Grand Rounds 5.22 – Napoleon’s Dynamite – GOSH!

17 02 2009

ndmacheckyestEver heard of Napoleon’s Dynamite? Ever seen Napoleon’s Dynamite? According to nurse Kim it is “pretty much the coolest movie ever made” and therefore chosen as theme for the Grand Round she hosts today at Emergiblog.
And Gosh what an excellent Grand Round she compiled. And Gosh am I relieved that I just got 10 submissions for the first MedLib’s Round (she had to deal with 45 submissions or so). And Gosh
am I glad she announced the Grand Round as follows (LoL):

“No theme, and I’m not doing anything that has to do with Presidents or Valentines, so send in any and all topics!

I will say this: “It’s Grand Rounds, what do you think! GOSH!”

Thank you Kim, for this wonderful round, and for including all submissions, including mine.

I have to admit that I have never seen Napoleon’s Dynamite, but reading Kim’s Grand Round I probably should.

Next Grand Round will be hosted by Dr. Peggy at “The Blog that ate Manhattan.


Grand Rounds 5.20: Anniversaries and Blogosphere Scam

3 02 2009

Number OneThe latest edition of Grand Rounds is now up at Not Totally Rad.

This edition coincides almost exactly with his anniversary as a blogger.

So first of all a happy anniversary to samurairadiologist!

For this Round, he chose a loose anniversary theme, asking contributors to write about something cool or important that they had learned in the past year.

The lead-off post is written by Val Jones: How the Health Blogosphere was Scammed — Last two weeks the health blogosphere was buzzing with outrage about the fact that Wellsphere was sold to HealthCentral. Why were people pissed off? In the past, hundreds of health bloggers had received a flattering offer of the SEO of Wellssphere asking them to contribute to Wellsphere, “a free online community where regular people, enthusiasts and professionals can connect, inspire and educate each other about health”. (uh not really). This offer included the republishing of the content of their blog on the Wellsphere site. About 1700 bloggers accepted the offer, probably because they taught this would increase the traffic to their blog or because they wanted to contribute to Wellsphere or be part of its community. Those bloggers often did not realize that they in fact gave away the entire contents of their feeds for nothing. And herein lies their pain: Wellsphere made a good financial deal out of the transfer, but the bloggers who provide content for Wellsphere got no revenues at all. Some people consider this scraping, others consider it legitimate since the bloggers agreed to it.

In my view it is not really “stealing”, compared to the ripping off RSS feeds without informed consent or even knowledge, as discussed in previous posts (see here, here and here).

But you could call the recruiting Wellsphere campaign misleading and unpleasant at least. Furthermore, according to many former Wellsphere employees the Wellsphere management team behaves rather unscrupulous in general.

At least this big incident uncovers the vulnerability of the web 2.0 world and the bloggers: the concentration on traffic and getting links on the one hand and the poor protection of the intellectual property of bloggers on the other hand.

For further information look at the introduction at Not Totally Rad, the posts he refers to, i.e. the above mentioned post of Dr Val and a post of Dmitriy of the Trusted.MD blog. But there are a lot of other good posts on the subject, i.e. on the blogs of the Wall Street Journal, a psychiatrist, an athlete and patients (see here; some warrnings were already written in July 2008).

But apart from this specific theme there are many others worth reading: Anniversaries, lessons learned, Diabetes blogs and Other Chronic Diseases, Humor in Medicine, Ethics and Other Delicacies.

Next Round will be will be hosted by The Health Care Blog

Dutch Grand Round. Old Year, New Year Call for Submissions.

22 12 2008

The Dutch Grand Round (De Grote Visite) is a rotating blogcarnival of Dutch medical blog posts.

Presently Dutch Grand Round 1.9 is up at Health Management RX of Jen McGabe Gorman

Laika’s MedLibLog will be Hosting the next Dutch Grand Rounds (1.10) on December 30th!

