September 8, 2010

Dr Finnbarr Walsh In Memoriam

Finnbarr21

Finnbarr was a wonderful man, a faithful friend and an amazing doctor. It is humbling to see how many lives he touched. Kind, compassionate and generous beyond compare, Finn truly was a gentleman and a scholar. Rest in Peace dear Finn, free from the troubles of this mortal coil….you will be sadly missed.

Utopian Waiting Room

Utopian Waiting Room 2010 copy

With increasing ED crowding and ever increasing waiting the Utopian College has produced guidelines to improve patient comfort and safety and to begin diagnosis and treatment for those stable and well enough to enjoy time within the waiting room – Waiting Room Medicine.

He who is not forgotten will not die

Last

When times get tough and external stressors tip the scales of emotional imbalance towards the darkness of unchartered thought…I seek solace in the sagacious mantra and steadfast oration of eloquent preceptors. One such inspirational raconteur, inspiring optimism in the face of adversity was Dr Randy Pausch.

Doctors Unplugged

DoctorsUnplugged

Doctors Unplugged is an inside look at medicine and how it affects the peeps on the street. Humorous and politically incorrect at times but with great reverence for the concept of helping as many people as possible! This is medical podcast for the non-medical public.

Instructional Ultrasound

USS

Today I stumbled across what looks to be the first in a series of instructional videos on Ultrasound in the emergency department from a group of ED physicians in Nambour on the Sunshine Coast in Queensland. This video is a great example of an elegant teaching style, recorded and video and shared with the world – great work guys, will be following closely to see what you are up to next.

Odentophagia

328538060

Procrastination and Neologisation met in a bar. Eponyms and retrodiction lay idle as they were enveloped by the dankness of stagnant learning, draped in the predilection of Morpheus. They begat an heir ‘Odentophagia’

LITFL in perpetuity

Pandora

You may have noticed a little purple box appearing in the right sidebar – this is the Pandora search box. We are honoured to announce that Life in the Fast Lane is now being archived by the National Library of Australia (NLA) and a complete copy of the website is now retained in the PANDORA archive to provide online public access in perpetuity.

Why I don’t want to be a doctor

LObster

At Life in the Fast Lane, we try to provide educational posts and commentary to stimulate discourse in the field of health. With such a diverse audience reading the blog, the only thing the writing team can be assured of, is that we will never be able to please all of the people all of the time! To some readers the posts are too medical, others deem them too obtuse, and others still want a more evidence based approach…I was taken by one recent readers letter which I will reproduce in full…’cos I like it.

Emergency Musical Interlude XXII

image

Emergency Musical Interlude is back with an offering of some more medical musical parody including – Diagnosis Suspect, Glaucoma suspect and Optometry Idiot…

Fellowship Update

PPT_Large_Wrong

Quick update on Aussie Fellowship education sites for all those of you who are nervously waiting to sit the written portion of your ACEM Fellowship examination…

There are an increasing number of resources available to candidates of varying quality

The Life in the Fast Lane team have created pages for VAQ, MCQ and SAQ comprising past questions and we are completing the Short, Long and SCE sections of the examination.

Under Attack

viral invasion

It is with sincere regret that the Life in the Fast Lane team write to inform readers of a viral invasion…Viral Symptoms: Visitors viewing posts on your blog may be redirected to third-party sites.
Visitors may also be redirected to qooglesearch.com, which has already been disabled. We host this blog on MediaTemple and are one of many blogs who have become victim of a ‘WordPress Redirect Exploit’ hack…We are Fixing the problem….

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Buying Zithromax

white shark

It is with great honor that the Life in the Fast Lane team and the Utopian College of Emergency for Medicine Buying Zithromax, host this weeks Grand Rounds Vol. 6 No. 45 on August 3rd 2010. Zithromax z-pak while pregnant, The theme for this edition is 'Killer Posts'. We asked the MedBlogosphere to trawl their blog archive and dive deep into the soul of their writing to find their best; most inspirational; clever; witty; well-researched; head-turning; gut-wrenching; magnificent; glorious requiem of a post…and they did. Furthermore, each author has chosen their preferred deadly Aussie critter, and we have coupled each blogger accordingly.., Buying Zithromax.

