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February 12, 2008

Grand Rounds Vol. 4 No. 21: The Valentine's Day Edition

Stvalentineicon_2 Happy Valentine's Day (almost), and welcome to Grand Rounds, "the weekly rotating carnival of the best of the medical blogosphere," hosted improbably this week by -- horrors! -- a health care lawyer and consultant.  I've organized this edition around themes related to Valentine's Day, which is coming up real soon, on February 14.  (Last call for those of you who still haven't figured out what you're doing for that special someone.)  If this is your first visit to HealthBlawg, I hope you'll stick around and read a few posts beyond today's edition of Grand Rounds, and maybe even come back now and again.

Thanks to all of the medbloggers out there who submitted posts that stuck with the previously-announced categories.  High honors go to two bloggers for going above and beyond (details below).

Chaucer: for the birds

For our initial orientation to the themes of the day, we turn to the New Advent Catholic Encyclopedia:

The popular customs associated with Saint Valentine's Day undoubtedly had their origin in a conventional belief generally received in England and France during the Middle Ages, that on 14 February, i.e. half way through the second month of the year, the birds began to pair. Thus in Chaucer's Parliament of Foules we read:

    For this was sent on Seynt Valentyne's day
    Whan every foul cometh ther to choose his mate.

For this reason the day was looked upon as specially consecrated to lovers and as a proper occasion for writing love letters and sending lovers' tokens.

So let's begin with posts touching on birds and love.

Lovebirds A couple of lovebirds dealing with each other's illnesses is the topic of Barbara Kivowitz's post at In Sickness and In Health; hers is chronic, his is a new cardiovascular issue.  An interesting look at the sick role, the caregiver role, and changing roles in a long-term relationship.

How often do you see "folie a deux" and "Q-Tip" in the same post?  Tip of the hat to Liana at Med Valley High for this tale of two strange birds.  (Would someone kindly page Oliver Sacks?)

Ken Cohn, blogging newbie at the Healthcare Collaboration Blog loves the collaborative feedback he gets from his teenage daughter.

Dr. Anonymous is blogging about "the love hormone" and will have a Valentine's Day edition of his BlogTalkRadio show -- which Dr. Val tells us will be an "estrofest" featuring several women medbloggers.

We're not supposed to throw rice at weddings anymore -- to save the birds, you know -- but this week Christine Miserandino at But You Don't Look Sick tells us love can be a rice ball.

Matters of the heart

Heart_franklin_inst Since the heart was long thought to be the seat of emotion, and Valentine's Day is associated with matters of the heart, this segment of Grand Rounds is open season on anything cardiovascular.

Let's begin with volunteer ED chaplain Susan Palwick's poem inspired by watching a patient having an echocardiogram, at her Rickety Contrivances of Doing Good.

The Blog That Ate Manhattan highlights a long-overdue fix to the risk disclosures regarding blood clots accompanying the contraceptive patch.  High honors go to the blogmistress of TBTAM, for tendering her URL on the back of twenty-dollar bill, as requested.  Demerit points awarded, however, for making that merely a JPEG of the back of a double-sawback, and not the genuine article. 

David Williams introduces us to iCardiac Technologies at his Health Business Blog.  Among other things, this company is working on personalized medicine, so that drugs with risks for some can be marketed to others, rather than being kept off the market.

Speaking of drugs and risks, see Vreni Gurd's post on cholesterol, heart-disease mortality, and cholesterol-lowering drugs at Wellness Tips.

Two of my personal favorite approaches to ensuring cardiovascular health have gotten a ringing endorsement from Danish researchers: drinking (in moderation, of course) and exercisingClinical Cases and Images points to the study (as does Time magazine).  My poisons of choice: red wine, single-malt scotch and bicycling.  (For more on the latter, see my posts on biking in the Pan-Mass Challenge, and consider sponsoring me this year.  The poison of choice for many of my fellow-riders seems to be beer; for the carbs, they say.)

And don't forget this little tip from the NY Times: in case you were wondering, using a stunt double for video of cardiovascular workouts just doesn't cut it (especially if your name is Jarvik and you're selling Lipitor).

Maybe it was the roses . . . .

Skeletonandroses2 Now if we look back a little further through the mists of time, we'll find that there may have been three different saints named Valentine, but they had to buddy up on one saint's day.  Trusty Wikipedia tells us:

The saint's feast day was removed from the Church calendar in 1969 as part of a broader effort to remove saints viewed by some as being of purely legendary origin. . . .  Prior to the creation of the new calendar, the church in Rome that had been dedicated to him observed his feast day by, among other things, displaying his reputed skull surrounded by roses.

