Forbes.com has compiled a list of the Top 25 Web Celebrities. As expected, no medical bloggers made the list but two of the top 10 web celebs have linked to CasesBlog in 2006: Jeff Jarvis of BuzzMachine and Glenn Reynolds of InstaPundit.
Jeff has atrial fibrillation and has commented on it in the past. Glenn's wife, the forensic psychologist Dr. Helen Smith, had a heart attack at the age of 37 and had a defibrillator implanted. According to her blog, she recovered well and feels fine now.
References:
The Web Celeb 25. Forbes.com
"Women Don't Have Heart Attacks." So Wrong
Welcome from Forbes, but… Scobleizer.com.
Saturday, January 27, 2007
Medical Wikis May Change the Way We Study Medicine
A wiki is a web site which allows the visitors themselves to easily add, remove, and otherwise edit available content. The most famous wiki-based projects is Wikipedia, the world-largest free encyclopedia with more than 1.5 million English-language articles, which can be edited by anyone. Few studies have explored the effect of this new medium on medical education.
AskDrWiki by Cleveland Clinic Cardiology Fellows
Quite a few things have happened since the last time I wrote about AskDrWiki:
- I emailed Dean Giustini about AskDrWiki and he referenced the site in his landmark BMJ editorial How Web 2.0 is changing medicine
- I met the wiki editor, Ken Civello, who is an electrophysiology fellow at the Cleveland Clinic and a really smart guy
- Both Ken and I wrote the abstract "A Wiki-based Web Site as an Educational Tool for Cardiology Fellows" which will be presented at the meeting Medical Education for the 21st Century at the Case Western Reserve University School of Medicine Annual Education Retreat on February 8, 2007. I like this line the best: "The pockets of your lab coat are only so big and what you remembered last month, you may not remember next year. The ability to have access to the "collective online memory" of a fellowship program may help fellows enhance their education, and ultimately, provide better patient care." I will upload the poster here next week.
In the meantime, Ken and his collaborators have added some useful new features to AskDrWiki:
- Videos of Coronary Angiograms which are now searchable on Google Video
- Videos of Echocardiograms
- EKGs
JTF (Just the Facts) Wiki at the University of Michigan
JTF (Just the Facts) Wiki is a "Manual for the Interns Online" by medical students and residents at the University of Michigan and Ann Arbor VA Hospitals. The manual was started in 1991 and is in its 13th edition (?!) now. JTF has a well-done procedure section and some good videos of central line placement which I will upload in a separate post.
Summary
I think medical wikis will change the way we study and teach medicine. In the foreseeable future, their role is not in creating "the most authoritative textbook" ever but rather in creating a "collective online memory" for a group of learners. Where these new web tools will lead us in the future, as usual, nobody knows, and this is the beauty of the amazing medium that the Internet is.
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:
Wiki from Wikipedia, the free encyclopedia.
AskDrWiki -- A Collaborative Medical Encyclopedia
Do We Need a Free Medical Encyclopedia?
Which Wiki is Right for You? School Library Journal, 5/1/2007.
Elsevier’s WiserWiki. DavidRothman.net, 11/2007.
Medpedia Project from Harvard Medical School.
Further reading:
Web Watch: Living in the brave new world of medical wikis. ACP Internist, 01/2008.
ACP Internist on Medical Wikis. DavidRothman.org, 01/2008.
Updated: 01/12/2008
AskDrWiki by Cleveland Clinic Cardiology Fellows
Quite a few things have happened since the last time I wrote about AskDrWiki:
- I emailed Dean Giustini about AskDrWiki and he referenced the site in his landmark BMJ editorial How Web 2.0 is changing medicine
- I met the wiki editor, Ken Civello, who is an electrophysiology fellow at the Cleveland Clinic and a really smart guy
- Both Ken and I wrote the abstract "A Wiki-based Web Site as an Educational Tool for Cardiology Fellows" which will be presented at the meeting Medical Education for the 21st Century at the Case Western Reserve University School of Medicine Annual Education Retreat on February 8, 2007. I like this line the best: "The pockets of your lab coat are only so big and what you remembered last month, you may not remember next year. The ability to have access to the "collective online memory" of a fellowship program may help fellows enhance their education, and ultimately, provide better patient care." I will upload the poster here next week.
