Grand Rounds XXXIII

Welcome to Grand Rounds XXXIII. For a listing of upcoming Grand Rounds click the link.

Since it is Nurses week I offer this submission. It’s an old one of mine but I think one of my better pieces.

First up (and in no particular order) on this weeks tour into healthcare topics Dr. Sanity informs us that the Magic Bullet doctrine of medication is all to alive and well in medicine.

Dr. Noah at Vertical Mattress reviews a book discussing the link between Autism and vaccines.

*Correction( Not Dr Tony) Hospital Tony points to why “H” can be one of the most important signs in our country and an additional post of how one person (nurse) can make a difference.

Martine points us to a post about what happens when a patient and provider have successful communication. And Anjali follows with a story about diabetes that has a happy ending.

Kidneynotes points out that sometimes things that are obvious are overlooked, repeatedly, because “somebody” must be taking care of it.

Will German price controls hasten the era of Personalized Medicine? David Williams of the Health Business Blog gives some interesting thoughts on this.

Matthew Holt of The Health Care Blog discusses the uninsured.

"He continued to speak to me, but I felt myself sliding down a chute backwards, screaming silently as the roar of a hurricane blasted my ears." From the Cheerful Oncologist. 

Different River has a very interesting post on Kosher Trademarks. Trust me and just keep reading you will get to the meat of the issue and its worth the read.

A family practitioner, an internist, and a surgeon go duck hunting. From The Doctor Is In

Red State Moron has been fired but it’s only because he had the sense to actually care about a patient. He also asks the question “Do we need to begin weeding so early? Or perhaps we just need to keep the students away from physicians who rant on blogs.” In response to a program that exposes potential medical students to medicine early.

From Dr Charles the not to be missed story of The Telling heart.

From a Telling Heart to a Slowly Breaking one from Sneezing PO. 

Medical Connectivity Consulting discusses the pitfalls of this era of EMR and integrating a vast array medical devices into the process. A must read.

Intueri: to contemplate has a post about taking call overnight. As a person who tries to dump every call shift I can, I sympathize with her.

Kevin, M.D. brings us information about how drug ads work.

The Musc Tiger discusses taking the USMLE. After reading this post I am glad I never have to take that test.

Mad House Madman has trouble convincing a patient to follow suggested medical advice. And the resolution is here.

Orac Knows educates us on the extensive time and training it takes to become a surgical oncologist.

DB’s Medical Rants discusses thoughts on healthcare reform. 

Interested Participant invites us to read about a Turbo-Booster for the heart.

Dr Andy has a post on tough love in dealing with a noncompliant patient.

Aaron educates us on the operation of a free clinic and has also had time, even while to going to school, to pitch in and help.

A Chance to Cut is a Chance to Cure discusses the considerations that go into deciding when to hospitalize a patient and when to send them home.

Medgadget points us to a device that is so cool I wish we had a commercial one instead of sharps containers in the hospital.

This post by GruntDoc discusses using tpa to treat strokes. He appears to not be too fond of using it himself. As for me the first time I had to administer tpa to a stroke patient I was at a major neurological institute here in Phoenix. I walked into the ER and was asked to take care of patient “X” immediately. It so happened patient “X” was a neurosurgeon and was in town for an International Neurosurgical Conference. When I entered the room the walls were lined with Neurosurgeons. As I went about administering tpa I was grilled by the doctors on all the aspects of providing tpa treatment to a stroke victim. I so wanted to turn to them and say "you’re the Neurosurgeons, you tell me."

Dr Emer at Parallel Universe has information on why it is important to get strict control of diabetes if you have the disease and suffer from heart attacks. Just keep scrolling down and you’ll get to the post.

Galen’s Log asks the question; Ever wonder why the number of spider bites vastly outnumbes the number of spiders? Ground Rounds XXXIV will be hosted next week at Galen's Log.

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