Thursday, April 26, 2007

RSS in Plain English -- The Best Video Explanation in 3 Minutes


There are two types of Internet users, those that use RSS and those that don't. This video is for the people who could save time using RSS, but don't know where to start.

Author: The Common Craft Show. Get the HTML code to embed in your web site.

Link via davidrothman.net.

Related:
Best Web Feeds Reader for Medical and General Information
Web 2.0 in Medicine Presentations by a University of Michigan Librarian

Updated: 06/18/2007

Wednesday, April 25, 2007

Boris Yeltsin Remembered

Boris Yeltsin, the first president of the Russian Federation, passed away on April 23, 2007. He was hospitalized with a URTI after a vacation to Israel, developed a CHF exacerbation and reportedly had 2 cardiac arrests, the second one of which proved fatal.

Boris Yeltsin was a controversial figure of enormous historical importance. There are many videos on YouTube which show Yeltsin at his best and "worst", often laugh-provoking, moments. A limited selection can be seen below.


Boris Yeltsin and Bill Clinton share a laugh in 1995. A brief explanation is needed to understand to joke: Yeltsin ridiculed the news media for stressing that U.S.-Russian differences were so significant that meeting would be a disaster. Yeltsin says to the reporters: "you were writing that today's meeting with President Bill Clinton was going to be a disaster. Now for the first time I can tell you -- you're a disaster."


A Tribute To Boris Yeltsin, 1931-2007

More videos on EnglishRussia.

References:
Clinton, Yeltsin narrow their differences on Bosnia. CNN, 1995.

Tuesday, April 24, 2007

An Unusual Question: Can I Stand on My Head While on Coumadin?

A 67-year-old male was just diagnosed with embolic occipital stroke due to atrial fibrillation. His visual changes noted on admission have resolved completely. He has no motor or sensory deficits. Coumadin is started and his doctor (who is a teaching attending) discusses the discharge instructions with him.

Patient:

Doctor, I am very active, I run every day and do yoga exercises. It may sound like a stupid question, but do you think I can do headstands while on Coumadin? It's a blood thinner, right?

Attending doctor (perplexed):

Hmm... I am not sure. In medicine we do studies and determine which is the best approach to treat a particular disease. I don't think there was ever a study comparing people on Coumadin who perform headstands to ones who do not...

However, we know your blood pressure should be well-controlled while taking a blood thinner. Otherwise you are at a higher risk for bleeding in the brain. Headstand increases blood pressure in the head area, therefore I would recommend against performing this exercise while on Coumadin. I am sorry to disappoint you.

Intern:

May be we should do a study comparing patients on Coumadin who perform headstands to ones who do not, and we will see if headstand increases the risk for intracranial bleeding.

Attending doctor:

Yes but the recruitment would be very difficult. How many patients in their 60s who perform headstands do you know?

Read more on ClinicalCases.org in Anticoagulation and Yoga Exercises: Can I Stand on My Head While on Coumadin?

References

1. Avoiding central nervous system bleeding during antithrombotic therapy: recent data and ideas. Stroke. 2005 Jul;36(7):1588-93. Epub 2005 Jun 9.
2. Intraocular pressure changes and ocular biometry during Sirsasana (headstand posture) in yoga practitioners. Ophthalmology. 2006 Aug;113(8):1327-32. Epub 2006 Jun 27.

Image source: Vertical headstand, Jesse Warren, creative commons license.

Sunday, April 22, 2007

A List of Medical Wikis

David Rothman has assembled a comprehensive list of medical wikis which seems to be growing longer every day. He will need to reorder them in categories soon.

If you click through the entries on the list, you will notice that many wikis are still in early stage with just a few entries. Many of them will not make it and will eventually fade into oblivion. It is a normal process similar to natural selection. The most popular wikis (with most contributors/readers) will survive.

We have discussed several times with the founders of AskDrWiki that the main challenge for a wiki manager is getting people to contribute. Doctors are busy and few of them have time (and desire) to create quality content for free.

The WSJ Mossberg Solution includes an article about Creating Your Own 'Wiki' Web Site.


