Monday, March 16, 2009
Grand Rounds at ACP Internist
Welcome to Grand Rounds at ACP Internist, a newspaper serving internal medicine. We're paying tribute to the daily newspaper. Read on for the latest headlines, opinions, features and even the funnies.
Click on "More" to read the full post.
Headline News
Juvenile Diabetes Research Foundation addresses end of ban on stem cell research
By Diabetes Mine
JDRF Executive Vice President of Government Relations Larry Soler was at the White House for the signing ceremony and describes the experience.
Business News
Wal-Mart, eClinicalWorks join forces for electronic health records
By the Health Business Blog
Business reporter David E. Williams is skeptical if this joint venture will address all the problems of EHR implementation.
The Perspectives Pages
Editorial
Survey shows broad support for MDs and reform
By ACP Advocate
Voters, even Republican ones, want health care reform, including comparative effectiveness research. Surveyed patients say they trust doctors to help fix the system.
Op-eds
Error reporting should be painless, not just transparent
By Supporting Safer Healthcare
Although error-reporting is supposed to be encouraged in health care, negative consequences often fall on those who committed and/or reported the errors.
Budget-conscious patients attack doc
By Musings of a Distractible Mind
In three anecdotes, patients blame the physician for the outrageous cost of health care. Will health care reform fix the problem?
Government intervention was bad for mammography
By Kennedy's Tumor
Federal regulation reduced the financial incentives to provide mammography. The process has been standardized but not improved.
Better access should cancel out 'conscience clause'
By Colorado Health Insurance Insider
Instead of forcing doctors to provide abortions despite their moral beliefs, let's focus on making sure all communities have access to reproductive services, writes Louise.
Enough talk: psychiatry's drug addiction
By Behaviorism and Mental Health
The psychiatric and pharmaceutical industries have moved in lockstep over the past half century, matching up an ever-expanding list of mental disorders with a pipeline of new drugs, opines Philip Hickey. Instead of talking to patients, psychiatrists' days now consist of "a succession of fifteen-minute med checks."
Columnist
Old diary entries recall teen's life with diabetes
By Six Until Me
Kerri Morrone Sparling, who blogs about life with type 1 diabetes, shares snippets from her teenage diary and recalls longing for a diabetes community long before one existed.
Sports Section
Myth Debunked: Heat loss doesn't happen from the head
By The Fitness Fixer
Sports correspondent Dr. Jolie Bookspan debunks the idea that the body loses heat from the head.
Exercise reduces cravings for chocolate
By Dr. Shock
Exercise can reduce the craving for cigarettes in smoking cessation. Can it also reduce chocolate cravings?
International News
EU rules on doctors' work hours may cause delays, increase costs
By InsureBlog
Henry Stern reports on new EU work hour rules in Great Britain.
Selective decontamination is effective in the ICU
By Laika's MedLibLog
A recent Dutch study found that selective digestive tract and oropharyngeal decontamination each decreased mortality rates in the ICU.
Technology News
Telemedicine expands beyond radiology
By Hospital Impact
Telemedicine systems are moving from concept to reality in rural hospitals.
Health News
Sticking it to cancer: Acupuncture in the exam room
By Own Your Health
Since 2004, a Harvard Medical School oncologist has been offering acupuncture to patients to alleviate the symptoms and side effects of cancer treatment, transforming the sterile exam room into a more peaceful environment.
How to prevent, and treat, ingrown toenails
By Doc Gurley
In part two of her "Well Worth It" series of practical medical tips, Doc Gurley tackles the prevention and care of ingrown toenails from a patient's perspective.
Best care for a bloody nose
By Medicine for the Outdoors (via Healthline)
Wilderness Medicine expert Paul Auerbach, MD, gives a primer on treating patients with nosebleeds--and includes a bonus photo of a bloodied Brad Pitt.
