, eriacta 100mg pills $304.00 Dominates Search Results for Health Queries. Eriacta 100mg pills $304.00 Wiki was not acceptable as a source in my research class, eriacta 100mg pills $304.00 I wonder if they back up what they find out with other sources.


gromit catchGromit uses his intuition and a quick set of reflexes to catch a soccer ball before it destroys his greenhouse and almost makes it!

Residents hone their skills daily, eriacta 100mg pills $304.00 developing the intuition they will need as they care for patients. Eriacta 100mg pills $304.00 Jaotte, eriacta 100mg pills $304.00 at Dr. Eriacta 100mg pills $304.00 Ottematic gives a beautiful description of the process in Resident Physicans. Eriacta 100mg pills $304.00 Uh, eriacta 100mg pills $304.00 What are Those?

Clinton, eriacta 100mg pills $304.00 proprietor of Not My Second Opinion recently attended the American Academy of Family Physician’s National Conference. Eriacta 100mg pills $304.00 He left with a new way of thinking about primary care in Patient Centered Medical Home…Say What?

Speaking of reflexes, eriacta 100mg pills $304.00 Reality Rounds asks that rhetorical question, eriacta 100mg pills $304.00 Did I Just Pee? And yes, eriacta 100mg pills $304.00 she actually did! Find out why and what she has discovered about perineal integrity along the way! Ladies, eriacta 100mg pills $304.00 listen up!



Eriacta 100mg pills $304.00 When they aren’t busy inventing, eriacta 100mg pills $304.00 our hosts Wallace and Gromit enjoy the fun of a seaside roller coaster ride!

Eriacta 100mg pills $304.00 Laura at My Favourite Number remembers the night her blood sugar felt like a roller coaster in That Lovely (and Sometimes Illusive) Window of Control or: How to Pass the Time When Your Sugar’s on the Fritz. Eriacta 100mg pills $304.00 Let’s hear it for hubbies and board games!

Eriacta 100mg pills $304.00 Speaking of seaside, eriacta 100mg pills $304.00 Paul from Medicine for the Outdoors reminds us to follow the U.S. Eriacta 100mg pills $304.00 Coast Guard rules for Safe Paddling!

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The Cockroach Catcher also goes to the sea (and has some stunning diving photos) as he discusses Sea Slugs and Ships: Memory and Biodiversity.



Eriacta 100mg pills $304.00 Our guys are looking pretty spiffy in their fancy clothes!

Eriacta 100mg pills $304.00 Maybe they are thinking about the medblogger track at BlogWorld/New Media Expo 09, eriacta 100mg pills $304.00 being held in Las Vegas in October? Information on registration can be found here and rooms are available at the Venetian at a discount! Be there or be totally square!

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!

Eriacta 100mg pills $304.00 Our next host will be DrRich himself, eriacta 100mg pills $304.00 at The Covert Rationing Blog!

Eriacta 100mg pills $304.00 Thanks for reading!

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  • 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


    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!


  • […] 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

    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

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

    Best regards,


  • 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!

    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

    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 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

    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

    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

    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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