Marine Life









irukandji syndrome Irukandji Syndrome (Carukia barnesi)

this 'small yet deadly' jellyfish was chosen by bongi from other things amanzi, a general surgeon working in the notorious South African province of Mpumalanga, buy zithromax uk. his post "captive"- defines an icu story that could only happen in south africa.









Box Jellyfish (Chironex fleckeri)
Leon Gussow from The Poison Review (TPR) put his toxicological talents to task in solving one of the great Botticelli Art mysteries - it’s the squirting cucumber! (of course)...

Jacqueline from Laika's MedLibLog has chosen her "Merck’s Ghostwriters, Azithromycin aka zithromax or z-packs pfizer, Haunted Papers and Fake Elsevier Journals" where she turned clog-wearing detective to shed light on The MECC-character of  “Excerpta Medica' (the division of Elsevier responsible for the Journal).









The Great White Shark (Carcharodon carcharias)
Neil O'Connell
of Body in Mind chose 'Big, big shark' and submits post just as big and out of the blue detailing an amazing story on "Chronic back pain - when research comes out of the blue"
Chris Langston, program director of the John A, purpose of zithromax. Hartford Foundation writes a great post about ensuring physicians are competent to care for their large and growing numbers of older patients - "But I See Dead People Everywhere"
Ryan DuBosar
of the ACP Internist blog opines on the requirement of biological science to become a physician in "Don't know much biology"
Elaine Schattner Buying Zithromax, , M.D. of Medical Lessons chose the shark in honour of Discovery Channel's Shark Week and includes a great post "On Precious". This post considers what doctors and patients can learn from popular culture and the value of every human life.








Blue-Ringed Octopus (genus Hapalochlaena)
Anne Marie Cunningham of Wishful Thinking in Medical Education loves the BRO and submited "Why I think I am a patient and not a consumer" - as her killer post - because of the comments... Zithromax 100 mg ivt, citing "No interaction: no point"
How to Cope
writes "As I host a blog about How to cope with pain, all Australian creatures appeal to me...think of the pain a jellyfish can cause. However, the blue-ringed octopus is the cutest, zithromax for kids, so he gets my vote". How's post "Do You Practice 2 Types of Mindfulness for Pain?" outlines mindfulness as a specific meditation exercise, and as a way of approaching the world...
Bedside Manner
includes a post on "Interesting Methods to avoid Burnout" written by Julie Rosen and edited by Jamie Rauscher relating to how physicians can reduce medical errors.
Blue ringed Octopus

Spiders and arachnids









Redback Spider RedBack Spider (Latrodectus hasselti)

@rlbates from Suture for a Living has an aversion to all things RedBack related...yet copes with nerves of steel when confronted by the gore of a "Ring Finger Avulsion"









Sydney Funnel-web Spider (Atrax robustus)
Emma from Sharp Incisions includes a great piece on the "Double-edged Sword" and writes "I have recently moved to Sydney, and I fear the SFWS more than the foot-long cockroaches they seem to have here, Buying Zithromax. Fortunately, Zithromax causing tinnitus, my closest encounter with a funnel-web is the one preserved in plastic in the ED to help spider-bite victims identify the culprits - and even that's bad enough".
Henry Stern writing for InsureBlog includes the insightful "Doc's Behaving Badly: The Note on the Door". In this post, he relates his own (disappointing) experience with a physician who ups and leaves without so much as a whisper.








scorpion Scorpion

Kimberly Manning, zithromax masturbat, MD of ACP Hospitalist recounts a touching story of "Salt in the Wound"

DrShroom of the KnifeMan was busy moving house, so we gave him the scorpion to march to his favourite post "Let there be Drums"


