Tuesday, May 01, 2007

Grand Rounds at Shrink Rap!

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Grand Rounds at Shrink Rap: BYOB
(Bring Your Own Brain)
...also, My Three Shrinks Podcast 18...

[Well, this was a lot of fun to put together. We'll have to do it again sometime... in a couple of years (Actually, the iPhone 3G Edition in June 2008)! You can thank Clink for the fancy html work on the brain -- click a brain region or title to go to that section -- Roy for the linking and formatting and producing the podcast (or click here to open a new window with the .mp3 running so you can listen to us blather on about all these excellent posts), and Dinah for... umm... oh, yeah, she wrote a lot of the copy. Watching the three of us try to figure out how to organize all 50 posts into 8 categories was like watching the Three Stooges trying to hang wallpaper. So, charge up your laptop, get yourself a drink, and make yourself comfortable. Then start enjoying these great articles. But, remember, enjoy them responsibly.]

--|May 8 Grand Rounds is at TBTAM (The Blog That Ate Manhattan),
--|where it is "dedicated to our favorite surgery registrar, Barbados Butterfly,
--|whose blog was unceremoniously taken down not too long ago. "

Be sure to check out Interested Participant, whose link we initially butchered. IP blogs about the serious civil liberty consequences of a bill in Congress to expand the registry of mental health adjudicants in National Database of the Mentally Ill. "After all, that's how Hitler was able to get his Aryan purity project launched." This is a nice summary of current meaning of the term "adjudication" and how redefinition could open the records of many patients.

Also, check out ER Nursey's post about a Bad Week for the Thirty Year-Olds.

And be sure to check out the Medscape interview between us and Dr. Nicholas Genes, the doc who started Grand Rounds!

  • The Shrink Rap Silly Award For Most Duck References goes to Universal Health for posting Duck Soup. Nice job! Such thorough research, but not for quacks!

  • Val Jones from Dr Val and the Voice of Reason wonders about aging and what makes one particular demented patient rotten in The Great Unveiling.

  • Adam of NY Emergency Medicine blogs about the challenges of recognizing and managing psychological illness in the emergency department when it presents as physical symptoms. In A Broken Soul, the story had a happy ending.

  • In Tales of an Emergency Room Nurse, a case of psuedoseizures is discussed in Emotion as a Cause of Illness.

  • In a Bad Week for the Thirty Year-Olds, ER Nursey describes three sad cases she saw in the ER.

  • In One Post Can Be All It Takes, Anxiety, Addiction and Depression Treatments looks at new research that points out the effects that one dose of opiate can have on the brain. Using morphine, researchers showed that even a single dose can have a powerful effect in mice, which indicates opiates might have similar repercussions in human brains. [not really a case, but close enough. -R]

  • Dr. Marc Greenstein shows us pictures of bladders and pelvi. We never knew they did prostatectomies on robots.

  • Healthline's Ken Trofatter writes a poignant post about the delivery of a healthy baby to a couple who'd previously given birth to a stillborn child in Second Verse Different from the First!

  • In Clinical Cases, the question is asked, "Can I Stand on My Head While on Coumadin?."

  • In The Will to Survive, Dr. George from Odysseys of George tells an uplifting story of a young woman who made a miraculous recovery from a horrific accident.

  • In Pride Goeth Before The Fall, Movin' Meat tells us about an obvious case of appendicitis that wasn't.

  • Wandering Visitor shows us pictures of people with extra body parts in Extra...Special.

  • TBTAM in The Blog That Ate Manhattan describes a patient who is concerned about her risks of developing breast cancer now that her sister has been diagnosed, in When Cancer Strikes Close to Home.

  • Islamic poet Tiel Aisha Ansari of Knocking From Inside writes about the challenge of recovery in Physical Therapy. Whether recovering from mental or physical disability: "I can't cheat just work, and pray, and be it as God wills."

  • AMiB shares this video, "In My Mind". "I came across an interesting video on YouTube that I felt I would like to share on my blog. It is called 'In My Mind', and is a video made by a teenager with Asperger’s Syndrome, explaining to others what it is like to be him." AMiB's blog, An American Medic In Britain, documents his experience with the ancient and respected trade of medicine.