The Science Section
Splendor in the grass: Researchers find new allergen in dog urine
By Allergy Notes
Everyone knows dog dander can bring misery to those with canine allergies. Now researchers have found that a protein in dog urine, called prostatic kallikrein, may bring on the sniffles as well.
New drug shows promise in treating type 2 diabetes
By Clinical Cases and Images
Liraglutide, a new drug, was better at lowering A1C, weight, hypoglycemia and blood pressure than glimepiride, and is safe and effective as initial therapy for type 2 diabetes, researchers found. (If approved, it will be branded as the less tongue-twisting "Victoza.")
Neurofeedback: The next big thing in ADHD treatment?
By SharpBrains
Treating ADHD with neurofeedback, in which a person is taught to alter his or her own brainwave patterns, has showed promise in previous studies--but they were flawed in design. A new study addresses many of the previous flaws, and suggests the treatment really may work, writes Duke psychologist Dr. David Rabiner.
Lifestyle
6 Steps to Breaking that Habit
By How to Cope with Pain
Whether you have chronic pain or not, following the stages of change can help you to either break or start a new habit.
Marriage: If it doesn't kill you, it makes you stronger
By In Sickness and In Health
Some studies show that marriage improves survival and health, while others find that it increases health problems.
Expectant moms should focus on their babies, not their weight
By The Blog that Ate Manhattan
Women miss out on some of the joy of pregnancy when they worry too much about weight gain.
Entertainment News
Former Monkee battles mouth cancer
By Suture for a Living
Peter Tork's recent diagnosis spurs a discussion of mouth cancer symptoms, risk factors and treatment.
Book Review
Memoir illuminates four facets of addiction
By Neuroanthropology
Using descriptions and insights from Caroline Knapp's book "Drinking: A Love Story," medical anthropologist Daniel Lende outlines four factors that lead a person to substance abuse: vulnerability, training, intentional use and meaning.
Weather
Have a migraine? Blame the weather
By Canadian Medicine
A new Web site offers personalized health alerts based on weather conditions, but is the science behind it sound?
Restaurant review
Illness strikes hundreds, forcing restaurant to close
By The Cockroach Catcher
Four hundred diners fall ill at world-renown Fat Duck. Am Ang Zhang investigates possible causes behind the outbreak.
The Funny Pages
Make them laugh
By Other Things Amanzi
A general surgeon working in the 'notorious' province of Mpumalanga, South Africa, relates "the only time I remember when the profs laughed at my often injudicious comments." 
Cartoon Caption Contest
Each month, ACP Internist lets readers create their own cartoon captions and vote for the winner. Submit all entries by March 19. Pen the winning caption and win a $50 gift certificate good toward any American College of Physicians product, program or service. (We have a gift shop and non-clinical books for the lay reader.)
Medical News of the Obvious
Every Monday, ACP Internist skewers studies that shouldn't have needed to be done. Read more every Monday at Medical News of the Obvious.
The Final Page
We hope you enjoyed our newspaper. Now that you're finished, don't forget to recycle.
Labels: Grand rounds
Contact ACP Internist
Send comments to ACP Internist staff at acpinternist@acponline.org.
Previous Posts
- Medical news of the obvious
- Pass the salt...and turn that frown upside down
- Finally, a practical use for Twittering
- Obama should check his facts on EHRs, say Harvard ...
- In absence of medical home, routine care migrates ...
- Wal-Mart to give EHRs the discount treatment
- No performance for peanuts
- 90 CVS minute clinics to close
- Depression linked to cardiac death
- Medical news of the obvious
Blog log
Members of the American College of Physicians contribute posts from their own sites to ACP Internistand ACP Hospitalist. Contributors include:
Albert Fuchs,
MD
Albert Fuchs, MD, FACP, graduated from the
University of California, Los Angeles School of Medicine, where he
also did his internal medicine training. Certified by the American
Board of Internal Medicine, Dr. Fuchs spent three years as a
full-time faculty member at UCLA School of Medicine before opening
his private practice in Beverly Hills in 2000.
