Via Berci, who notes:
Well, this Venn diagram shows many things about Hemorrhoids and related symptoms. And it’s not even a new infographic published on a blog, but is from an old textbook — which means the concept has been there for a long time but it always disappears in medicine.
I see his point. In fact, I think a Tumblr full of old medical textbook figures would be a hit.
Though the fact this diagram doesn’t often see the light of day, until now, may have something to do with the content. Speaking of content, I had a nice (but thankfully brief) exchange with Dr. Rob about where the circles should extend.
Grand Rounds, Vol. 8 No. 11: The Tumblr’d Edition
Hello and welcome to this collection of medical links from across the web, written by providers, patients and analysts that work on the frontlines of modern healthcare.
This is my sixth time hosting Grand Rounds (three prior times on blogborygmi’s blogspot site, twice on Medgadget.com), and my first time with Tumblr.
I’ve been hearing about Tumblr for years, and after finally making the leap a few weeks back, I figured it might be a good fit for Grand Rounds today, as well.
Grand Rounds has traditionally been motivated by traffic – hosts wanted their efforts rewarded with new visitors. Submitters wanted people to follow their links.
Now, however, I think the motivations are a little more muddled. Do people want followers? Likes? Retweets? Customers? Klout?
Well, what I want to do today is simply this: serve up some links to compelling healthcare writing from around the blogosphere.
There are no comments on this Tumblr. If you want to say something, you can offer your two cents via a link on Twitter, FB or G+. Or better yet, join the Tumblr community and give one of these links below a heart — or reblog it (with or without your commentary).
That’s my vision, for this week at least. Next week, the carnival moves on, and you can check out the next interpretation of Grand Rounds at GlassHospital.com.
Patients, if they choose to connect, are no longer isolated from others facing the same or similar circumstances. This, potentially, could make a huge difference in outcomes, besides their mean level of happiness.
@M_Lin:
RT @jjn1: Twitter: LSE gets it&produces Twitter guide for academics. Wonder how many other universities are that smart http://t.co/YSBEfs0L
@DrVes:
Existing case law suggests potential liability for ortho surgeons who engage with patients on open social networks http://t.co/9aRC4Pzn
Many thanks to @AfternoonNapper for hosting this week’s edition of Grand Rounds.
Next week, Grand Rounds comes here, to my Tumblr blog.
Want to be a part of it? Please mail me at nick -at- blogborygmi.com with the subject Grand Rounds, along with a URL link of your submission and a brief excerpt. Photos are also welcome!
Submissions are due by 11:59PM, Sunday December 4 (Eastern US time). Then, tune in here on the morning of December 6 for the first Tumbl’d Grand Rounds.
…people are mastering more kinds of writing. Other technologies that grew more popular this decade required a different mode of expression: Instant messaging invited a breezy, fast-thinking tone; blog comments (again, the thoughtful ones) sharpened our debate skills; Twitter enforced even more economy onto our words.
In all of these, we were nudged toward something all writers aspire to: a strong, distinct voice.
Remember how people said there was no real need for a device category between smartphones and laptops? And then Apple sold 40 million iPads?
That’s kind of how I felt about Tumblr.
Blogborygmi: Thoughts on tumblr (via infosnack)
(am I doing this reblog thing right?)
(via infosnack)
Anywhere but here
While the output here has fallen from blogborygmi’s heyday, this site’s original purpose was to foster writing opportunities with, you know, real publishing platforms. By that standard, this past year has been a good one. If you’re interested in reading more of my stuff, from health informatics to social networks, see below:
RIP Google Health. A look at the nearly-late, nearly-great Google Health, and the prospects for personal health records.
Twitter, and emergency response. What if social media was available on 9/11?
Redefining EMR Usability. When I got into electronic medical record usability, I thought it’d be about physician satisfaction, consistency, and counting clicks for key tasks. Recent developments suggest, however, it’s going to be about estimating and reducing errors.
Getting Social. How social media can change the public face of emergency medicine.
When Charts Cry Wolf. The evidence surrounding the annoying, often irrelevant drug interaction warnings served up by electronic medical records.
EPMonthly EMR Roundtable. A freewheeling discussion on electronic medical records, conducted by Mark Plaster and featuring Rick Bukata, Bruce Janiak, and yours truly.