Since December 30th is on the edge of the old and new year, I would like this edition to focus on the past (what has been, history) and the present (hot news) and the future (what to expect, wish, foresee).

I will not restrict myself to inclusion of Dutch posts on medical, health and fitness: any post on Dutch health care, Dutch medicine 2.0 or Dutch scientific/clinical papers will be considered for inclusion as well. Whether it is about van Leeuwenhoek or the Dutch EHR. So, writers from abroad I hope you do feel inspired!

Do not feel constrained by this theme, however. Each article is reviewed on its own merit.

Submissions are due by Sunday, December 28st at 12.00 am (Dutch time). (06.00 pm EST).

You can submit your articles through Blog Carnival or by email at (laika dot spoetnik at gmail dot com – without spaces; well check the figure).

I look forward to your submissions! Have a nice Christmas!!!


nl vlag NL flagDe Grote Visite is een twee-wekelijkse ronde langs de medische blogs van Nederlandse bodem of ze nu in het Nederlands of het Engels geschreven zijn.

Terwijl de huidige grote visite (enigzins verlaat) te lezen is op Health Management RX van Jen McGabe Gorman, kondig ik alvast aan, dat

Laika’s MedLibLog gastvrouwe is van de volgende Grote visite (1.10). Deze staat gepland op 30 December!

Omdat 30 december op het scheidingsvlak staat van het oude en het nieuwe jaar, leek me dit een prima moment voor een voor en een achteruitblik:

Wat was belangwekkend (op medisch/gezondheidsgebied) in het verleden (mag ver voor 2008, maar ook recent), of wat zijn de verwachtingen, vooruizichten, wensen voor de toekomst?

Niet alleen Nederlanders mogen meedoen, het mag ook gaan OVER nederlanders/nederlandse gezondheidszorg, ontdekkingen, publicaties.

Ik zal me niet streng aan het thema houden. Elk ingediend stuk wordt op zijn eigen merites beoordeeld.

Indiening voor Zondag a.s. 28 December om 12.00 am. (06.00 pm EST).

U kunt uw artikelen via het Blog Carnival indienen of via email: laika punt spoetnik at gmail punt com – zonder spaties (zie figuur).

Ik kijk uit naar uw bijdragen. Een fijne Kerst alvast, allemaal!!

Grand Round 5.9 at Dr Deb’s

19 11 2008

This week’s Grand Round is up at Dr Deb. She made figuratively and literally a very swinging Round, by putting the post into several playlists, including a medical, a mental health and a patient playlist. You can read them while listening to real music: Doctor my eyes etc.

medical-playlist1Canadian Medicine is hosting Grand Rounds on November 25. For details, click here.

Grand Rounds Archive & Upcoming Schedule can be consulted at:

Election Day at Grand Rounds 5.7

4 11 2008

Grand Round is now up at Nurseratchedsplace of Mother Jones, RN.

This Round, called Election Day at Grand Rounds doesn’t only give a great wrap up of this week’s medical blogposts, but also reviews the health history of former presidents. According To Mother Jones:

“The President of the United States has a few things in common with people like Joe the Plumber. From time to time, everyone gets sick and needs to see a doctor. I remember when George H.W. Bush vomited all over a Japanese Prime Minister during a state dinner. And we all remember the attempt on Ronald Regan’s life. Whatever happens, the president’s physician stands ready to care for their famous patient and members of the First Family.225px-john_f_kennedy_white_house_color_photo_portrait

My blogpost on the importance of early intervention in Addisonian crises is introduced by the story of President J.F. Kennedy who

“started taking steroids to treat colitis. This caused many long-term side effects that haunted him for the rest of his life. Kennedy suffered from Addison disease as well as chronic back pain possibly related to weakened bones caused by steroid use.”

The latter would also have fit with a previous post on Addison’s Disease showing that part of the Addison Diseases are iatrogenic, caused by treatment with high doses of corticosteroids.