And Thus, It Begins
Amanda Xi, ACP Medical
Student Member, is a first-year medical student at the OUWB School
of Medicine, charter class of 2015, in Rochester, Mich., from which
she which chronicles her journey through medical training from day
1 of medical school.
Zackary Berger
Zackary Berger, MD, ACP Member, is a primary care doctor and
general internist in the Division of General Internal Medicine at
Johns Hopkins. His research interests include doctor-patient
communication, bioethics, and systematic reviews.
Controversies in Hospital
Infection Prevention
Run by three ACP
Fellows, this blog ponders vexing issues in infection prevention
and control, inside and outside the hospital. Daniel J Diekema, MD,
FACP, practices infectious diseases, clinical microbiology, and
hospital epidemiology in Iowa City, Iowa, splitting time between
seeing patients with infectious diseases, diagnosing infections in
the microbiology laboratory, and trying to prevent infections in
the hospital. Michael B. Edmond, MD, FACP, is a hospital
epidemiologist in Richmond, Va., with a focus on understanding why
infections occur in the hospital and ways to prevent these
infections, and sees patients in the inpatient and outpatient
settings. Eli N. Perencevich, MD, ACP Member, is an infectious
disease physician and epidemiologist in Iowa City, Iowa, who
studies methods to halt the spread of resistant bacteria in our
hospitals (including novel ways to get everyone to wash their
hands).
db's Medical Rants
Robert M. Centor, MD, FACP, contributes short essays contemplating
medicine and the health care system.
DrDialogue
Juliet K. Mavromatis, MD, FACP, provides a conversation about
health topics for patients and health professionals.
Dr. Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal medicine for more
than a decade and is an Associate Professor of Medicine at an
academic medical center on the East Coast. His time is split
between teaching medical students and residents, and caring for
patients.
Everything
Health
Toni Brayer, MD, FACP, blogs about the rapid changes in science,
medicine, health and healing in the 21st century.
FutureDocs
Vineet Arora, MD, FACP, is Associate Program Director for the
Internal Medicine Residency and Assistant Dean of Scholarship &
Discovery at the Pritzker School of Medicine for the University of
Chicago. Her education and research focus is on resident duty
hours, patient handoffs, medical professionalism, and quality of
hospital care. She is also an academic hospitalist.
Glass Hospital
John H. Schumann, MD, FACP, provides transparency on the workings
of medical practice and the complexities of hospital care,
illuminates the emotional and cognitive aspects of caregiving and
decision-making from the perspective of an active primary care
physician, and offers behind-the-scenes portraits of hospital
sanctums and the people who inhabit them.
Gut Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist at the
University of North Carolina School of Medicine, and the Program
Director for the GI & Hepatology Fellowship Program. He
specializes in diseases of the esophagus, with a strong interest in
the diagnosis and treatment of patients who have
difficult-to-manage esophageal problems such as refractory GERD,
heartburn, and chest pain.
I'm dok
Mike Aref, MD, PhD, FACP, is an academic hospitalist with an
interest in basic and clinical science and education, with
interests in noninvasive monitoring and diagnostic testing using
novel bedside imaging modalities, diagnostic reasoning, medical
informatics, new medical education modalities, pre-code/code
management, palliative care, patient-physician communication,
quality improvement, and quantitative biomedical imaging.
Informatics
Professor
William Hersh, MD, FACP, Professor and Chair, Department of Medical
Informatics & Clinical Epidemiology, Oregon Health &
Science University, posts his thoughts on various topics related to
biomedical and health informatics.
David Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally renowned
authority on nutrition, weight management, and the prevention of
chronic disease, and an internationally recognized leader in
integrative medicine and patient-centered care.
Just Oncology
Richard Just, MD, ACP Member, has 36 years in clinical practice of
hematology and medical oncology. His blog is a joint publication
with Gregg Masters, MPH.
KevinMD
Kevin Pho, MD, ACP Member, offers one of the Web's definitive sites
for influential health commentary.