  • Laurie Edwards, whose blog, A Chronic Dose, explores living with multiple chronic conditions from the patient perspective, writes about themes of control, denial, and worrying when loved ones are sick in Who, Me Worry?

  • Amy Tenderich from Diabetes Mine, reviews Jill Sklar's new book The Five Gifts of Illness, which is about Survivorship.

  • Rachel's Wide World of Lunacy gets Flooded Back. "...the feelings of helplessness and despair came back - flooding me like a salad drenched in too much balsamic vinegar - an almost sickening, choked feeling."

  • Emergiblog provides tips on how not to feign illness in You Might Be a Faker If...

  • Adrian of One Version of Things tells us what got him interested in medicine as a child -- seeing his little sister almost die -- in One Sick Little Girl.

  • In Thanking You, type 1 diabetic Kerri Morrone from Six Until Me realizes the profound impact that a support system, specifically the blogosphere, has on her diabetes management.

  • Tangent 90 Degrees illustrates what life is like for family members who donate their loved ones' organs in Celebration and Remembrance.

  • At The Tangled Neuron, we learn about research showing that a systematic program of cognitive rehabilitation can help people with mild Alzheimer’s improve their ability to function, in Cognitive Rehabilitation For People With Alzheimer's and Dementia.



  • Interested Participant blogs about the serious civil liberty consequences of a bill in Congress to expand the registry of mental health adjudicants in National Database of the Mentally Ill. "After all, that's how Hitler was able to get his Aryan purity project launched." This is a nice summary of current meaning of the term "adjudication" and how redefinition could open the records of many patients.

  • In Midwest Med Student Meets East Coast Politics, Paige Hatcher writes about the Virginia Tech tragedy, and how insurance discriminates against people with mental illness, making it harder for folks to get help. She calls for U.S. residents to let their Representatives and Senators know that we want the Mental Health Parity bills passed.

  • Healthline's JC Jones writes about the post-Cho privacy vs. safety debate, in The Human Brain as a Deadly Weapon: Privacy Laws vs. Protecting the Public. "Maybe we need a VT law with a public database with all known persons with potentially violent tendencies..."

  • Our friend, Dr Anonymous, posts The Baby Emilio Debate, about a 17-month old child who "has a rare genetic disorder which will eventually end his life. An ethical debate is taking place in Texas and around the country having to do with end of life issues and who has the final say in these issues."

  • Eric Turkewicz, a New York Personal Injury Lawyer, posts about a different sort of illicit drug trade, in Counterfeit Drugs Update - Trying to Track The Goods.

  • Monash Medical Student mixes it up with medicine and religion in HIV, AIDS, Safe Sex & Fornication (the picture of the hot babe doing it with a spider gives new meaning to the term formication).

  • Rima Bishara in The Doctor Blogger provides the low-down on how the relationship between Doctors and Pharmaceutical Reps.

  • Vitum Medicinus goes even one further in You Thought The Pharmaceutical Industry Was Slimy Before Reading This Post? about how drug reps use techniques to get into our heads.

  • HG Stern at InsureBlog talks about the challenges of medical privacy and risks taken by health care providers who blog in The Flipside Of Empowerment.

  • Nick Jacobs from Hospital Impact describes hospitals which have the 7 Traits of a Highly Passive-Aggressive Organization.

  • In Hooray for Hello Kitty and The Further Adventures of Hello Kitty TSCD writes about the challenge of efficient patient interviews. Also revealed: techniques for maintaining a straight face when people tell you bizarre or disgusting things.

  • Mother Jones from Nurse Ratched's Place writes about a moonlighting psychiatrist who winds up in Iraq in The Green Zone. "Dr. J. left a year ago and we haven’t heard from him since."

  • The Snarky Gerbil wonders what she will do if clients come to her garage sale in Privacy Please.