For the complete review of all this week’s medical blogs ànd of presidential diseases please visit Election Day at Grand Rounds. Great Job, Mother Jones!

Who missed the previous Grand Round, well it passed by with the speed of light. Hurry up. You might catch up if you take the emergiblog speedway here.

Next Week Grand Round will be up at Musings of a Distractible Mind. Here you can find details how to submit your post.

Dutch Grand Round 1.6: Grote Visite 1.6

4 11 2008

The 6th Dutch Grand Round (Grote Visite) is up at Dr. Shock (see here).
It’s the second time Dr Shock hosts the Dutch Grand Round.

This Grand Round is a rather complete wrap up of the Dutch medical blogosphere as Dr. Shock does not confine himself to the official Grand Round submissions, but also summarizes his own choice of other interesting Dutch posts.
Many Dutch Medblog Posts are written in English, so it may still be worth while to read most posts if you don’t understand Dutch.

The next grand will be at De gezondheidszorg leuker en effectiever of Marjolein Fermie. You can post your entries for the next Grote Visite at the Blog Carnival (here).

Grand Rounds 5.5

21 10 2008

This week’s Next Grand Rounds is now up at Pallimed.

As I said last week: “Each week the grand rounds seem to get larger and larger. Fascinating how the hosts manage to present it in a digestible way”.

The present host Christian Sinclair, MD has an original solution for it. He made two different sections, one in the main post and one in the comments to

“get back to the heart of what I think Grand Rounds is meant to be. The best of the blogosphere per the host that week.” “I did not want to feel like an automaton transposing links into a link farm.

Although there are two sections all blogpost are included (see here).

Next week’s Grand Round will be hosted by Kim at Emergiblog.

Grote Visite 1.5 (Dutch Grand Round)

21 10 2008

Welcome to the October 21, 2008 edition of ‘grote visite’ or Dutch Grand Rounds.

This week there were 6 submissions to the blog carnival, only 2 of which were genuine (Dutch/health-related/not-commercial/no-spam).

Jan Martens of refers to an interesting article on Reuters about teleradiology and remote medicine. During the night shift medical images of patients in for instance the United States and Singapore are sent for appraisal to Indian radiologists because of lower costs and shortage of staff at night. Jan gives various examples of other interesting applications, but wonders whether this kind of telemedicine will be easily implemented in the Netherlands.

I know what lumpers and splitters are, but I’m not familiar with lurkers. As explained by Dr Shock MD PhD, with respect to online support groups, posters are the ones actively engaged by sending postings, and lurkers the ones that use online support groups in a passive way. Dr Shock summarizes recent research, revealing that participation in an online support group had the same overall profound effect on lurkers’ self-reported feelings of being empowered as it had on posters. Please read more details about the research at Dr. Shock’s excellent post Lurkers in Health 2.0, Do They Benefit?”

By the way, Dr Shock has many other recent interesting posts as well and has an international reputation as medical blogger. For instance Pallimed hosting this week Grand Round refers to dr Shock as follows:

Dr. Shock consistently comes up with some very interesting journal articles. I really appreciated his take on impact of medical student biases towards patients with mental illness. So you may read that one as well!


Below are my own choices from blogs form the Dutch medical blogosphere. I hope it will inspire other Dutch Medical Bloggers to participate more actively in the Dutch Grand Rounds.

The blog Health Management Rx of Jenn McCabe Gorman is already reviewed in another blog carnival, i.e.Medicine 2.0 Blog Carnival Edition #33.

People from SugarStats talked with Jennifer McCabe Gorman, one of Health 2.0’s most ‘visible’ online evangelist as they called her. By the way Jennifer wants you to know that her blog, Health Management Rx, is not dead. The reason her posts have been slow is because she is intensively preparing for Health 2.0: User-Generated Healthcare conference, which will be held in San Francisco, California from October 22nd – 23rd

Of course we already knew that Health Management Rx was not dead, because Jenn hosted the previous Dutch Grand Round.