MD
Whistleblower
Michael Kirsch, MD, FACP, addresses the joys and challenges of
medical practice, including controversies in the doctor-patient
relationship, medical ethics and measuring medical quality. When
he's not writing, he's performing colonoscopies.
Medical Lessons
Elaine Schattner, MD, FACP, shares her ideas on education, ethics
in medicine, health care news and culture. Her views on medicine
are informed by her past experiences in caring for patients, as a
researcher in cancer immunology, and as a patient who's had breast
cancer.
Mired in MedEd
Alexander M.
Djuricich, MD, FACP, is the Associate Dean for Continuing Medical
Education (CME), and a Program Director in Medicine-Pediatrics at
the Indiana University School of Medicine in Indianapolis, where he
blogs about medical education.
More Musings
Rob Lamberts, MD, ACP Member, a med-peds and general practice
internist, returns with "volume 2" of his personal musings about
medicine, life, armadillos and Sasquatch at More Musings (of a
Distractible Kind).
Prescriptions
David M. Sack, MD, FACP, practices general gastroenterology at a
small community hospital in Connecticut. His blog is a series of
musings on medicine, medical care, the health care system and
medical ethics, in no particular order.
Reflections of a Grady
Doctor
Kimberly Manning, MD, FACP, reflects on the personal side of being
a doctor in a community hospital in Atlanta.
The Blog of Paul Sufka
Paul Sufka,
MD, ACP Member, is a board certified rheumatologist in St. Paul,
Minn. He was a chief resident in internal medicine with the
University of Minnesota and then completed his fellowship training
in rheumatology in June 2011 at the University of Minnesota
Department of Rheumatology. His interests include the use of
technology in medicine.
Technology in (Medical)
Education
Neil Mehta, MBBS, MS, FACP, is interested in use of technology in
education, social media and networking, practice management and
evidence-based medicine tools, personal information and knowledge
management.
Peter A. Lipson,
MD
Peter A. Lipson, MD, ACP Member, is a practicing internist and
teaching physician in Southeast Michigan. The blog, which has been
around in various forms since 2007, offers musings on the
intersection of science, medicine, and culture.
Why is American Health Care So Expensive?
Janice
Boughton, MD, FACP, practiced internal medicine for 20 years before
adopting a career in hospital and primary care medicine as a locum
tenens physician. She lives in Idaho when not traveling.
World's Best Site
Daniel Ginsberg, MD,
FACP, is an internal medicine physician who has avidly applied
computers to medicine since 1986, when he first wrote medically
oriented computer programs. He is in practice in Tacoma,
Washington.
Other blogs of note:
American Journal of
Medicine
Also known as the Green Journal, the American Journal of Medicine
publishes original clinical articles of interest to physicians in
internal medicine and its subspecialities, both in academia and
community-based practice.
Clinical
Correlations
A collaborative medical blog started by Neil Shapiro, MD, ACP
Member, associate program director at New York University Medical
Center's internal medicine residency program. Faculty, residents
and students contribute case studies, mystery quizzes, news,
commentary and more.
Interact MD
Michael Benjamin, MD, ACP member, doesn't accept industry money so
he can create an independent, clinician-reviewed space on the
Internet for physicians to report and comment on the medical news
of the day.
PLoS Blog
The Public Library of Science's open access materials include a
blog.
White Coat
Rants
One of the most popular anonymous blogs written by an emergency
room physician.

7 Comments:
Why can’t all newspaper be like this! Great Job and thanks for the mention.
The Cockroach Catcher
Terrific Grand Rounds! No trees were killed during this edition... :)
Thanks for participating!
Love your tribute to newspapers! Great edition!
Excellent posts. Bravo!
Enormous work.
Thanks.
VERY creative, and VERY well done!
Thanks for hosting, and for including our post.
Nice job - concise, readable, pretty to look at. Thanks for all your hard work.
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