Mike Cannon-Brookes has a nice presentation on Organisational Wiki Adoption on SlideShare (link via DavidRothman.net). This may convince your department or hospital to start a wiki, if you do not already have one.


Wikis in Plain English

References:
Why don't more doctors blog? Kevin, MD.
Medical Wikis Proliferate. John Sharp, eHealth.
Which Wiki is Right for You? School Library Journal, 5/1/2007.
WiserWiki was originally seeded with content from John Noble’s “Textbook of Primary Care Medicine” (3rd Edition) provided by Elsevier.
Image source: Arik Baratz, Wikipedia, Creative Commons.

Updated: 01/07/2008

Thursday, April 19, 2007

A Medical Blogger Quoted in the Google Annual Report

Joshua Schwimmer of KidneyNotes was quoted in the Google annual report to shareholders. On page 5, he was commenting about the usefulness of Google search and Google Scholar for medical information. This is an excerpt from an interview Joshua gave to Dean Giustini in 2006. Dean interviewed 4 medical bloggers interested in using search engines for medical queries: Kevin, Joshua, Graham and me.

The fact that Google quoted Joshua proves 2 things:

- Google listens. They want feedback.

- Google became too big too fast and quality control suffers. They should have adhered to the the common practice of citing your sources. Joshua's quote was from Dean's blog and they should have linked to it as a primary source.

References:
I was quoted in the Google Annual Report. KidneyNotes.com.
Physician Bloggers Talk to a Medical Librarian
Image source: Tech Medicine.

Wednesday, April 18, 2007

Last Moments

The Sacramento Bee has published the 2007 Photography Pulitzer Prize Series: the last moments of a child with terminal cancer.

Link via Over!My!Med!Body:

"Be Prepared With Tissues" … was the only warning our classmate gave when he just sent this out to our class listserv. I had no idea I could be so moved to tears within the span of about 2 minutes."

Being a doctor sometimes feels like the most difficult job in the world.

Related:
The Guardian: A sombre series of portraits taken of people before and after they had died is a challenging and poignant study, 03/2008.

One Thousand "Blogs of Note" on Blogger.com Including Medical Ones

Blogger.com, owned by Google, seems to be the best free blogging service currently available. This is the reason why I host most of my web sites there. Blogger.com has an interesting feature called "Blogs of Note":

"a simple, ongoing, (ir)regularly updated list of blogs [we]'ve happened to come across and found interesting for one reason or another. This reason need not be substantial. It could be [we] liked a particular post. It could be the blog seems to have good writing, or good design, or original content or concept, or [we] just like the name."

The 5+ year archive just featured the 1000th blog of note. I am happy that CasesBlog was included in this list in 2006 along with the blog of the Google staff physician, Taraneh Razavi.

Please let me know if any other medical blogs were featured in Blogs of Note so that I can list them here.


This Google video shows it takes about 2 minutes to start a blog on Blogger.com. Creating a web site has never been easier.


This Google video shows it takes about 2 minutes to start a blog on Blogger.com. Creating a web site has never been easier.

References:
Blogs of Note: 1000 and counting! Blogger Buzz.
Clinical Cases and Images is "Blog of Note" on the Front Page of Blogger.com
Google On-site Doctor Has a Blog

Tuesday, April 17, 2007

You vs Technology: The Battle We All Face



Author: Dave Walker, We Blog Cartoons.

Best Web Feeds Reader for Medical and General Information

Terms like RSS, Atom, XML can be confusing. They are all web feeds which provide updates whenever new information is published on a particular web site. You need an online or a desktop program called "reader" which converts the XML into HTML.

Why subscribe to web feeds?

Web feeds save time and time is something I, as almost all practicing physicians, can never have enough of. I rarely visit web sites as a starting destination anymore. My web feeds reader have truly become my "inbox for the web" as Google calls it. Currently, I am subscribed to about 500 web sites, blogs, medical journals, podcasts and persistent searches. All of them are collected in one central location - my inbox for the web. I wish they had invented this thing years ago. I felt the same way when I first started using Google back in 2000.