Many other Dutch Bloggers are also heavily involved in health 2.0, and many of them are also on Twitter. For instance apart from Jenn: @mdbraber (also in San Fransisco at the moment), @martijnhulst of, @Zorg20 of (Acute Zorgregio Oost) and @fackeldeyfinds of

October 10th, most of these twitterers were attending the master thesis presentation of Maarten Den Braber (mdbraber) about the value of business models for hospitals, either live in Enschede or virtually (livestreaming!). Interested in this subject? You can find the links to the final document and the powerpoint he used for his presentation on this blogpost.

Below are some excerpts from other MEDNL-blogs, all in Dutch

A previous host of de Grote Visite, Marjolein Fermie of “De gezondheidszorg leuker en effectievergives a short overview of what makes working (in Healthcare) fun.
Another C3-log-ger, Frank Wolterink reflects about franchising health using the same franchise methods as fast-food chain McDonald’s (and others). Very aptly called: ‘Franchising Health Instead of French Fries’ in another (english) post on delivering health care.
Bettinepluut discusses the new “zorgplan” and wonders whether this will really improve the living environment of patients

At A day in the life of a shrink there is a very interesting post on “the” critical care physicians of today, who completely rely on scans and lab results without physical examining and sometimes without even having real contact with the patient. Apart from unnecessary long waiting for some diagnosis (i.e. prominent pancreas cancer metastases felt instantly), this can make the patient feel very lonely. People aren’t numbers!

This blog has numerous posts on music, as has Vrouwmenszorg.web-log, a very nice diary-like blog of a family physician. From Music (Pink Floyd, In a gadda da vida, Child in Time: my style!) and beautiful photo’s to ‘a day in the life of’: “No, don’t dial 911 for an ambulance, but take a taxi and see your doctor first”. Sometimes she writes for Paramedic WorldWide.

Wonder what Vrouwmenszorg or Paramedic Worldwide would think of my previous post on (acute) care (for Addison patients). Apparently paramedics are allowed to give infusions to diabetic patients with a hypo. Read the story “met gillende sirene door de stad” (here) about a young diabetic who hurries too much (and eats too little) on the first day of his new job.

Another colorful blog on acute care, music and personal matter is 100% Mike. One of his post begins with mentioning a very special legacy of his mother: ice creams she won in a contest. The same night an elderly woman came in for a paracetamol, but had to stay for pneumonia and lung embolisms.

Another blog about acute care, from an emergency nurse: ECGreetje. Easy to digest information on hobbies (shopping) and acute (heart) care. Here latest post is on the (recently published) positive effect of the song Stayin’ Alive of the Bee Gees on heart resuscitation, not only because of the text but more so because of the beat, which is exactly the rhythm one should use for a successful resuscitation attempt: ~103 beast per minute. ECGreetje, however, is afraid that she will start dancing when listening to this song.


The Quack (and the Scream) from

The provocative physicians Dr. Lutser and Creiptocheilus keep on ranting against (alternative) QUACK. Dr Lutser, who takes a blog pause for a while, is highly surprised that the advocate of the controversial anti-cancer “medicine” DCA (Dichloroacetic acid), Wim Huppes, does not use this or any other alternative medicine himself, now his cancer has returned.

Cryptocheilus mentions at his blog that he has been banned from the forum of the tv program TROS-RADAR, because he was considered too offensive against mister Braam, another ‘healer’. “C’est la ton qui fait la musique”, perhaps? Good reasoning convinces more than ranting. In his earlier post, Cryptocheilus shows some examples of selective use of evidence and ‘misinterpretation’ of a Cochrane Review by Braam. Pitty that Tros-Radar only hears the tone, without understanding the text.

Finally, clinical librarian and second life specialist Guus den Brekel of DigiCMB has some interesting post on SL, for instance about how to spend an $60,000 grant for a project entitled “AIDS Information and Outreach in the Virtual World of Second Life”. He also gives a nice overview of customizabe-widgets, i.e. for blogs, technology and education.

