Musings of a Dinosaur

A Family Doctor in solo private practice; I may be going the way of the dinosaur, but I'm not dead yet.

Tuesday, May 20, 2008

Grand Rounds Volume 4, No. 35

IN THE BEGINNING, Nick Genes created Grand Rounds. And the Rounds were unformed and void; and Nick Genes said, "Let there be Hosts!" And there were Hosts; and Nick Genes saw that it was good, so he did pre-Grand Rounds interviews with the Hosts on Medscape. And it came to pass that on May 20, 2008 Grand Rounds did come to be hosted by #1 Dinosaur, who was pleased as punch to be hosting for the second time.

Then Susan Palwick of Rickety Contrivances of Doing Good was greatly blessed by the discovery that she was Neither Ill nor Nuts.
The first submission.

And Dr. Shock MD, PhD did ask if there is such a thing as Vascular Depression, or if it is just "treatments seeking new markets."
The second submission.

And David Williams of the Health Business Blog did interview Rich Noffsinger, CEO of SafeMed, a clinical decision support company based in San Diego.
The third submission.

And RLBates of Suture for a Living did present a wonderful review of Von Willebrand disease, wherein the blood flows freely; too freely.
The fourth submission.

And there was working and there was sleeping; the first day.

Then someone who's not really a cowboy arose from the void and did summon his courage to submit to Grand Rounds for the first time, and was welcomed by #1 Dinosaur and the minions of the medical blogosphere; and he waxed eloquent on the topic of obesity, and its measurement, and the pitfalls of the BMI, and the wonders of skin fold measurements. And it was very good.
The fifth submission.

And How to Cope with Pain did describe different kinds of pain occurring in Multiple Sclerosis.
The sixth submission.

And there was working and there was sleeping; the second day.

Then Peter Zavislak of Medical Pastiche did wax eloquent on the topic of Adverse Selection in health insurance.
The seventh submission.

And Clinical Cases did explain how to use your cell phone to listen to medical podcasts.
The eighth submission.

And Fat Doctor did see to it that a certain patient did get what was coming to her. And it was very good.
The ninth submission.

Then Bob Coffield of the Health Care Law Blog did present the latest enforcement statistics of the legislative leviathan called HIPAA, showing -- surprise -- increases.
The tenth submission.

And Walter of Highlight Health did share the results of a fascinating experiment: apparently just remembering what you ate at lunch can actually decrease the urge to snack later in the day.
The eleventh submission.

And Doc Gurley, upon discovering that she would be expected to exercise God-like powers in the event of a disaster, spent a day pondering what that might be like.
The twelfth submission.

And there was working and there was sleeping; the third day.

Then Jolie Bookspan of The Fitness Fixer did share an exercise designed to strengthen the ankle, complete with video.
The thirteenth submission.

And Ian Furst of Wait Time & Delayed Care did expound on the alleged wonders of the almighty Web 2.0; and he saw that it was not good. (The claims for Web 2.0, that is; actually, his exact words were, "It's bullshit.) And it was very good. (The post, that is.)
The fourteenth submission.

And The Blog that Ate Manhattan did celebrate the 125th birthday of the inventor of the Pap test with a moving and appropriate post. Bet you didn't know who died of cervical cancer!
The fifteenth submission.

And Insureblog did condemn a foolhardy publicity stunt.
The sixteenth submission.

And Laurie Edwards of A Chronic Dose did point out some interesting relationships between socioeconomic class and the experience of chronic pain.
The seventeenth submission.

And Nancy Brown of Teen Health 411 did share an amazing new internet resource for locating nutritional data for more than 400 chain and fast-food restaurant choices.
The eighteenth submission.

And Sam Solomon of Canadian Medicine did vent his mighty wrath upon a recent BMJ article that said in part, "[P]eople don’t become doctors because they were destined to do so but because they weren’t good enough at anything else." And it was very good. (The blog post, that is; certainly NOT the BMJ article, which was deplorable.)
The nineteenth submission.

And there was working and there was sleeping; the fourth day.

Then Martina Scholtens of FreshMD did suggest a simple and straightforward way to obtain a sexual history.
The twentieth submission.