In the meantime, Ken and his collaborators have added some useful new features to AskDrWiki:
- Videos of Coronary Angiograms which are now searchable on Google Video
- Videos of Echocardiograms
- EKGs
JTF (Just the Facts) Wiki at the University of Michigan
JTF (Just the Facts) Wiki is a "Manual for the Interns Online" by medical students and residents at the University of Michigan and Ann Arbor VA Hospitals. The manual was started in 1991 and is in its 13th edition (?!) now. JTF has a well-done procedure section and some good videos of central line placement which I will upload in a separate post.
Summary
I think medical wikis will change the way we study and teach medicine. In the foreseeable future, their role is not in creating "the most authoritative textbook" ever but rather in creating a "collective online memory" for a group of learners. Where these new web tools will lead us in the future, as usual, nobody knows, and this is the beauty of the amazing medium that the Internet is.
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:
Wiki from Wikipedia, the free encyclopedia.
AskDrWiki -- A Collaborative Medical Encyclopedia
Do We Need a Free Medical Encyclopedia?
Which Wiki is Right for You? School Library Journal, 5/1/2007.
Elsevier’s WiserWiki. DavidRothman.net, 11/2007.
Medpedia Project from Harvard Medical School.
Further reading:
Web Watch: Living in the brave new world of medical wikis. ACP Internist, 01/2008.
ACP Internist on Medical Wikis. DavidRothman.org, 01/2008.
Updated: 01/12/2008
Tuesday, January 23, 2007
Map directions: Make 200 U-turns to get to New Jersey
A bug in Google Maps directed a driver to make more than 200 U-turns in order to get from Pennsylvania to New Jersey (click the image on the right). Google quickly fixed the error and now the same search points to the correct driving directions.200 U-turns?! That driver's head is still spinning...
In both real and online world, a reality check is always a good idea.
Update 3/29/2007:
Google Maps Shows Funny Directions. Google Operating System.
References:
Google Maps Runs In Circles, Invaded From Space. InsideGoogle.
Image source: Search Engine Roundtable.
Related:
Google Maps Cartoon from Xkcd.com.
Updated: 08/14/2008
How I Did It: The "Confession" of a Zyprexa Drug Representative on YouTube
The former pharmaceutical representative Shahram Ahari describes the tactics he was supposedly advised to use in order to convince doctors to prescribe Zyprexa (olanzapine).
On October 20th, 2006, Mr. Ahari gave a talk at Georgetown University School of Medicine entitled “Confessions of a Drug Rep”
According to a New York Times article published on December 17, 2006, Eli Lilly has engaged in a decade-long effort to play down the health risks of Zyprexa, its best-selling medication for schizophrenia, according to internal Lilly documents and e-mail messages among company managers (source: Wikipedia).
Links via PharmedOut and Kevin, M.D.
References:
Zyprexa Sales Rep on YouTube: A Video You Must See. Alliance for Human Research Protection.
Eli Lilly Said to Play Down Risk of Top Pill. NYTimes.
Olanzapine from Wikipedia, the free encyclopedia.
Related:
Lilly Considers $1 Billion Fine to Settle Case. NYTimes, 01/2008.
Updated: 01/31/2008
On October 20th, 2006, Mr. Ahari gave a talk at Georgetown University School of Medicine entitled “Confessions of a Drug Rep”
According to a New York Times article published on December 17, 2006, Eli Lilly has engaged in a decade-long effort to play down the health risks of Zyprexa, its best-selling medication for schizophrenia, according to internal Lilly documents and e-mail messages among company managers (source: Wikipedia).
Links via PharmedOut and Kevin, M.D.
References:
Zyprexa Sales Rep on YouTube: A Video You Must See. Alliance for Human Research Protection.
Eli Lilly Said to Play Down Risk of Top Pill. NYTimes.
Olanzapine from Wikipedia, the free encyclopedia.
Related:
Lilly Considers $1 Billion Fine to Settle Case. NYTimes, 01/2008.
Updated: 01/31/2008
Friday, January 19, 2007
Central Line Placement Videos on YouTube
The videos below show "practical tips and tricks for central line placement in the ED." ClinicalCases.org has our own step-by-step procedure guides with photos:
Central Line Placement - Procedure Guide
Central Line Placement with Ultrasound Guidance - Procedure Guide
Without a doubt, videos are better than still photos in many ways. Photos have the advantage of being able to see clearly what is going on though. It is similar to comparing Flickr to YouTube (or Google Video) -- both are needed for a complete visual experience.
Central Line Placement, Part 1
Central Line Placement, Part 2
Central Line Placement, Part 3
Central Line Placement, Part 4
Central Line Placement, Part 5
Link via JTF wiki.
References:
Central Venous Catheterization: Concise Definitive Review. Medscape, Critical Care Medicine, 05/16/2007 (free registration required).
