Grand Rounds Vol. 5 No. 30
Grand Rounds Vol. 5 No. 30
I’m excited for being part of what a would dare to say it’s by now a classic: Grand Rounds, the best of medical writing on the web! Thank you to the medical and health bloggers who submitted their posts. ALL submissions I received were excellent, but I decided to include just a few to avoid making this a too large edition.

First, let’s keep in touch
Walter Jessen at Highlight Health reinforces our addiction to health blog carnivals. He lists and links to all the available subscription options for keeping track of our favorite credible, rotating health and medicine blog carnival(s). A must read!
Controversy at King’s College
Dr. Crippen shares with us a controversial story: King’s College is being accused of racism by a medical student. Hundreds of comments have followed this post.
Good stories for patients
How to cope with pain blog teaches breathing exercises as part of their weekly pain management classes series.
Dr. Jolie Bookspan at Highlight Health warns patients: “You don’t have to have Anterior Cruciate Ligament (ACL) surgery to rehab a knee injury”.
Sad but true, patients prefer vitamins over doctors
Economizing shoppers are replacing their prescription meds and doctor visits with vitamins and supplements, at ACP internist.
How our body works
On the Wards translates to the general audience a paper published in Nature Neuroscience about: How Does Scratching Help An Itch?
New biochemical markers of disease and the PSA debate
Dr. Ves Dimov covers the latest markers on osteoporosis (CTX and NTX) and COPD (inflammation sensitive plasma proteins).
Still confusion about the usefulness of PSA screening? Laika’s MedLibLog summarizes the (interim) results of two large randomized controlled trials on the usefulness of Prostate Cancer Screening.The present evidence indicates that the benefits do not outweigh the harms.
What being a nurse means
Nurse Ausmed,a passionate professional, makes a much needed optimistic approach to what working as a nurse means.
On healthcare
As a seasoned cost-effectiveness researcher, Doc Gurley takes us behind-the-scenes for a shocking insider look at healthcare’s cost calculations. Who should die? And how cheaply?
At Florence dot com, Barbara Olsen is continuing a story about the Vasa, a 17th century sunken ship, which offers age-old lessons about preventing harm by harnessing knowledge of people at the front line. This post explores the “science” behind the “compliance” of contemporary measures clinicians will recognize.
On big pharma and our attitude towards them
Dr. Daniel Carlat makes an excellent analysis of JAMA’s latest recommendations for medical societies on how to start breaking relationships with the pharmaceutical industry.
Adina at Heal Spiel wrote a post that concerns (and criticizes) the common practice of medical students obscuring the names of pharmaceutical companies from the free products that they receive.
What surgeons are writing this week
Inside surgery wonders: What happens to a trauma patient when they are in a devastating car crash like the one that killed Angels’ pitcher Nick Adenhart ?
Brad Parker, at A chance to cut is a chance to cure, expounds upon the potential conflict between specialists and primary care provider.
At The Paper Mask, the author explains us why Helpcure.Com is a Fraudulent Scam.
Medical students thoughts on…
Handling Criticism. Medaholic has an interesting view on how criticism can be an opportunity to grow and mature.
Tenuous Relationships students and younger healthcare professionals may have around more senior and established physicians. Mudphudder points the reflection by telling a personal experience.
Before saying goodbye, a video: A neutrophil chasing bacteria, set to music.

That’s all for this time, I really hope you enjoyed Grand Rounds!
Next edition will be hosted at Diabetesmine.



Thanks for putting together such an interesting group of posts and for including Florence dot com! I spent some time this morning tooling around to your selections, paying more attention to stories from the front line than on how to make Forence dot com more accessible, I’m afraid. But I’ll get to those later! Nurse Ausmed’s post really inspired me, so I used it in a real-time error analysis exercise:
http://florencedotcom.blogspot.com/2009/04/grand-rounds_14.html. Thanks again, Flavio!
All this and not a single post from a patient blogger! How many submissions did you receive from non-professionals, Dr. Guzman? I know you got at least one – from me. If it’s any more than that, let me be the first to point the injury you have done to all of us. It’s a shame, but it’s also evidence enough of the extremely patronizing attitude some docs still have towards patients in general. Welcome to the conversation, Dr. Guzman. Now shut up, and start listening.
Thanks Duncan for the comment. You are right, the only patient submission I received to grandrounds@pharmamotion.com.ar was yours. I think it’s unfair that you accuse me of having a patronizing attitute towards patients just because I omitted your post. Since I didn’t divide the submissions on groups patients/healthcare professionals, I was not aware that by leaving you out of this edition I was leaving ALL patients in the blogosphere.
Thanks for reading,
Flavio
Should we call the whaaaaambulance for Mr. Cross? Dr. Guzman was the host, his discretion on what to post is absolute.
Thems the rules.
Dr. Guzman – color me astounded. The last Grand Rounds had at least 7 posts by patient bloggers, and the GR before that at least 5. It’s really, really surprising that your turn only elicited the one.
But no, of course I don’t think your reaction to my post alone is evidence of anything more general. That should have been clear in my original comments, but it could have been clearer. I certainly don’t blame you for excluding my post; that’s your prerogative as host.
But for whatever reason, we have before us a GR with not a single patient blogger post. To me, that’s still a problem, but I’m perfectly willing to believe it’s not your problem. I apologize for any implication otherwise.
An excellent selection. I’m loving the arrhythmia video you found too, I think I may just have to start using that in bedside teaching! If I can manage the deep knee bends… Thanks for including Nursing Handover’s submission!
Nice compilation. And I LOVED the neutrophil chasing the germ – what a great note to end on! Your site has such a wealth of muti-media allure. Thanks again.
Thanks for including my submission! Your animations are great, and the Benny Hill Neutrophil was funny as!
I wanted to credit Dr. Ves Dimov for the neutrophil video, from Allergy Cases. Thanks for all the comments!
Interesting concept on healthcare which helped me a lot.Thanks for sharing this tremendous resource.
http://e-medicalwriting.blogspot.com/2009/05/medical-writing.html
Very nice indeed ,, enjoyed the round ! Thanks