And Paul Auerbach of Medicine for the Outdoors did pontificate on the dangers of hyponatremia, without watering anything down.
The twenty-first submission.

And Dr. Penna did point out that NHS professionals in the UK are eligible to get Microsoft Office really cheap.
The twenty-second submission.

And Dr. Trofatter of Fruit of the Womb did expound on the causes of polyhydramnios.
The twenty-third submission.

And Dr. Rich of The Covert Rationing Blog did offer proof that Warren Buffet reads his blog. And it was very good.
The twenty-fourth submission.

And Sandy Szwarc of Junkfood Science did skillfully deconstruct a study purporting to show frightening results about the effect of electromagnetic fields on premature infants. And it was very good.
The twenty-fifth submission.

And Dr. Val, the Voice of Reason, did share distasteful memories of post-operative travel, and fifth-floor walkups, and heartlessness incarnate.
The twenty-sixth submission.

And the good Dr. Crippen did heap disdain upon Iain Dale.
The twenty-seventh submission.

And there was no working, because it was an absolutely glorious weekend day, with bright skies, mild temperatures, and an Ultimate Frisbee tournament to attend; and there was eating and there was sleeping; the fifth day.

Then Nurse Ratched did weep and cry and was greatly distressed at the sorry selection of garments available to cover her nakedness (without making her look fat or stupid or inappropriate.)
The twenty-eighth submission.

And Mind, Soul and Body did ask if medicine was losing its credibility.
The twenty-ninth submission.

And David Harlow of HealthBlawg did discuss a study that claimed Massachusetts medical malpractice insurance premiums aren't as bad as we think.
The thirtieth submission.

And Joshua Schwimmer, a man of many links, did announce his creation of a medical wiki and present a slideshow of Life Hacks for Doctors.
The thirty-first and thirty-second submissions.

And there was no working -- unless you include the laundering of clothes and the shopping for food and the vacuuming of rugs; but there was much sleeping; the sixth day.

Then Jonathan Foulds of Freedom from Smoking did discuss comprehensive tobacco control.
The thirty-third submission.

And Louise of Colorado Health Insurance Insider did wax indignant over the limitations of recent pending legislation about disclosures of gifts made to doctors.
The thirty-fourth submission.

And the great and powerful Orac did expound at Respectfully Insolent length and with great dismay about a more "fluid" concept of evidence -- at Yale, of all places. And it was very good. (The posting, that is; not the sad decline of the Ivy League.)
The thirty-fifth submission.

And David Gorski of Science-Based Medicine did explain in great detail why early detection of cancer and improved survival is more complicated than it appears.
The thirty-sixth submission.

And Christine's mother, guest-blogging on But You Don't Look Sick, did share 10 lessons her daughter has taught her. And it was very good indeed.
The thirty-seventh submission.

And there was working and there was sleeping; seven days; seven days of emails and editing and drafting and posting; seven days of great amusement; seven long days.

And Grand Rounds 4:35 came to an end; but Grand Rounds is eternal, and will be hosted next week at Parallel Universes (of all places.) Thanks be to Nick Genes and all who submitted. And let us say: Ra-men.


At Tue May 20, 07:47:00 AM, Blogger Margaret Polaneczky, MD (aka TBTAM) said...

This is the Grand Rounds the Dinosaur hath made. Let us read and be glad.

Hail Dino! Hail Nick!

At Tue May 20, 08:14:00 AM, Blogger Fat Doctor said...

Great is the Dinosuar and most worthy of praise (slight alteration of Psalm 48:1).

At Tue May 20, 08:37:00 AM, Blogger rlbates said...

"And it was good"

Great edition, Dino!

At Tue May 20, 10:21:00 AM, Blogger Dr. A said...

Great job with this! Sorry I wasn't able to contribute this week.

At Tue May 20, 11:22:00 AM, Blogger Nancy L. Brown, PhD said...

Thanks for including my post about the nutrition resource, but the link goes to Chronic Dose! Too much sunshine for #1 dinosaur!

Nancy at Teen Health 411

At Tue May 20, 12:51:00 PM, Blogger H G Stern said...

Truly inspired!

Thanks for a great 'Rounds, and for inclusing our post!

