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Nurse Medblogger Used To Work With Fort Hood Shooter, Dr. Hasan

amd_hasan_headshot1My iPhone started ringing just as my nursing colleagues and I were getting ready to report off to the next shift at Undisclosed Government Hospital. The frantic caller was one of our nurses. She cried, “Are you on lockdown? Don’t leave the unit!” I signaled everyone in the room to cut the chatter. Then we heard the patients in the television room gearing up. I’m not going to replay everything that happened last night. I can’t do it. Suffice to say that things got tense at the nurses station when the name of the Fort Hood triggerman was released. We knew him. He was a former psychiatrist at UGH.

People are asking me what it was like to work with Dr. Hasan. They want to know if there were any signs that he was going off the deep end. No, he didn’t come across as a Unabomber in scrubs. He was just one of the guys, and that’s what made him so dangerous. He could make me laugh. I use to banter with him about his bachelorhood. He told me it was too bad that I was already married and then he would ask me if I could line up a nurse who wanted to marry a doctor. We never talked about religion or politics on the unit. He was always polite and respectful. He was an officer and a gentleman. Read more »

Safe Blogging Practices: It’s Not WHAT You Say…

The story of the nursing student who was expelled for blogging got me thinking.

(If you haven’t heard the story, check out What Can Nursing Students Blog About? at Code Blog, with an update at Kevin, MD)

Just what can you write about on your blog?

Well, you can write on just about any topic.

It’s not a case of what you say, it’s how you say it. Read more »

*This blog post was originally published at Emergiblog*

Classic Smoking Cessation Study Suggests You Can Save A Life For $2000

Every now and again I like to pick one of the classic research studies on smoking cessation in order to highlight some of the key findings. Today I’m going to focus on the part of the Lung Health Study.

The Lung Health Study is certainly one of the best smoking cessation studies ever carried out, partly because of the comprehensive nature of the assessment and follow-up of its 5,887 participants and partly because it was way ahead of its time in delivering a truly “state-of-the-art” intensive smoking cessation intervention which was compared in a randomized manner to the effects of “usual care”. The Lung Health Study (LHS) was a randomized clinical trial of smoking cessation and inhaled bronchodilator therapy in smokers 35 to 60 years of age who did not consider themselves ill but had evidence of mild to moderate airway obstruction. Read more »

This post, Classic Smoking Cessation Study Suggests You Can Save A Life For $2000, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Just To Be Sure: The Most Expensive Phrase In Medicine

Kevin, MD linked to this, and I really must comment.

Here’s the abstract, and I hope you’ll read it all:

200910290120.jpg For years I’ve heard friends describe experiences of being caught in a web of excessive and unnecessary medical testing. Their doctors ordered test Z to investigate a seemingly incidental finding on test Y, which had come about because of a borderline abnormality on test X.

I often wondered why test X was done in the first place. As a primary care physician, I would have treated them for the likely diagnosis and done diagnostic tests — especially a series of diagnostic tests — only if they didn’t respond as expected…. Read more »

*This blog post was originally published at GruntDoc*

Extreme Bleeding

Recently I had a moment to reflect on adrenaline and adrenaline inducing sports. It was a bloody moment. But I’m getting ahead of myself.

Bleeding peptic ulcers occasionally cross the path of general surgeons. Usually they stop bleeding with conservative treatment. But sometimes they don’t. Then you need to whip out the trusty knife. Even then usually the operation is little more than routine. This case, however was exceptional.

He was white as a sheet. He had been bleeding for three days but only decided to come to the hospital when he started falling over. It seemed he could at least recognise falling over as not normal. The initial gastroscopy showed a penetrating duodenal ulcer with no active bleeding. the body had managed to curtail the bleeding, partially because of vasoconstriction, but mainly due to a low blood pressure which in itself was due to loss of blood. Read more »

*This blog post was originally published at other things amanzi*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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