Which is the best web feeds reader?

My web feeds reader of choice was Bloglines since 2004. When Google first launched their reader, most bloggers (who are the most avid feed readers anyway) were underwhelmed. This all changed with version 2.0. The new Google Reader is fast, looks pretty and most importantly, saves time. Power web feeds users like Scoble and Steve Rubel were raving about it. I usually try not to jump on the latest software band wagon, especially since I was happy with what I had (Bloglines), so I took my time before I decided to give Google Reader a serious second look.

What makes Google Reader better than the rest?

The current version of Google Reader is better than Bloglines. Not by much but still, it is faster and has very useful keyboard shortcuts. I often had 1000+ unread items in Bloglines. Not anymore. Google Reader makes the reading experience more efficient my using a "compressed", "just the headlines" view, similar to Gmail.

This is a list of Google Reader keyboard shortcuts which I find useful and time-saving:

"Shift + N" Next item
"Shift + O" Open item
"Shift + A" Mark as read
"S" Star item
"G+T" Go to tag
"1" compressed, "just the headlines" view"
"2" Full view
"V" View original source (web page)

Which feeds are useful and interesting?

Via Google Reader I subscribe to:

- Medical Journals
- Created Pubmed feeds for "feedless" journals
- Podcasts (audio and video)
- Flickr photo feeds
- Persistent searches on Pubmed and search engines for a specific topic, for example, "eosinophilic esophagitis"
- Cleveland Clinic search on Google News
- My own name search -- next time you write something good (or bad) about me, I want to know :)
- CNN
- Newspapers

Summary: Google Reader is currently the best web feeds reader surpassing the long-time favorite Bloglines.

RSS in Plain English -- The Best Video Explanation in 3 Minutes


There are two types of Internet users, those that use RSS and those that don't. This video is for the people who could save time using RSS, but don't know where to start.

Author: The Common Craft Show. Get the HTML code to embed in your web site.

References:
My GTD in Google Reader. Library clips, 2007.
Top 5 Medical Podcasts I Listen To
RSS Feeds for the Cleveland Clinic
Make Your Own "Medical Journal" with Google Personalized Page
Web 2.0 in Medicine Presentations by a University of Michigan Librarian
Feed Reading, Three Ways. Tech Medicine.
Favorite RSS Resources and Tools. DavidRothman.net, 01/2008.
Image source: Screenshot of Google Reader front page.

Related:
Explore Your Interactions with Google Reader. Google Operating System, 03/2008.

Updated: 03/20/2008

Sunday, April 15, 2007

Mediterranean diet during childhood may protect against asthma

According to some recent studies, Mediterranean diet seems to be the "miracle cure" which can decrease the cardiovascular risk and even prolong life.

This latest research published in Thorax
was done in rural Crete and included a survey of 690 children between the ages of 7 and 18 years. Parents completed questionnaires on their children's respiratory and allergic symptoms and diets. According to researchers, intake of grapes, oranges, apples, and fresh tomatoes protected against wheeze and nasal allergies. High consumption of nuts was inversely associated with wheezing, whereas margarine increased the risk of both wheeze and allergic rhinitis.

References:

Protective effect of fruits, vegetables and the Mediterranean diet on asthma and allergies among children in Crete
. Thorax. 5 April 2007. doi:10.1136/thx.2006.069419.
Mediterranean Diet Linked to Lower Pediatric Atopy. MedPageToday.com.
Mediterranean Diet May Protect Against Childhood Asthma-Like Symptoms and Rhinitis. Medscape.com.
Mediterranean Diet Seems to Improve Cardiovascular Risk Factors After Just 3 Months
Mediterranean Diet Protects Against Allergies & Asthma
. achoo! Blog.

Financial Advice for Residents and Fellows

The journal Resident & Staff Physician has a 3 part series called Financial Consult for the Severely Anemic Resident Wallet:

1. Invest in Yourself

2. Choosing the Right Investment Fund

3. Reduce Your Tax Burden

The authors are Wender Hwang, MD, a Chief Resident in EM at Loma Linda University and Erik W. Thurnher, MD, CFP, ER Physician at Kaiser Permanente Medical Group.