At Tue May 20, 01:14:00 PM, Blogger Dean said...

Very clever and amusing presentation. A good selection of posts.
What more can you ask?

At Tue May 20, 01:50:00 PM, Blogger 30 years from Darling said...

And on the 8th day Dinosaur, rested.

Ok, maybe not.

GREAT presentation!!


At Tue May 20, 02:12:00 PM, Anonymous Anonymous said...

A dinosaur talking about creation? Must be the end times.

Nice job, and thanks for fitting in my post.

At Tue May 20, 02:28:00 PM, Blogger Kenneth F. Trofatter, Jr., MD, PhD said...

You have clearly negated the hypothesis that the dinosaur brain was too small to support anything but the most basic bodily functions. Congratulations on a GREAT Grand Rounds! Thanks for all the hard work.
Dr T

At Tue May 20, 04:18:00 PM, Anonymous Anonymous said...

Thanks for the really nicely organized Grand Rounds this week.

At Tue May 20, 04:39:00 PM, Blogger Mother Jones RN said...

Blessed be the creator of Grand Rounds and blessed be its host.

Thank you for including my post, Dino. Great job!


At Tue May 20, 05:11:00 PM, Blogger #1 Dinosaur said...

Gaak! Link error fixed on Teen health 411. Here it is again, though:

Internet resource for nutritional data.

At Tue May 20, 06:05:00 PM, Anonymous Anonymous said...



At Tue May 20, 07:01:00 PM, Anonymous Anonymous said...

Hallelujah sayeth the masses, their voices raised in joy and praise. Excellent, dude.

At Tue May 20, 09:55:00 PM, Anonymous Anonymous said...

it was ninja-licious!

At Tue May 20, 10:31:00 PM, Anonymous Anonymous said...

Really GREAT, Dino. Bravo!! Peace be with you... and also with you!

At Tue May 20, 10:41:00 PM, Anonymous Anonymous said...

Very nicely done. Thanks for the inclusion.

At Wed May 21, 03:07:00 AM, Blogger Dr. Emer said...

Great job! 'Very "biblical," too.

Thanks for plugging the next hosting round. I'd like to add that deadline of submissions is on Sunday, May 25th at 11pm (EDT).

Please send all submissions to doc.emer[at], and put MGR-4.36 at the subject line.

'See you all next week!

At Wed May 21, 04:55:00 PM, Blogger Neumed said...

Very creative idea for a theme. I just had to laugh as I read through it.

Naturally, I am disappointed that you didn't include my suggestion.

Granted, it wasn't a post from my own blog, but I didn't see anywhere in the rules that you couldn't give a bump to someone else if you felt they deserved it.

No hard feelings. Just disappointment and more than a little sadness. I'll try again next week and maybe the next host will see what I see.

You're still one of my favorite bloggers. :)

At Wed May 21, 08:24:00 PM, Blogger KC said...

Hmmm...I see that my expose on "Hat Head" didn't make it. (trying not to be crushed)

At Wed May 21, 08:41:00 PM, Blogger Cockroach Catcher said...

Just got this through NHS Blog Doctor. I am of course new to Medical Blog but not new to Medicine. Just published my book The Cockroach Catcher. You can read it on Google Book Search.
The Cockroach Catcher

At Thu May 22, 06:17:00 AM, Blogger #1 Dinosaur said...

Neumed: never got your email
KC: Ditto

I included everything I got. So sorry.

At Thu May 22, 03:39:00 PM, Blogger Neumed said...

Thanks, Dr. D, I suspected that might have been the case. No telling what went wrong.

At Thu May 22, 09:58:00 PM, Blogger KC said...

I was just kidding. I didn't email you. But I did do a Medical Advice Monday on the ongoing Hat Head epidemic.

Someone has to inform the masses.

At Sat May 24, 04:18:00 PM, Anonymous Anonymous said...

I've always been a fan of your blog, and I've always enjoyed grand rounds. I just want to say that this was a great grand rounds, and that it was very good. Thanks for all of your hard work!

At Mon May 26, 08:44:00 PM, Blogger Dragonfly said...

Thanks for all of your hard work!


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