Meaningful Use: A Really Good Kick in the Pants. My interview with Maimonides CMIO (and emergency physician) Steven Davidson
MU and You. A primer on meaningful use of electronic health records, and what it will mean for emergency medicine.
Going to California
I’ll be speaking at BlogWorld Expo in LA on November 4 at 4pm, on how social networks can influence patient outcomes.
I’ll be joined by two distinguished physicians and social media pioneers, Dr. Jen Dyer and Dr. Val Jones. We’ll make a few brief presentations and then field questions. The session will be immediately followed by happy hour.
Also, be sure to check out all the other great topics in the social health track, spread throughout the conference. The speakers with Twitter accounts (approximately all of us) are listed here and tweets about the conference have the #BWELA hashtag.
If you’re on the fence about attending the conference, consider: promo code BWEVIP20 to knock 20% off the registration fee.
Still, I find some comfort in the cacophony of Twitter.
Skimming through tweets right after the earthquake, or searching for tweets with “#irenenyc” during the recent hurricane, gave me a better perspective than the talking heads on cable television shows.
How Twitter Has Reshaped Emergency Responses
What if social media was available on 9/11?
Source: medscape.com
Comin’ down on the nightshift
I was contacted by the folks at RN Central about running an infographic about the dangers and errors associated with hospital night shifts.
They thought I should publish it, “since you run a site about nursing.”
Since that statement is an error, and since the email was sent at night, I assume the sender had to be overworked or undertrained. That off-the-cuff assumption, it turns out, may be more rigorous than anything in the infographic.
As I wrote in an exchange with the excellent Michelle Lin, this info graphic is horrible — proclaiming lots of undocumented “facts” that you can’t be sure about (are they pulled from the pre-work-hours reform era?) and “tips” no one can follow (such as “avoid going to the hospital during Spring Break” — what?).
Other “pearls” just reflect reality: 50-70% of hospital admissions happen at night or on weekends! Well, hey, nights and weekends make up the majority of the week.
The chart is capped it by highlighting 5 bad outcomes across the US (world?) over the past 22 years. Does that enlighten anyone? My ED alone sees 100,000 patients a year.
The thing is, I’ve generally been a fan of this new wave of infographics. As Steven Davidson has pointed out, charts and graphs used to be designed with journals and powerpoint in mind; today’s colorful and long infographics are built for the social media / Prezi age. And through web-surfing, I’ve definitely come across some nicely-distilled points in various economics and political infographics. Perhaps I like those kinds of infographics because I’m not versed enough in that field to catch the simplifications or misdirections, or to mind the lack of true citations.
Still, I think an infographic should make a succinct and compelling case, like “boost overnight staffing with more experienced providers” … this one seems to be lashing out at all kinds of problems, from overnight staffing to residency training to preventable errors, and fails to make any compelling cause/effect relationship or implementable policy recommendation.
Worse — if I wanted to learn more about that stat, “babies born at night are 16% likelier to die” (seriously, think about how ridiculous that number is without confidence intervals or ARR) where would I go? The Halifax Medical Malpractice Lawyer Blog? (that’s one of the sources, next to WSJ and NEJM).
I just can’t figure out who this infographic is trying to educate or warn. I think it’s mostly a promotional tool for RN central. In the process, though, it’s spreading fear and confusion. Be sure to only look at the chart during the day, when the muddled thinking and errors are less likely to harm you.
…another tech revolution is taking place in health care – the way patients interact with each other, and with health organizations, using social media.
How social media can change the public face of emergency medicine.
Source: epmonthly.com
Best practices
Grand Rounds needs you.
Val Jones and I have recognized that GR works better when we invest in a higher profile —
- e-mail blasts about the next host’s deadline and address.
- daily tweets through the @grandrounds account, highlighting links from that week’s edition
- identifying and guiding new bloggers through the hosting process
- coordinating with other online health networks
Trouble is, neither Val or I are in a position right now to do this ourselves.
If you’ve got the time and inclination to tackle at least a couple of these items, contact us.
Expert insights from the 2010 New Media Academic Summit with Nicholas Genes, MD, PhD, Physician & Informatics Fellow, Department of Emergency Medicine, Mount Sinai School of Medicine.