  • In Shaming The Patient, Susan Palwick from Rickety Contrivances of Doing Good wonders if telling patients to lose weight sometimes does more harm than good. "It's a lot harder to go to the doctor when you're ashamed of yourself, especially when you expect the doctor to try to make you feel more ashamed."

  • Are Fat Doctors Just Human? Kendra Campbell, from The Differential: Medscape Med Students Blogs, sees fat people in the Baltimore airport and wonders if doctors should put more emphasis on their own healthy living as an example for their patients. [P.S.: We know Fat Doctor is human, and we love her for it. -DCR]

  • PixelRN discusses a poll of Baltimore firefighters/EMS as to which hospital has the hottest nurses. Dinah wants to know which one has the hottest shrinks.

  • Kevin, M.D. provides tips on improving your search engine reputation (SEO) in Google Yourself. He should know.

  • Health Psych gives us Suicide by Internet, about two Australian teens who died together of suicide; a reminder to all parents to read what your children write on FaceBook. "Most experts agree that during adolescence, it is critical is to beavailable to listen, be alert to warning signs and to keep the lines ofcommunication open, even though it may not always be easy to do so."

  • David E. Williams from the Health Business Blog writes about the Google Health initiative in Mr. Google comes to Washington. "I asked Bosworth whether he felt consumers had a role in determining their diagnosis –in partnership with their physicians– as well as their treatment."

  • Walter from Highlight Health provides us a list of Healthcare Self-Mangement Suggestions for e-Patients.

  • Joshua Schwimmer from Tech Medicine provides a 4-part tutorial on medical podcasts, including Intro, Part 2, Part 3, and Part 4 (of course, since Dr Schwimmer left out the best psychiatric podcast, My Three Shrinks, his post rates only a B minus, at best ;-) .

--|May 8 Grand Rounds is at TBTAM (The Blog That Ate Manhattan),
--|where it is "dedicated to our favorite surgery registrar, Barbados Butterfly,
--|whose blog was unceremoniously taken down not too long ago. "

My Three Shrinks Podcast 18: Grand Rounds BYOB

If you are looking for the show notes, they're up above. To look at past episodes, with links. go to http://mythreeshrinks.com/.

This podcast is available on iTunes (feel free to post a review) or as an RSS feed. You can also listen to or download the .mp3 or the MPEG-4 file from mythreeshrinks.com.

Thank you for listening.


Anonymous said...

Wow! A whole new anatomy taxonomy! This is a great Grand Rounds! Thanks for including my submission, too!

Anonymous said...

Truly amazing job organizing this Grand Rounds - thanks for hosting!

Kerri. said...

Holy clickable brain! That little device will keep me entertained for at least an hour. :)

Great edition - I'm very impressed! - and thank you kindly for including me.

-- Kerri.

pemdas said...

GRAND Rounds indeed! I'm not going to have any time for work at work today :)

Thanks for letting me go along for the ride.


Anonymous said...

The clickable brain was amazing. Great rounds and thank you

Midwife with a Knife said...

That's a great Grand rounds! :)

Kenneth F. Trofatter, Jr., MD, PhD said...

You folks have put together a memorable buffet for this week's consumption! Thanks for all the hard work and also for including a link to my post. I know the experience I describe was great for my own mental well-being and, perhaps,others who have been in a similar situation will benefit as well!

Anonymous said...

Well, this was fun. Thanks for livening things up. Quack!

tscd said...

I'm very impressed by the podcast and the clickable brain. Very cool!

Catherine said...

Fabulous job on Grand Rounds. I liked how you included a myriad of interesting topics from the different disciplines then organized them by their inverses(above the neck vs below, illness vs wellness, etc).

And what is there not to like about the clicky brain?

AlvaroF said...

is that the brain of a shrink :-)

you've done a great job, thanks

Nancy L. Brown, PhD said...

Wow! What a wonderful Grand Rounds and thanks for including me - even though I was a little tardy and haven't got a clue about podcast development!

Adam said...

Nicely done.

AMiB said...

great job, and thanks for the inclusion!

Mother Jones RN said...

Great job, folks!


Gerbil said...

You've outdone yourselves with the clicky brain!