Could our saint be the ur-Deadhead?  I don't know . . . .  In any event, we now turn to posts of skulls and roses.

Hard at work in those skulls are all sorts of stresses, and the amazing neurochemical coping mechanisms our species has evolved.  Thanks to Gregory Kellett at SharpBrains for laying them all out for us.

In the numbskull category, we have Amy Tenderich's explication of the  ACCORD study results -- and the inability of the mainstream media to get it right -- over at Diabetes Mine.  (Amy was kinder, labeling the post cardiovascular.)  For a more personal reaction to the ACCORD news, see Rachel Baumgartel's Tales of My Thirties.

Reading "skull" broadly as an invitation to jump into orthopedics, Hank Stern at Insureblog gives us his brother-in-law the orthopedic surgeon explaining the advantages of anterior hip replacement surgery.

Speaking of orthopedic surgery, Bongi shares a tale of a leg amputation and a (relatively brief) discussion of same with a student rugby player visiting the OR, at Other Things Amanzi.  He titled this post Callous.

For a post on Rose, we turn to Running a Hospital and Paul Levy's appreciation of a long-term volunteer named Rose, and ruminations on the folks each of us looks to as a moral compass


Romulus_remusPeering even further back to an earlier age, we see that Valentine's Day is one of those Church festivals intended to replace an earlier pagan festival. (Religious groups through the ages have tried to claim sacred space and time from other religious groups, sometimes more peacefully than others).  Lupercalia was a pagan festival honoring the she-wolf that suckled Romulus and Remus, mythic founders of Rome.  The main event involved Luperci, or "the brothers of the wolf," clad only in goatskins, sacrificing goats and a dog, smearing blood on foreheads and running about whipping girls and young women with goatskin thongs to ensure their fertility.

Goatskinclad Thanks to the Luperci, we can now delve into recent posts touching upon goats, wolves, dermatology, hematology and fertility.

Our own modern-day rituals concerning courtship and marriage would probably seem as odd to the pagans as theirs do to us.  Kerri Morrone shares her tale of a bridal gown fitting with a twist at Six Until Me.

The goat-biotech connection is such old news that nobody submitted any current posts on the subject.

Two_kukeri_fertility In the fertility sphere, How I Spent My Nursing Education shares a little more than we really needed to know about PMDD, or "über-PMS."

On the dermatology front: First, here's the lowdown on rituximab and eczema, courtesy of Allergy Notes.  Second, A Sterile Eye tells us of a case of photodynamic therapy for skin cancer that makes a grown man writhe.

Blood_cells On hematology and, well, the skull again:  At the intersection of the base of the skull and the circulatory system, it's time for another look at chiropractic and cervical artery dissection.  Walter at Highlight HEALTH lets us know that the latest study says it's really not a problem, though folks with other risk factors for dissection should probably avoid chiropractic.  (On a personal note: I'm entirely open to complementary therapies, including chiropractic and acupuncture, both of which have worked for me.)

Anyone who's tracked animals can tell you about scat.  Beth at PixelRN shares her own scatological obsession -- an occupational hazard, one might say.  (I indulged my younger son's interest in that department last weekend, as we mucked goat stalls at a local model farm.  If that ain't love . . . .)

Wolf JC Jones ruminates on Heath Ledger's untimely demise at Healthline Connects, and introduces us to a couple of "wolves in white coats," MDs peddling scrips for controlled substances.  Doc Gurley comments on a new study and poses the question: Artificial Sweeteners–A Wolf In Goat’s Clothing?  (I kid you not.)

My brother at the bar, Bob Coffield, provides the latest installment in the Paris, Texas anonymous blogger case at his Health Care Law Blog.  Is the blogger a wolf in sheep's clothing? A sheep in wolf's clothing?  This round, the First Amendment keeps the blogger's identity cloaked.

Straying away from the vulpine: One day, the phrase "kill the skunk" will be synonymous with "do the right thing," and you'll be able to say you remember the day you read Sam Solomon's seminal medical ethics skunk post at Canadian Medicine.

And finally, here's Jolie Bookspan's unusual Valentine's Day tip.  Forget dancing with wolves; The Fitness Fixer says: do push-ups with a friend.

It's a wrap!

High honors go to Nancy Brown, for working a mention of every one of today's themes into her book review of Can't Buy My Love: How Advertising Changes the Way We Think and Feel at Teen Health 411.

Parting is such sweet sorrow . . . .