Strange Creatures only Found in Australia (The Stuff of Australian Legend)









Fat Australians Fat Australians

DrRich from Covert Rationing Blog had a hard time deciding on the most deadly Australian animal. Pediatric zithromax, He was torn between the venomous blue ring octopus (sentimental favorite) and the Australian brown snake (being afraid of even benign snakes, let alone Australia's biggest elapid killer). In the end he decided that the deadliest Australian animal around is the fat Australian and submitted this great post on "How Fat People Reduce Global Warming"









Kylie Minogue

Dr James Baker is a child/adolescent psychiatrist in Dallas writing at James Baker MD and provides us with a great post emphasising why "ADD is way-overdiagnosed"

The Australian Med Blogger

Happy from The Happy Hospitalist Buying Zithromax, thinks the ANZ MedBlogger is deadly. Unfortunately his post "You Are Living In A Medicare Tomato: Government health care through the eyes of a tomato"... was too good not to put in ...

Kylie Minougue MMA








Mel Herbert MD is an ex-Aussie who fears the Great Aussie Sheila the most (don't we all!), is zanaflex compatible with zithromax.

Mel is host of EM:RAP and EM:RAP.tv and is the undisputed flyweight champion of the world when comes to emergency medicine edu-tainment.
Mel has uploaded his favourite EM:RAP.tv episode (number 53) to YouTube to share in this edition of Grand Rounds... it's a ripper!


httpv://www.youtube.com/watch?v=hJ1PLTwsHnk



Birds and the Bees









cassowary The Cassowary

Dr, Buying Zithromax. Zithromax medical a href, Charles from The Examining Room of Dr Charles is currently running a medical/scientific poetry contest with about 80 entries received so far he includes some of the highlights of the contest so far.
DrC also writes "I've been to Australia for a month, it was one of the best trips of my life. I must say I fear the Cassowary the most, zithromax non perscription. Driving a rental car through territory inhabited by this endangered bird is frightening... Buying Zithromax, at any moment you might extinguish another precious bird's life, not to mention drawing the fire of environmentalists and rental car companies!"
Check out what the locals think of the Cassowary...









The Magpie

Dr Val and Dr. Steve Simmons writing for Get Better Health suggest the Magpie as a fearful Aussie bird..."because they go for the eyes. Syphillis zithromax, That's just cool."

On a lighter note they provide a great post on "Career Counselor. Thoughts On Becoming A Doctor"









The European Honeybee

According to Vancouver Psychologist Will Meek, PhD it is the Deadly European Honeybee which we should be most fearful of...and he is backed up by the Australian Geographic.

Dr Will, zithromax mexican equivalent, however gives us hope as he talks about dealing with anger, resentment and revenge in his post "How to Forgive".


Mammals









Platypus...more deadly thank you think. (The males have venomous spurs after all)
Medical Resident from A Medical Resident’s Journey chose the platypus and provides us with a thoughtful and poignant post "A Lonely Calling", Buying Zithromax. Zithromax uk pharmacy, Another caring soul, Robin (@staticnrg) from Survive the Journey provides us with a moving post "Stars Go Blue". Robin justifies her animal choice...
"Why, zithromax opinion, the platypus, of course. Generic for zithromax, Those of us with Cushing's often feel like and are treated as if we are a weird conglomeration of parts which do not go together in the "normal" world. Buying Zithromax,  Nothing typifies this better in Australia than the platypus, although there are quite a few which come close!"









Kangaroo
Dr Ves Dimov of Clinical Cases and Images: CasesBlog chooses the Kangaroo and provides us with "5 tips to stay up to date with medical literature".
NWS from the Notwithstanding Blog provides us with a post which critiques a recent proposal in the American Journal of Ob-Gyn to restructure the way in which medical school tuition is paid, with an eye to reducing the burden on medical students. NWS chooses a different kind of kangaroo from Dr Ves: the genetically modified kickboxing kangaroo paratrooper...

