Grand Rounds, Vol. 2 No. 52
Welcome to Grand Rounds, the medical blogosphere’s weekly carnival of the best writing and thinking on topics related to health and healthcare. This week’s edition comes to you from the beautiful state of Alaska.
Those who have visited this site before are aware that Tundra Medicine Dreams is about my life and medical practice on the tundra in the southwest portion of the state. For those who are new visitors, I hope you will return to read more about this unique and fascinating place. I love sharing the subtle beauty of this area with people, and have posted many photos on the blog; for this Grand Rounds post I will offer you images of the more dramatic beauty of Alaska found in the central and eastern regions of the state. If you have never visited the 49th state, you should. At least once in your life. Alaska is an American treasure that no one should miss.
Many thanks to Dr. Nick Genes of Blogborygmi for organizing and coordinating Grand Rounds, and for producing such consistently excellent pre-Rounds interviews with each weekly host. You can view mine here (free registration required).
So, without further ado,
Volume 2, Number 52
Of the 47 submissions to this week’s edition, these five were my favorites.
At DR. HEBERT’S MEDICAL GUMBO, we learn about an overweight patient who wants to lose weight. At THE RUMORS WERE TRUE, M. Dyspnea wishes for more effective techniques to teach teenagers about the effects of alcohol on the brain. From my very own hospital here in Bethel, visiting resident Rob at ALASKA BOY…RIDES AGAIN describes a medevac story from one of our villages. Kim over at EMERGIBLOG gives us her dream design for a new ER. And the ever-endearing GRUNT DOC describes a chief complaint of “?” when the patient is both schizophrenic and deaf.
Blogger William Rubin at BILLY RUBIN tells us that medicine is a life of endless learning (so true!). Tony Chen at HOSPITAL IMPACT describes the privilege of being a health care worker. At ANXIETY, ADDICTION AND DEPRESSION TREATMENTS, Dr. Mada questions where the line is that separates healthy training in athletes from disordered eating. Louise at COLORADO HEALTH INSURANCE INSIDER wonders whether we are using too much ultrasound in pregnancy?
Henry Stern at INSUREBLOG asks “can marijuana be classified as a medicine?” MY LIFE, MY PACE suggests that too often medical students are whiners. Hsien-Hsien Lei at A HEARTY LIFE gives a report of a British television show called Cardiac Arrest. The eponymous blogger of VITUM MEDICINUS tells us his ten favorite things about the first term of medical school.
At A CHRONIC DOSE, Laurie describes making choices about which symptoms we attend to. Susan Palwick at RICKETY CONTRIVANCES OF DOING GOOD discusses sleep apnea and the importance of CPAP. Elisa Camahort of HEALTHY CONCERNS is bummed about the Cheerful Oncologist’s recommendations on how to get your doctor to listen to you. K. Weaver of LIVING WITH DIABETES offers a patient story. And Mona at THE TANGLED NEURON discusses depression and Alzheimer’s.
Rob Lamberts at MUSINGS OF A DISTRACTIBLE MIND warns about bringing work stress home. At SUNLIGHT FOLLOWS ME, blogger TSCD tells an amusing story of a patient with abdominal pain in a bathing suit. South African blogger Karen Little of MILF’S ANATOMY has a difficult day.
New blogger Scalpel of SCALPEL OR SWORD? has a painful dental experience when the doctor becomes the patient. At SCANMAN’S NOTES, Dr. Vijay Sadasivam brings us the oldest published description of holoprosencephaly. The #1 Dinosaur at MUSINGS OF A DINOSAUR tells us how s/he (making no assumptions here) puts a new patient at ease.
At UROSTREAM, Kea Girl reveals herself as the surgeon who truly hates the poke of a needle. Alice at HOME SCHOOLED MED STUDENT gives us a description of two surgical patients. Wilderness medicine specialist Dr. Paul Auerbach of HEALTHLINE describes the diagnostic dilemma of a possible spider bite. At UNBOUNDED MEDICINE, Jon Mikel, M.D. uses a Wood’s lamp to diagnose vitiligo. And Dex at A BUDDING EMERGENCIST tells a story of the importance of details.
From BORNEO BREEZES, Traveling Doc gives a description of public health efforts in Pakistan. Tara Smith of AETIOLOGY discusses the recent E. coli outbreak from packaged spinach. At INSIDE SURGERY, Dr. Lisa Marcucci educates us about nesiritide, a brain naturietic peptide.
Always Learning, the blogger of WANDERING VISITOR, reviews a recent study on the association between diet and Alzheimer’s—one more reason I’m glad we have no McDonald’s in Bethel! Amy Tenderich of DIABETES MINE comments on a study to fight obesity by having no chairs in elementary school classrooms. At THE EXAMINING ROOM OF DR. CHARLES, Aiden Charles discusses a study finding that Asian women have the longest life expectancy of any Americans.
From the Philippines, Dr. Emer of PARALLEL UNIVERSES bemoans the improper use of statistics by the Department of Health. At HEALTHLINE, Dr. Enoch Choi reviews recent FDA information about the proper way to take your daily aspirin. Orac of RESPECTFUL INSOLENCE is happy about a recent study which finds that the age of your surgeon doesn’t matter until the surgeon is really old.
At INTERESTED-PARTICIPANT, blogger mj pechar discusses a statement from the British Medical Journal that the “morning after” pill has not reduced the abortion rate. At STRAIGHT FROM THE DOC, Gloria Gamat reviews a study suggesting that green tea and its extracts may slow the progression of Huntingtons disease. She reviews another study at CANCER COMMENTARY regarding a combination drug which inhibits the growth of aggressive tumors in prostate cancer. Dr. Joel Fuhrmann of DISEASE PROOF gives a review of the questionable benefits of alcohol consumption.
ALERT! Late addition--somehow one fell between the cracks! Sincere apologies to CLINICAL CASES AND IMAGES BLOG who reviews the new once-a-year drug to treat osteoporosis.
Dr. David E. Williams of HEALTH BUSINESS BLOG comments on the real reasons behind a company’s opposition to electronic medical records. And Bob Coffield of HEALTH CARE LAW BLOG reviews an article on non-profit hospitals.
Next week’s Second Anniversary edition of Grand Rounds will be hosted by Dr. Enoch Choi at HEALTHLINE. You may email your submissions to him at enochchoimd-thoughts at yahoo dot com.
And if you haven’t yet participated in the Healthcare Blogging Survey sponsored by Envision Solutions and The Medical Blog Network, please do! Click here. The survey ends on September 29th.
1. Mt. McKinley, known to Alaskans simply as "Denali"; North America's tallest peak. From a post card, photographer unknown.
2. Bethel from the river at sunset, by The Tundra PA.
3. Float plane on Naknek Lake, from Beautiful America's Alaska by George Wuerthner. www.wuerthnerphotography.com
4. Arrigetch Peaks, Brooks Range, ibid, by George Wuerthner.
5. Grizzly bear, ibid, by George Wuerthner.
6. Musher and sled dog team competing in the Yukon Quest, from Mushing Alaska 2003 Calendar, photo by Jeff Schultz.
7. Bald eagle. From a postcard, photographer unknown.
8. King salmon. From www.lamedialodge.com, photographer unknown.
9. Caribou bull, from America's Beautiful Alaska by George Wuerthner.
10. Alaska mountains, by Dutch (Mr. Tundra PA).
11. Polar bear kiss, by Thomas D. Mangelsen, www.mangelsen.com.
Labels: Grand Rounds