Further reading:
What is the right specialty/fellowship for you? Take a test to see
Buy or to rent? The New York Times shows the answer. Blogging Stocks

Wednesday, April 11, 2007

What is like to be a FP, IM, EM, ObGyn (put your desired specialty here) doctor?

The Student Doctor Network forum has recently stared a series of ‘20-question’ interviews with physicians in each of the major medical specialties. There are good questions like "Describe a typical day at work", "Now that you’re in your specialty, do you find that it met your expectations?", "Are you satisfied with your income?", "What do you like most and least about your specialty?", "Where do you see your specialty in 10 years?"

Emergency Medicine
20 Questions: Dale Woolridge, MD/PhD [EM]

OB-Gyn
20 Questions: Andrew Beckwith, MD [OB/Gyn]

Family Medicine
20 Questions: Charles Vega, MD [Family Medicine]

Allergy/Immunology
What's It like to Be An Allergist? from the appropriately-named Achoo! Blog. This is not from the SDN series but it is on the same topic.

Further reading:
What is the right specialty/fellowship for you? Take a test to see
Hunting Season. Dr. Wes, 08/2007.
Image source: OpenClipArt.org, public domain.

Sunday, April 8, 2007

Add Free Background Music to YouTube Videos

Via InsideGoogle:

YouTube labs test site, called TestTube, has a new feature: AudioSwap lets you replace the audio in your video with audio provided by YouTube. According to YouTube: "We've made arrangements with artists and record labels so that you can add their songs to your YouTube videos. You get a cool soundtrack, the artists get attribution on your video, and everyone wins! We'll be adding more artists and songs as the feature develops, so check back for your favorite bands and singers."

It works pretty well as you can see in my video of the huge rhino at San Diego Zoo accompanied by the tune of:

"You must have been a beautiful baby
You must have been a wonderful child
'Cause baby look at you now."


Indian Rhino at San Diego Zoo

Google aims at hosting most user-created content on YouTube rather than Google Video and we will likely see more features added to YouTube in the future. Is seems like Google Video will work mostly as search engine rather than a host site. Of course, in the case of a rapidly growing company like Google, this arrangement could change at any time.

Further reading:
YouTube for Your Business. PC World, 06/2007.
Video tutorial: How to get yourself on YouTube, for business or pleasure. ComputerWorld, 06/2007.

Friday, April 6, 2007

"Official" Medical Bloggers

American College of Emergency Physicians
Angela Gardner, MD, FACEP, the current secretary/treasurer of American College of Emergency Physicians is the first ever official ACEP blogger. She started in 11/2006: Gardner’s Gate, "A view of the health care landscape from the viewpoint of a worker."

American Cancer Society
Dr. Len Lichtenfeld, the deputy chief medical officer of the American Cancer Society has had his own blog since 09/2005: Dr. Len's Cancer Blog.

Society of General Internal Medicine
Robert Centor, the president of SGIM started in 4/2006 the SGIM BLOG. See Dr. Centor's presidential address to SGIM: What distinguishes an outstanding internist.

Beth Israel Deaconess Medical Center in Boston
Paul Levy, the CEO of Beth Israel Deaconess Medical Center in Boston has had a blog since 08/2006: Running a hospital,"This is a blog started by a CEO of a large Boston hospital to share thoughts about hospitals, medicine, and health care issues."

Harvard Pilgrim Health Care
Charlie Baker, the CEO of Harvard Pilgrim has started a blog entitled Let's Talk Health Care.

Further reading:
How To Run A Corporate Blog. Steve Rubel, Wired.com.

Updated: 08/19/2007

Thursday, April 5, 2007

Web 2.0 in Medicine Presentations at Research ShowCASE in Cleveland

The cleverly named 5th annual Research ShowCASE at Case Western Reserve University features at least 3 presentations on using Web 2.0 technologies in medicine:

- Blogs: Use of a Free Blog Service to Build a Web Site for a Hospitalist Group

- Wikis: Use of a Wiki-based Web Site for Medical Education

- Sharepoint: Web-based Collaboration for Clinical Care, Research and Education at an Academic Hospitalist Group

I am a co-author along with John Sharp, Ashish Aterja and Neil Mehta from Cleveland Clinic, and Ken Civello and Brian Jefferson from AskDrWiki (which was also started at the Clinic).

