Comments on: GRAND ROUNDS, Vol 2, No 4: Go Meds! http://www.diabetesmine.com/2005/10/grand_rounds_vo.html A gold mine of straight talk and encouragement for people living with diabetes Fri, 19 Mar 2010 03:52:49 +0000 http://wordpress.org/?v=2.9.1 hourly 1 By: Grand Rounds Vol. 2, No. 4 | Diario BV http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-307101 Grand Rounds Vol. 2, No. 4 | Diario BV Mon, 06 Apr 2009 09:22:11 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-307101 [...] Rounds is being held this week at Diabetes Mine — Joe Bob says “check it out!” Share and [...] [...] Rounds is being held this week at Diabetes Mine — Joe Bob says “check it out!” Share and [...]

]]> By: Keith Carlson http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34597 Keith Carlson Thu, 27 Oct 2005 00:24:47 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34597 Thank you so much for doing such a comprehensive and sensitive job (and for including my submission!). An excellent GR if there ever was one! Thank you so much for doing such a comprehensive and sensitive job (and for including my submission!). An excellent GR if there ever was one!

]]> By: Nio http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34596 Nio Thu, 20 Oct 2005 00:31:04 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34596 Thank you, doctors. Thank you, researchers. Thank you, nurses, lab technicians, pharmacists, educators, physicians assistants, interns and med students! You forgot the low paid/invisable staff--those who do the back breaking work and messy work--such as PCTs, housekeeping, dietary, infectious waste removers... Thank you, doctors. Thank you, researchers. Thank you, nurses, lab technicians, pharmacists, educators, physicians assistants, interns and med students!

You forgot the low paid/invisable staff–those who do the back breaking work and messy work–such as PCTs, housekeeping, dietary, infectious waste removers…

]]> By: David E. Williams of the Health business blog http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34595 David E. Williams of the Health business blog Wed, 19 Oct 2005 02:38:15 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34595 Very nicely done, Amy! Michael's comment above is a good one. It's disturbing to see debate squashed like that. Is the Clinical Cases and Images Blog afraid of decision support tools? David Williams Very nicely done, Amy!

Michael’s comment above is a good one. It’s disturbing to see debate squashed like that.

Is the Clinical Cases and Images Blog afraid of decision support tools?

David Williams

]]> By: Michael http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34594 Michael Wed, 19 Oct 2005 01:06:29 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34594 I posted the following comparison of two of the items in this Grand Rounds on one of the two blogs but twice my comment was deleted after appearing. Should medical blogs that delete posts disagreeing with their blog items disclose this policy on their blog? Here is my second item as it appeared before it was deleted from <a target="_blank" href="http://casesblog.blogspot.com/2005/10/google-md-in-action-part-ii.html" rel="nofollow">http://casesblog.blogspot.com/2005/10/google-md-in-action-part-ii.html</a> (I re-added below in parentheses a hyperlink that did not survive the pasting): The problem with using Google for medical diagnosis is that it is a very blunt instrument for medical diagnosis. It does not do well with sensitivity and specificity, and it does not handle the absence of a finding well. Also, it does not make use of temporal information very well. Diagnostic software is a much better approach for making a medical diagnosis. As an example, consider the other diagnosis story to appear in this week's Grand Rounds - the case of adrenoleukodystrophy in a Wall Street Journal story blogged by the SimulConsult Cases Blog (<a target="_blank" href="http://www.simulconsult.com/neurologicalsyndromes/news/ald.html)." rel="nofollow">http://www.simulconsult.com/neurologicalsyndromes/news/ald.html).</a> If you search for the three relevant terms (slurring clumsy and hearing) the search results include a large number of extraneous neurological diseases. Adrenoleukodystrophy appears in the list only because Google finds the blog entry cited above. I posted the following comparison of two of the items in this Grand Rounds on one of the two blogs but twice my comment was deleted after appearing. Should medical blogs that delete posts disagreeing with their blog items disclose this policy on their blog?

Here is my second item as it appeared before it was deleted from http://casesblog.blogspot.com/2005/10/google-md-in-action-part-ii.html (I re-added below in parentheses a hyperlink that did not survive the pasting):

The problem with using Google for medical diagnosis is that it is a very blunt instrument for medical diagnosis. It does not do well with sensitivity and specificity, and it does not handle the absence of a finding well. Also, it does not make use of temporal information very well. Diagnostic software is a much better approach for making a medical diagnosis.

As an example, consider the other diagnosis story to appear in this week’s Grand Rounds – the case of adrenoleukodystrophy in a Wall Street Journal story blogged by the SimulConsult Cases Blog (http://www.simulconsult.com/neurologicalsyndromes/news/ald.html). If you search for the three relevant terms (slurring clumsy and hearing) the search results include a large number of extraneous neurological diseases. Adrenoleukodystrophy appears in the list only because Google finds the blog entry cited above.

]]> By: Dr Emer http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34593 Dr Emer Wed, 19 Oct 2005 00:11:57 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34593 Great work, Amy. I tried sending a trackback ping but it failed. Anyway, I've linked you. Great work, Amy. I tried sending a trackback ping but it failed. Anyway, I’ve linked you.

]]> By: Elisa Camahort http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34592 Elisa Camahort Tue, 18 Oct 2005 21:29:38 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34592 Great job. I am also a fellow bloger from the other side of the medical ledger (and hosted GR #49.) Here I thought I was the only one :) Great job. I am also a fellow bloger from the other side of the medical ledger (and hosted GR #49.)

Here I thought I was the only one :)

]]> By: Modulator http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34601 Modulator Tue, 18 Oct 2005 20:02:54 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34601 <strong>Interested in Things Medical?</strong> The latest Grand Rounds is up. Via medpundit.... Interested in Things Medical?

The latest Grand Rounds is up. Via medpundit….

]]> By: MedSleuth http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34591 MedSleuth Tue, 18 Oct 2005 18:44:02 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34591 Great compilation. Thanks for your efforts. It is nice to see a patient included in the Grand Rounds. Great compilation. Thanks for your efforts. It is nice to see a patient included in the Grand Rounds.

]]> By: Multiple Mentality http://www.diabetesmine.com/2005/10/grand_rounds_vo.html/comment-page-1#comment-34600 Multiple Mentality Tue, 18 Oct 2005 16:44:53 +0000 http://diabetesmine.dreamhosters.com/2005/10/17/grand-rounds-vol-2-no-4-go-meds/#comment-34600 <strong>Carnivalized!</strong> ... Carnivalized!

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