BioMed Central's You Tube channel: videos from BioMed Central's authors and editors, 09/2007.
NEJM Videos in Clinical Medicine. These are high-quality professional videos but they require a subscription to NEJM:
Central Venous Catheterization - IJ vein
Central Venous Catheterization - Subclavian Vein
Central Line
Related:
YouTube as a Source of Health Misinformation. Highlight HEALTH 2.0, 02/2008.
YouTube as a source of information on immunization: a content analysis. Keelan et al. JAMA. 2007 Dec 5;298(21):2482-4.
Updated: 02/06/2008
Central Line Placement - Procedure Guide
Central Line Placement with Ultrasound Guidance - Procedure Guide
Without a doubt, videos are better than still photos in many ways. Photos have the advantage of being able to see clearly what is going on though. It is similar to comparing Flickr to YouTube (or Google Video) -- both are needed for a complete visual experience.
Central Line Placement, Part 1
Central Line Placement, Part 2
Central Line Placement, Part 3
Central Line Placement, Part 4
Central Line Placement, Part 5
Link via JTF wiki.
References:
Central Venous Catheterization: Concise Definitive Review. Medscape, Critical Care Medicine, 05/16/2007 (free registration required).
BioMed Central's You Tube channel: videos from BioMed Central's authors and editors, 09/2007.
NEJM Videos in Clinical Medicine. These are high-quality professional videos but they require a subscription to NEJM:
Central Venous Catheterization - IJ vein
Central Venous Catheterization - Subclavian Vein
Central Line
Related:
YouTube as a Source of Health Misinformation. Highlight HEALTH 2.0, 02/2008.
YouTube as a source of information on immunization: a content analysis. Keelan et al. JAMA. 2007 Dec 5;298(21):2482-4.
Updated: 02/06/2008
Sign of the Times: NYTimes First Video Obituary
The Pulitzer Prize-winning writer Art Buchwald announced his own death in the first NYTimes video obituary: "Hi, I'm Art Buchwald and I just died."
According to the newspaper:
"Last February doctors told him he had only a few weeks to live. “I decided to move into a hospice and go quietly into the night,” he wrote three months later. “For reasons that even the doctors can’t explain, my kidneys kept working.”
Refusing dialysis, he continued to write his column, reflecting on his mortality while keeping his humor even as he lost a leg. He spent the summer on Martha’s Vineyard and published a book “Too Soon to Say Goodbye.”
Art Buchwald died on January 17, 2007.
References:
Art Buchwald, 81, Columnist and Humorist Who Delighted in the Absurd. NYTimes.
Buchwald Announces Own Death In First 'NYT' Online Obit Video. Editorandpublisher.com.
Messages from the grave. CNN.
Link via KidneyNotes.com
According to the newspaper:
"Last February doctors told him he had only a few weeks to live. “I decided to move into a hospice and go quietly into the night,” he wrote three months later. “For reasons that even the doctors can’t explain, my kidneys kept working.”
Refusing dialysis, he continued to write his column, reflecting on his mortality while keeping his humor even as he lost a leg. He spent the summer on Martha’s Vineyard and published a book “Too Soon to Say Goodbye.”
Art Buchwald died on January 17, 2007.
References:
Art Buchwald, 81, Columnist and Humorist Who Delighted in the Absurd. NYTimes.
Buchwald Announces Own Death In First 'NYT' Online Obit Video. Editorandpublisher.com.
Messages from the grave. CNN.
Link via KidneyNotes.com
Thursday, January 18, 2007
Never Too Old For Blogging
Micro Persuasion writes that Marriott Hotels CEO Bill Marriott does not use a computer but he started a blog (by dictating posts). He will soon be 75.Never too old to blog, I guess. This is just the right age to share wisdom with the world.
Studies show that staying intellectually active as we grow older, preserves "brain power" and delays onset of dementia. A new Canadian study indicates that knowledge of more than one language (lifelong bilingualism) delays the onset of dementia by 4 years (via Slashdot).
References:
An Old Dog Learns to Write a New Blog. Washington Post.
Marriott's CEO Blogs. Micro Persuasion.
J.W. Marriott, Jr. from Wikipedia, the free encyclopedia.
Bilingualism as a protection against the onset of symptoms of dementia. Neuropsychologia
Volume 45, Issue 2 , 2007, Pages 459-464.
Image source: Openclipart.org
Further reading:
The Long Road Ahead. FatDoctor.org, 09/2007.
Updated: 09/27/2007
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