"When I was in high school, zithromax cure sifilis, I did Model UN. The last day of any conference would usually be devoted to frivolities such as ambassadorial kidnappings, Zithromax z-pack, "superlatives" resolutions, general socializing, and of course, threats and declarations of war, zithromax z pack. During one such session, the delegate representing Australia threatened to level Japan with an army of 'genetically modified kickboxing kangaroo paratroopers' - now that's scary!"








Brush-tailed Rock wallaby The Brush-Tailed Rock Wallaby

Jill of All Trades, Zithromax masturbate, MD has chosen the Brush-Tailed Rock Wallaby because

"like family medicine they are dangerously close to becoming extinct due to lack of predator control and loss of habitat".

Jill of all trades has provided an excellent post detailing "5 “Bueno” Tips on How to Learn Medical Spanish".








The Wombat

John Schumann, MD of the GlassHospital chooses the 'deadly wombat' as his feared creature ("I know they may not be killer, but i love the idea of them...") and contributes a terrific article "A Good Death" in honor of his 2nd most read post ever; and a recent big article by Atul Gawande in this week's New Yorker magazine.

hairy nosed wombat








Tazzie Devil Tasmanian Devil

Jay Norris of the Colorado Health Insurance Insider loves the Tasmanian Devil as he "watched a lot of Looney Tunes growing up". Jay presents a great post on "Why is the Cost of Health Insurance Rising So Fast?"

We’re too fat and we overuse our healthcare system, Buying Zithromax. [...] We’re getting fatter; we have the wrong idea of what health insurance is to be used for and usage of the system has increased dramatically.









Yowie Hunter..

Naturally we turn to a madcap Aussie Ian Miller (aka ImapctedNurse) to bring a real sense of fear and dread to this edition of Grand Rounds.., zithromax strep throat. the fear of the unknown - "The Yowie".

Thankfully Ian also provided us with a fantastic post - "Musical directions for a nurse"

Nursing, Stronger than zithromax, like music, is a science best served as art.

Yowie

Reptiles and Amphibians


I thought there would be more support for snakes being a feared animal in Australia - after all we do have most of the top ten 'deadliest snakes in the world'...if you all really think they are so 'cuddly and cute' you should check out the Snake bite envenoming challenge...and get back to me!







Western Taipan (Oxyuranus microlepidota) Western Taipan (Oxyuranus microlepidota)

Ed Pullen of DrPullen.com fears "the 'Taipan' the most - I just don't like snakes!". Despite quivering at the prospect of an elapid encounter Dr Pullen managed to submit a great post "Can’t Find it in there Doc?"









Common death adder (Acanthophis antarcticus)

Paul F. Levy of Running a Hospital Buying Zithromax, fame thinks the Common Death Adder (known to some as the 'Life Subtractor') is a bit scary..."- with a name like that, how can you go wrong!" Paul includes a great post "Blackberry Cold Turkey" and goes on to say:

"...by vote of the internet public, this is the post that has received the most exposure of all I have written in 4 years. I offer it in the spirit that the wisdom of the crowd decided what I should send you, zithromax oral eye infection. It seems even more relevant today..."

common death adder








salt water crocodile Salt-water Crocodile (Crocodylus porosus)

Bruce Campbell, MD writing for Reflections in a Head Mirror presents and wonderful literary post - "Chocolate and Liquor". Zithromax packs, On the unsavoury matter of the crocodile - Dr Campbell has included "a photo of a crocodile my son took while in Australia last year during a semester abroad at Macquarie University...Looked pretty dangerous to me!"









Spencer's burrowing toad (Opisthodon spenceri)
Heidi Allen writing for "Heidi Allen digital strategy" has sent in an interesting post on "Physicians in Social Medicine" where explains how Social Media has provided her with the opportunity to listen to the conversation, and observe the musings of healthcare professionals. Heidi chose the toad..
"..because any toad which chooses to live in the desert waiting for rain is plainly ridiculous...and because Spencer found it, Buying Zithromax. Would you rather encounter that in the lonely outback, or a cute brown snake. I rest my case."