As you can see, we pretty much cover a lot of the spectrum of Web 2.0 in medicine with abstracts on blogs and wikis but some unexplored topics still remain: web feeds (RSS/Atom), podcasts, video-sharing sites (YouTube/Google Video), photo-sharing sites (Flickr/Picasa Web), social media (Sermo).

With all the recent coverage that AskDrWiki received from the press, wikis seem to be all the rage, displacing blogs from the top spot in the short attention span of the general media. I think wikis offer much more opportunities for medical education than blogs because by design they are open, multi-author communities. Most blogs are still more or less a "one-man-show." Believe it or not, blogging is becoming old news and seems to have "matured" since 2004. This is confirmed by the Tecnorati's State of the Blogosphere annual report which shows that blog posts per day, the most critical measure as it relates to blogging, slid. Micro Persuasion provides more coverage in As Daily Postings Slide, Blogging Peaks.

Don't get me wrong, I still think that blogs are incredible tools for medical education which are extremely easy to use and can reach millions in a matter of seconds after hitting the "publish" button. If you have doubts, just check my SiteMeter statistics with 1,310,750 page views since 2005. Still, I am becoming more interested in wikis especially since I have discussed their use with AskDrWiki founders.

One of the main reasons why we submit abstracts to Research ShowCASE and other national meetings is the goal to make medical educators aware of the exciting opportunities that Web 2.0 technologies offer.

If you are in Cleveland on April 12, please come to join us at Research ShowCASE. You may have the chance to meet some real celebrities - Ken and Brian of AskDrWiki were featured on the front page of the main Cleveland newspaper The Plain Dealer last week.


My presentation on Web 2.0 in Medicine from December 2006.

References:

Upcoming Presentation at Research Day at Case Western Reserve University. eHealth, John Sharp, 4/5/2007.
Main Cleveland Newspaper Features a Cleveland Clinic-based Wiki
As Daily Postings Slide, Blogging Peaks. Micro Persuasion, April 05, 2007.
Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Educ. 2006; 6: 41.
Images source:
Case Western Reserve University campus, Wikipedia, GNU Free Documentation License.
Terminal Tower in Cleveland, photo by Lisa Chamberlain, Wikipedia, Creative Commons Attribution ShareAlike 2.0 License.

Further reading:

Collaborative Presentation on Web 2.0. Link via Go2Web2.
Social media in medical education - Grand Rounds presentation by IUH Med/Peds residency program director http://goo.gl/Zw3lK

Monday, April 2, 2007

Web OS May Be Everything You Need for Day-to-Day Work

Lifehack.org has an excellent review of all the features that a Firefox-based "web OS" currently offers: Why My Hard Drive & Software are Obsolete:
While the debate of Windows v. Mac v. Linux rages on, at times rising to a roar in certain circles, I meekly raise my hand and offer a newly emerging fourth choice: none of these operating systems really matter anymore.

Why not? Because for writers like me, and for many others, all the software and storage space you really need is now online. All that matters is that you have your browser with:

Word processor
Spreadsheet
Email
Feed reader
Blogging software
Photo software
Hard drive
File management
Backup system
Bringing it all together
I agree with Leo Babauta, the author of the post: for your day-to-day work, a web OS may be everything you need. If you look at the choices for web software, you will realize that more or less we live in a Google world.

I prefer Opera browser to Firefox for "simple browsing" but unfortunately many Google services do not work in Opera and I have to keep the 2 programs open at the same time.

In case, you don't like Google service (unlikely), Lifehack.org lists the Top 10 Alternatives to "Google's Grip."

References:
45+ Web Operating Systems. Mashable.com, 08/2007.
Seriously, what's with all the WebOS applications? DownloadSquad.com, 08/2007.

Updated: 08/23/2007