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Grand Rounds: Volume 6, Number 9

November 24th, 2009 · 11 Comments

Welcome to Grand Rounds, the best of this week’s medical and health writing by bloggers.

Our theme for this edition of Grand Rounds is Pain.  As you might have guessed from the name of this blog, I write about all things related to coping with pain.  What’s a pain-free way to present all the great submissions?  As Thanksgiving is coming up this week, Grand Rounds is served to you today as a Thanksgiving feast.

So with a drum(stick) roll…


veggies and dip

First on our dinner menu is appetizers.  First question you’ll hear when you walk into a pain clinic – “What’s your pain level?”  Ask An MD explains why you should never answer “10 out of 10, doc.”

The Happy Hospitalist tells you why it’s crazy to be hunted down, even at your Thanksgiving table, to sign your hospital orders within 24 hours.  (He’ll also sign a permission slip for you to be able to drink your coffee at the nurses’ station!  My favorite post this week.)

Before you start today’s scrumptious meal, if you’re diabetic, you have to take your insulin.  Needles are painful, but Diabetes Mine has the scoop on a life-changing breakthrough – insulin you can inhale.

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Soup and salad:

Appetizers are already gone, when you realize your teens still haven’t appeared at the table.  Are they instead seeing New Moon, the newest movie in the Twilight series?  Teen Health 411 reviews the flick and suggests making it a teachable moment with your kids.

Great soups can have over 30 ingredients.  Here’s 30 thoughts about living with fibromyalgia.  An eye-opening view from the patient side.

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Main course:

(I’m a vegetarian, so this turkey is still alive!)

Turkey breasts don’t get mammogrammed – should yours?  InsureBlog, ACP Internist, and Inside Surgery all join the raging debate sparked by last week’s revisions to mammogram recommendations.  Laika’s MedLibLog looks at the other side of the coin from a personal vantage point – the harm of false positives.  Each post has a different perspective – read them all.

It takes many courses to make a great meal.  As Nickie’s Nook explains, it takes a team to thrive when you have CRPS (RSD) and are also visually impaired.

If the stuffing’s a bit dry, do you comment or keep the peace?  Other Things Amanzi shares a thought-provoking piece on the perils of challenging the good-old-boy network, even in the name of clinical progress.

While carving the bird, don’t injure your nails.  Suture for a Living writes about nail bed injuries and healing, complete with photos.

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Ah, choices…  another slice of pumpkin or pecan pie?  Or are you disciplined, having a piece of fruit and a 1-ouce square of dark chocolate?  Medicine and Technology looks at which specialties medical students choose, and ponders how to make primary care more appealing.

Another medical student-related post is from Notes From Spice Island, who describes what it’s like to be in medical school while suffering from migraines.

It’s the end of this meal…  are you craving a cigarette?  Don’t do it.  Check out ACP Hospitalist for the Great American Smokeout, instead.

Our prayer of grace at the end of our meal is from Out of the Flames.  She writes about her spiritual understanding of the reasons for her pain.

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After dinner, how about a refreshing walk in the crisp air?

family walking in woods

Is exercise the way to cure pain?  The Fitness Fixer recommends fixing the underlying causes of pain, instead of continuing bad habits and hoping enough reps of certain exercises will cover up the problem.

Yes, the gravy was a little lumpy…  the cat jumped on the table…  but every year you can come closer to that ideal Thanksgiving, right?  Florence Dot Com is thankful for the work being done to make health care better and better.

Medicine for the Outdoors gives you advice about mosquito prevention for your walk.

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Returning from your walk…  who’s this on the doorstep? 

You’re back from your walk, ready to clear the last of the coffee cups, but who’s this on the porch?  Some late-comers.  Let’s see if we can welcome them anyway…

Novel Patient makes symptoms into beautiful art.

In Sickness and in Health reflects on the fact that while we have funerals for people we’ve lost, there is no place to mourn the losses that chronic pain can bring.

A Chronic Dose reminds herself that even with all the challenges of this past year, she can still be grateful for gathering with family and friends on Thanksgiving.

Kinetics suggests that the key to good health is unplugging and connecting to others in person.  (She also offers a quote I couldn’t resist:  “Next time you’re in a car going 50 mph, strip down to your underwear and jump out the door. That’s what it’s like to crash in professional bike racing.”  A great post about pain in professional athletes.  Ouch!)


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Thanks go out to all of you who submitted; readers, new and regular; and Colin for entrusting Grands Rounds to me this week.  Grand Rounds will be hosted next week by Health Technology News.

My regular, monthly carnival on pain will return on December 30.  If you’re interested in pain issues and coping with pain, you’re invited to:

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