Liked the review of your post? Would have liked a review of your post? Like to read (some of the) posts? Then Huize Sonnendael, MedBlog, Patient en EPD, Man in de Zorg, Sister Nightfall, Zorglog, Ervaringen met een verpleeghuis, Cees Sterk, Zorg voor klanten, Manager zorg vertelt, Club Confabula, Over ZN, Zo! Communicatie, Ouderenzorg in de nieuwe werkelijkheid, De gezonde patient, Medisch Contact,, MediGO, MaCoAd,, Aria Rad, Herre Kingma,, Werken in de zorg, Fontys Mediatheek, Ambupleeg, Weblog voor fysiotherapeuten, Verpleegkundige, Dokter Rob, Trimbos Online 2011,, Electroconvulsive Therapy, en Bas Leerink’s Blog as well as and some of the abovementioned bloggers become a lurker too, or perhaps a poster!

Contributing is very simple, just copy the link to the post that you would like to submit here (the blogcarnival).

Just want to read: the next carnival will be hosted November 4th at Dr Shock MD PhD.

Please contribute to the upcoming Dutch Grand Rounds, so we can advocate health blogs in the Netherlands and keep informed about each other work! Mag ook in het Nederlands, hoor! Graag zelfs!

Grand Rounds 5.4

14 10 2008

Dubious: the third post in sequence about Grand Rounds, I know. It is time for some primary posts after this one.

Just wanna mention that this week’s Next Grand Rounds is now up at Notes of an Anesthesioboist.

Each week the grand rounds seem to get larger and larger. Fascinating how the hosts manage to present it in a digestible way. This week the rounds is organized into six major sections (preceeded by nods to her favorite “movies”).

Well and that is a good excuse to place a little picture of my favorite series: Twin Peaks, which I first saw when watching tv with a colleague during a congress (ASH) in Boston 1990. “Damn good coffee, and hot!”. Damn good grand rounds, too.

Next week the grand round will be hosted by Christian Sinclair, M.D. at Pallimed. Please read the call for submission (with theme) here.

Grand Rounds 5.3

10 10 2008

I totally forgot to inform you that this weeks grand round is (still) up at MDOD ( in ….. MDOD style (what else would you expect?). Please read the summary here.

Previous week the grand round was hosted at Monash Medical Student.

The Next Grand Rounds will be hosted at Notes of an Anesthesioboist (no typing error) on October 14.

Deadline is Sunday October 12 (midnight, but check the timezone!!).

Dutch Grand Round 1.4

9 10 2008

The 4rd Dutch Grand Round is up at Health Management RX of Jen McCabe Gorman.

Someone said my blog was colorful, but Jen certainly defeats me with her multi-colored post with the intriguing theme: “What’s with the Dutch?”

According to Jen:

It’s a privilege to provide inside perspectives from my adopted homeland. This is a rare chance for the American health and medical blogosphere to hear what’s really going on over there in the Netherlands, and how Dutch bloggers view international healthcare fumblings. (see here for the Grote Visite)

Next Grand Rounds will be hosted at Laika’s MedLibLog (yes this blog!) on October 21.

The deadline will be on October 19 (12.00 am, Dutch time!).
You can submit your articles through Blog Carnival or by email at (laika dot spoetnik at gmail dot com – without spaces; well check the figure).

All posts will be accepted if they broadly relate to health and are written by Dutch or are about Dutch or are related to Dutch. Blogs that are clearly (semi-) commercial or with unclear motives (no about section or no clear statement) are not eligible. If I find it unclear I will let you know in time (you will get a second chance).

So Dutch Medical Bloggers: I’m looking forward to your postings!!


The 4de Grote visite is al een aantal dagen te bewonderen op Health Management RX van Jen McCabe Gorman. Jen verslaat mij als het om de kleurenrijkdom van de posts gaat (en dat wil wat zeggen). Ze heeft een intrigerend thema: “What’s with the Dutch?”