Opisthodon spenceri








Pauline Hanson Pauline Hanson

@Captain_atopic from Captain Atopic : Degranulated writes:

"My most feared Deadly Aussie Animal is the "Pauline Hanson", which leads out, by a nose, the wombat."

On a deadly serious note he has submitted a killer post, recounting his near-death experience following an acute anaphylactic reaction. This post is the first in a series of three riveting posts.

...and remeber to tune into Grand Rounds next week (August 10th) over at Dispatch From Second Base. Instructions and theme details can be found on the post "You are invited to Grand Rounds!".

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Where Can I Buy Zithromax, Whether it is interpreting a physicians handwriting, transcribing the muffled rants of the dictating clinician or battling the auto-correct function of microsoft word...meaning can sometimes be lost in translation...



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It is with great honor (and a lot of trepidation) that the Life in the Fast Lane team will be hosting Cheap Zithromax Online, Grand Rounds Vol. 6 No, ga strep resistance to zithromax. Prophylactic antibiotics zithromax, 45 on August 3rd 2010.

Grand Rounds is a showcase and an institution within the MedBlogosphere..steeped in history, zithromax uti, Order zithromax online without prescription, juxtaposed with stringent rules, imbued with musty regulations and layered thick with contextual learning, zithromax pregnant. Discount zithromax without a prescription, Grand Rounds has survived this long thanks to the constant supervision, mentoring and nurturing of Dr Val Jones (Get Better Health) and  and Dr Nick Genes (Blogborygmi)...why they let ever us host it I will never know, buy online azithromycin zithromax.

I only hope we don't break the chain, Cheap Zithromax Online. Zithromax insomnia,

The theme...



This week we (Chris and Mike) took the 7 link blogging challenge! This was a conceptually difficult, yet highly satisfying experience as Suture for a living and Anesthesioboist also found out, gastritis two weeks after zithromax. Us zithromax free perscription, This Grand Rounds, we want YOU - the health and medical blogging community - to send us your KILLER POSTS
Trawl your archive, zithromax usa, Zithromax hives, dive deep into the soul of your writing and send us your best; most inspirational; clever; witty; well-researched; head-turning; gut-wrenching; magnificent; glorious requiem of a post...A post that is pathognomic of your writing. A post that is empathic and understanding, drug interactions with zithromax. Do not combine zithromax, A post that is idiosyncratically and inimitably...YOU

Go on...INSPIRE us and help LIGHT UP the MedBlogosphere


In keeping with the 'KILLER' theme, and to enhance the Aussie vibe, zithromax 1g powder packs, Trichomoniasis zithromax, we would also ask that you include in your submission your Favourite Deadly Australian Creature...Here are a few Deadly Aussie Critters to set you on the right track...

httpvh://www.youtube.com/watch?v=wy_TB6onHVE

Cheap Zithromax Online, "‘So what do we do if we get bitten by something deadly, then?’ I asked. He blinked at me as if I were stupid, zithromax tooth discoloration. Cheap zithromax without script, ‘Well what do you think you do?’ he said. ‘You die of course, zithromax prescription austria. Zithromax defined, That’s what deadly means.’
--- Douglas Adams getting advice from maverick Australian Toxinologist Struan Sutherland; from When Doug met Struan.

...and before we get too many herpetological comments regarding the  above video, read this disclaimer from @bongi
on a point of order, zithromax mexico, Testimonials of zithromax healing polymyositis, regarding the video, the last snake shown is a black mamba which is a south african snake and not an australian one...just saying.

Grand Round Submission Process



  • Send us an email to mike [at] lifeinthefastlane.com with “Grand Rounds Submission” as the subject and include

    • Your favourite or most feared 'Deadly Aussie Animal'

    • The URL of the blog post which you are most proud of or which exemplifies your writing/thinking/musing style

    • The URL of your blog and title of your blog

    • Your Name



  • All submissions MUST be received before midnight on Sunday 1st August 2010


Worried about missing out on Grand Rounds?