Thanks for including this straggler :)

Tiel Aisha Ansari said...

Oh, that brain is too much fun. I might have to rip the HTML and see if I can figure out how to make it work! Thanks for including me.

Anonymous said...

WoW! What a fantastic Job...Thank you for hosting!!

JC Jones MA RN said...

Like Joni Mitchell & her analyst, looks like 3 heads are better than 1...love that brain...Thanks for featuring my post & giving me the incentive to figure out how to do podcasting for next go 'round. You are sure cool..."My analyst told me that I was right outta my head.."

Sarebear said...

Most excellent!

Clink's brain rocks!

HP said...

A great Grand Rounds! Many thanks for including my submission.

Fat Doctor said...

Unfreakinbelievable! Clink, I bow to your HTML powers! Great job, all. Can't wait to sit down for a GR feast tonight. Sorry I couldn't submit. I was charting to save my paycheck! :)

Anonymous said...

This was too cool! I loved the podcast and listening while I looked over the posts - it was like hanging out with, well, bloggers!

Although I did think that throwing the papers in the air and catching them would have been fun! : )

I, too, shall be brain clicking continuously. I wonder how I'll explain to someone they have a malfunction of their "duck" area?

ClinkShrink said...

Thank you to all you folks who said nice things about my brain. I've always been rather fond of my brain and felt that it worked exceptionally well, but it's nice to have affirmation. I only regret that I was unable to include the chocolate lobe; it was a little too close to the essential vital brain areas to show on a superficial picture.

Margaret Polaneczky, MD (aka TBTAM) said...

Great Grand rounds, and great podcast! You guys are amazing!

Gerbil said...

Clink, would the chocolate lobe also be known as the amygdala?

Mmmm, Swiss chocolate almond brain...

Anonymous said...

Great multi-media experience, complete with interactive illustrations and podcasts. Just duckie! Thanks for including me.

Anonymous said...

Your "Bad week for thirty year olds in the ER" link is actually to the previous story "emotional causes of disease". As I'm 30-ish and my symptoms are most likely emotional, it's probably best I read it anyway...

Roy said...

Wow! Thanks for the nice comments so far.

I'm so glad you are all admiring Clink's brain. It is so underappreciated... we wish she would display it more often.

I have fixed Interested Participant's link about a proposed National Database of the Mentally Ill, so please check out his post.

I also fixed ER Nursey's link to a post about a bad week in the ER for thirtysomethings.

(I'm surprised we didn't have even more snafu's, or worse... leaving someone out.)

Anonymous said...

So HOW hard was it to do that brain??? You know, I've never been happy with our Archives layout. Could we do rows of clickable ducks that link back to different months? Perhaps on the sidebar??

ClinkShrink said...

And when you say 'we' you mean....

Hmm, does that mean you'd help me update the HTML every month? I may have to think about this.

Anonymous said...

Oh, sadly, I think when I say "we" I mean "you!"
I'd be happy to show you the ducky layout I have in my head.

Artemis said...

Wow -- what a terrific Grand Rounds! Thanks!

ERnursey said...

It's my first day off in quite a long time so I got up to catch up on my blog reading. Imagine my surprise to find I had had a whole days worth of visits by 9am! Thanks for including me. I am in awe of the work that must have been involved in this effort. The clickable brain is wonderful. Thank you.

Anonymous said...

Oh great, we're linked to a malpractice lawyer's blog. At least he liked the brain.

ClinkShrink said...

Ah, but malpractice lawyers are wonderful to have around in case you need one. I wonder if Shrink Rap could get a group discount.

NeoNurseChic said...

Ha! When I read the "when you say 'we' you mean..." comment, I busted out laughing! I, too, loved the clickable brain - I would like my own clickable brain so that I could click my headaches right on outta there! Doesn't that sound like a good idea?

Excellent job on grand rounds - I'm truly impressed by the size of GR, the brain, the podcast (which I haven't yet listened to but is on my ipod), etc. Very nicely done!

I've got a lot of reading to do! Haven't had much time for blog reading or writing lately!

Take care,
Carrie :)