Well, even if the immortal bard didn't have us in mind while penning those words, we've come to the end of another edition of Grand Rounds.  Thanks for visiting HealthBlawg, and I look forward to having you drop by now and then. (You can leave the goatskin home, though.)  Thanks to Nick Genes and thanks again to all the medbloggers who contributed. 

Next week's Grand Rounds will be hosted at DailyInterview.  See you there.

-- David Harlow


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» David Harlow's Grand Rounds Gets To the Heart of the Matter from Trusted.MD Network
Congrats to fellow health law blogger, David Harlow at HealthBlawg who does a wonderful job weaving together a special Valentine's Day edition of Grand Rounds. David's edition gets to the heart of the matter and includes a wide range of posts - covering t [Read More]

» Grand Rounds is up at HealthBlawg from Trusted.MD Network
David Harlow at HealthBlawg hosts a lovely Valentine’s Day edition of Grand Rounds. [Read More]

» Grand Rounds 4.21 from Trusted.MD Network
Grand Rounds 4.21 is up this week at HealthBlawg. Stop by for a collection of the week's best posts from the medical blogosphere. [Read More]

» HealthBlawg: Grand Rounds Vol. 4 No. 21: The Valentine’s Day Edition from Trusted.MD Network
HealthBlawg: Grand Rounds Vol. 4 No. 21: The Valentine’s Day Edition Grand Rounds Vol. 4 No. 21: The Valentine’s Day Edition Stvalentineicon_2 Happy Valentine’s Day (almost), and welcome to Grand Rounds, “the weekly rotating carnival of the best o [Read More]

» Grand Rounds: (Almost) Valentine's Day edition from InsureBlog
In a nod to history, health care lawyer and consultant David Harlow presents this week's Grand Rounds as a sort of "Valentine's Day through the ages." It's a great effort, with almost 3 dozen roses, er, entries. [Read More]

» ScienceDebate2008 and blog carnivals from Trusted.MD Network
The movement to have US presidential candidates discuss Science and Technology in a devoted debate has been picking up steam. Date and place are scheduled: April 18th at the Franklin Institute in Philadelphia. - cosponsored by the AAAS, the Council on Co [Read More]

» Grand rounds is up from Trusted.MD Network
HealthBlawg hosts the weekly best of the medical blogosphere. [Read More]

» Putting the “Heart” in Grand Rounds from Trusted.MD Network
I’ve been a bad blogger. I have neglected linkage duties for a week! So without further ado, David at HealthBlawg is hosting this week’s Grand Rounds. The theme? Valentine’s Day! Hence this photo from Cookies by Design. I want this for Valentines [Read More]

» Grand Rounds is Up at HealthBlawg from Trusted.MD Network
David Harlow's excellent health care law blog (Healthblawg) is hosting this week's Grand Rounds which focuses on, what else, Valentine's Day themes. Have a look. My post on Palpitations is included. Thanks David. [Read More]

» Carnivalia and an open thread from Pharyngula
Carnivals! Carnival of Education #156 A belated Carnival of the Liberals #57 Carnival of the Liberals #58 Grand Rounds Friday Ark #178 The Boneyard #13 Oekologie #14 A Tangled Bank announcement! The next Tangled Bank will be at Greg Laden's... [Read More]


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GREAT job!! Thanks for including my essay and link. I can honestly say that I enjoyed this Grand Rounds so much-- I think this might be one of the best week's yet! Thanks for all the hard work!


Great edition! Thanks so much for including my post, and Happy Valentine's Day!

Wonderful job David. Thanks for the last minute (after the deadline) inclusion. Glad you were able to weave it into your tale. Happy Valentines Day to you and yours.

Great job and thanks for including my post. I love the theme!

Really well done, David! Thanks for including Rose's story.

What a great edition of grand rounds! Well written, informative, and with a real feeling of warmth appropriate to the theme.

Thanks for all your hard work.

Great job! Who knew Valentine's Day was so rich. Thanks for including my post.

Thanks so much for linking to my blog. I really appreciate it. When I get a chance today, I'll plug today's GR on my blog. Kudos on today's GR edition!

Great edition!

Thanks for the inclusion!

What a great way to start my morning! Thanks for the information and creativity - from a lawyer no less!

Happy Valentine's Day!

Wow! What a terrific job, David! It's interesting and attractive, and easy to follow.

Thank you for hosting, and for including our post!

Hi David,

Really nice job - I loved the category idea right from the top, and enjoyed how you incorporated such a wide variety of posts. Thank you SO much for including mine.

Happy Valentines Day to you!

Who knew you could get a dose of history with your health information round-up. Fabulous Grand Rounds--something for everyone (and fun!).

Nice edition, David. And thanks for including me! :)

-- Kerri.

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