  1. Follow Grand Rounds on Twitter @GrandRounds

  2. Follow on the Grand Rounds Facebook Page

  3. Subscribe to the Grand Rounds RSS Feed

  4. Add the Grand Rounds Google Calender to your weekly activities...


Remember the Grand Round Ethos...










The Grand Rounds target audience here is NOT other medical bloggers, zithromax drops, Zithromax for tissue infection, or people in the health care industry...it is the educated but non-medical readers coming from general-interest blogs.

The idea is to introduce the wider world to the growing medical blogosphere — the doctors, zithromax z-pak oral, nurses, students, administrators, EMTs, techs, and patients who blog.


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Cheap Retin Online, This statement represents a causality dilemma. Causality is the relationship between an event (the cause) and a second event (the effect), 10 retin a cream, Buy retin a, where the second event is a consequence of the first.


Despite millennia of extensive research, evidential debate and philosophical procrastination the answer to this riddle still remains a mystery...or does it?


Dr Colin Freeman et al used a supercomputer in Edinburgh to produce 5 million core hours of metadynamic computer simulations to demonstrate that the eggshell protein ovocleidin-17 (OC-17) induces the formation of calcite crystals from amorphous calcium carbonate nanoparticles...(Structural Control of Crystal Nuclei by an Eggshell Protein [Reference]).


...In other words the protein OC-17 found only in the ovaries of the 'chicken' is essential to stimulate the first stages of 'eggshell' formation. Without this particular protein being present, acne retin a, Can retin a worsen acne, it becomes impossible for the female chicken to form the egg as we know it. With this in mind, retin a drug store, French retin a, the scientists followed their arduous research to the only natural conclusion...that the egg could never exist without first having had a chicken and its protein to create it.


It had long been suspected that the egg came first, but now we have the scientific proof that shows in fact the chicken came first...


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Alice Shirrell Kaswell (Improbable Research) used a physical approach in her 2003 'Chicken-Egg' experiment. Ms Kaswell used the U.S, retin a eaten by child. Postal Service to separately mail a chicken and an egg to confirm that the chicken did indeed come first.



Method: I mailed the chicken and the egg, each in its own separate packaging, and kept careful track of when each shipment was sent from a post office in Cambridge, Massachusetts, and when it subsequently arrived at its intended destination in New York City


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Will this put to rest the age-old causality dilema?


Will it arrest our urge to post chickens in the mail?


I fear not...


One of the pro-egg counter-arguments is eloquently defined with the 'non-chicken mating theory'....



Two non-chickens mated and the DNA in their new zygote contained the mutation(s) that produced the first true chicken.


That one zygote cell divided to produce the first true chicken. Prior to that first true chicken zygote, there were only non-chickens.


The zygote cell is the only place where DNA mutations could produce a new animal, retin a copper pan, Rash after using retin a, and the zygote cell is housed in the chicken's egg.


So, the egg came first



The debate will still rage on...as Murray (chicken) and Brett (igg) amply demonstrate


httpv://www.youtube.com/watch?v=rpKqMC2YfwI

References:




  • Alice Shirrell Kaswell Which Came First — The Chicken Or the Egg, retin cream. Psoriasis retin a, Improbable Research

  • Colin L. Cheap Retin Online, Freeman, John H. Harding, retin a micro 0.1 testimonials, Retin a compared laser collagen building, David Quigley, P, retin a around eye area. Retin a cream for acne, Mark Rodger. Structural Control of Crystal Nuclei by an Eggshell Protein, lowest prices retin a. Angewandte Chemie International Edition  Volume 49 Issue 30, Pages 5135 - 5137 [Reference]

  • Flight of the Conchords [Reference]

  • 'How Stuff Works' The highly scientific journal of random thought [Reference]


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