Volgens Jen (die wel wortels heeft met Nederland, maar momenteel vooral in de VS is -als ze niet reist):

It’s a privilege to provide inside perspectives from my adopted homeland. This is a rare chance for the American health and medical blogosphere to hear what’s really going on over there in the Netherlands, and how Dutch bloggers view international healthcare fumblings.

De volgende ronde vind plaats op Laika’s MedLibLog (ja dit blog!) op 21 Oktober

De deadline is 19 Oktober.
U kunt uw bijdrage via de Blog Carnival indienen of via email naar laika dot spoetnik at gmail dot com (zonder spaties).

Alle artikelen worden geaccepteerd mits ze op de een of andere manier met geneeskunde of gezondheidszorg te maken hebben en in het Nederlands OF door Nederlanders gescheven zijn (of evt. OVER de nederlandse gezondheidszorg gaan). Blogs die louter commercieel lijken te zijn of waarvan de herkomst niet duidelijk is komen niet in aanmerking. (p.s. als ik twijfel stuur ik wel eerst een bericht.)

Dus medische bloggers. Ga lekker aan het schrijven! Ik kijk uit naar jullie blogposts!

SurgeXperiences Grand Round

29 09 2008

Another Grand round, now in the field of surgery: SurgeXperiences.

SurgeXperiences is a blog carnival (maintained by Jeffrey Leow of the ‘Monash Medical Student”-blog) that collects blog entries every 2 weeks on various surgical experiences. It is THE blog carnival for everything surgical and more!

This week there is a scintillating edition of SurgeXperiences at Buckeye Surgeon (see here), including 2 Dutch contributions.
One of-you-know-who and one of Dr Shock with a post about the paucity of women who actually perform self breast exams, and whether it matters. Dr. Shocks post fits in with my previous post on the unusefulness of regular breast exam (see here).

But it is certainly not all quite as serious. There is room for some surgical humor as well, making it easy digestible.

You can submit your post for the next SurgeXperience via this form on Blog Carnival.

Grand Rounds 5.1

23 09 2008

Surprise. Surprise. This weeks Grand Rounds Medicine Show didn’t show up at Revolution Health of Dr. Val Jones.
Dr. Val. is still waiting for her new blog ( to go live.

But Luckily she found Kevin & Kim (photo left), respectively from KevinMD and Emergiblog willing to guest this edition (written by Val in her own words) of the Grand Round at their sites.

Choose between either of two addresses (I suppose no more will be added):

KevinMD: grand-rounds-51-in-your-own-words

Emergiblog: grand-rounds-51-in-your-own-words

Next week Grand Rounds will be hosted by Monash Medical Student.

Dutch Grand Round 1.3

23 09 2008

The 3rd Dutch Grand Round is up at of Jan Martens. This time there are 4 posts, 3 of them in English. Please read his summary of de Grote Visite here.

Next Dutch Grand Rounds will be hosted at Health Management RX of Jen McCabe Gorman on October 7. The deadline will be on October 5. You can submit your articles by mailing Jen or through the Blog Carnival.There is no theme for submissions, but posts should relate to medicine or health in some way.


De 3e grote visite kunt u vinden op van Jan Martens.
Lees de samenvatting hier.

De volgende ronde is op Health Management RX van Jen McCabe Gorman.
Bent u een Nederlandse blogger en heeft u iets geschreven op medisch gebied (in de breedste zin van het woord) meld uw blogpost dan uiterlijk zondag 5 oktober (voor 12.00 a.m.) bij Health Management RX of de blogcarnival aan!

Previous posts on this subject:
(2008/09/09) Dutch-grand-round-nr-2
(2008/08/26) The first Dutch grand round
(2008/08/16) 1st Dutch grand round expected soon + continuation MedblogNL-top 25 cancelled.
(2008/08/10) a Dutch grand round. Announcement
+ reference to Englisch-language grand rounds.