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Grand Rounds 4.48.

This is an evil card catalog.  For real.When I needed information as a kid, I used to have to walk to the library downtown after school, talk to the librarian, and then paw through the card catalog until I found the right section to explore.  Dewey Decimal and his Evil System were the bane of my existence, because I'm terrible with numbers and I can't find my way out of a paper bag.  No sense of direction plus no math skills equals ... a reverence for Google.

Thankfully, the Internet has given me a quick and relatively pain-free way to explore the vast expanses of information out there.  But on Sunday night, after all the Grand Rounds submissions had been received and I was fast asleep in bed, I had a terrible nightmare.  About Grand Rounds.  And the damn Dewey Decimal System.

In my dream, I couldn't find my laptop anywhere.  I was trapped in the library in my hometown, and for some reason, I was clutching printouts of every Grand Rounds submission I received this week.  I walked into a large room and was faced with ... The Card Catalog.  [cue evil music]

"Kerri!  We meet again."

"So we do, Card Catalog."

"And I see you have your Grand Rounds post to do, eh?  Well your task is to ..."  he wrung his card cataloggy hands together, grinning gleefully.  "Organize them using the Dewey Decimal System!"

"No!"  I threw my hands up in defeat.  "Not the System!"

"Yes!  And you have exactly one hour, or the Sausage cat gets it."  The Card Catalog opened the "Ca-Cu" drawer and I saw Siah sitting in there, meowing at me pitifully.

"Oh crap, okay I'll do it!"  And I sat at a desk, the submissions in hand, and attempted to organize.

Clinical Cases submitted a post about one of my favorite bloggers, Berci Mesko, and the relationship between genetics and surgery.

Ian at Wait Times and Delayed Care pontificates (his word, not mine) about whether or not security concerns will prevent Web 2.0 from really booming.

Tiny Shrink waxes philosophically with some feedback about the fine line between physicans and "quacks."

Leslie at Getting Closer To Myself reminds doctors to remember the emotional issues that their patients are grappling with.  (And she also mentions one of my favorite shows:  Nip/Tuck!)

Vitum Medicinus offers up that "it's sometimes the little things, just as much as the brilliant life-saving interventions, that will impress your supervisors ... and more importantly, your patients."

In Sickness and In Health sent in a post about a marriage where the partners have been each others' salvation for so long that they do not know how to take care of themselves as separate individuals.

Emily of CrzeGrl, Flight Nurse admits to the pain associated with constantly exposing herself to the tragedies of her profession

Touching upon the wonders of pregnancy, Martina of FreshMD writes about pregnant patients who claim they hear their fetus crying.

Canadian Medicine writes about a man who considers himself "on the side of compassion and on the side of the angels."

Doc Gurley hits on the hot economics of diabetes, homelessness, and food inflation and how we, as a society, can help. 

(And she's the only 300 I had.  She's the true Spartan.) 

Laurie, author of A Chronic Dose, hones in on the patient-to-patient relationship and how this language of understanding can make a huge difference in care.

Dr. Signout writes about how doctors don't seem to be entitled to the same emotions as visitors at the hospital - even when they are both checking on their loved ones.

Suture For A Living muses on why doctors aren't pressed for the reasons for their outbursts of anger.

Dr. Val and her Voice of Reason writes about the language barrier in some hospitals and how a few missed words can change the landscape of a diagnosis.

Kim at Emergiblog submitted a great post about the importance of an up-to-date medication list and how precision and precaution keeps you safe. 

Dr. Steinerman at SharpBrains offers his commentary on the definition of "dementia" and how the medical community can get "lost in the lexicon."

Health Observances is looking to spread the word about a teenaged girl who is stricken with atypical motor neuron disease and her family's quest to find answers.  They are speaking in the language of hope here - can you help Jenny?

Captain Atopic (great name) of Degranulated sent in a very enlightening post about knowing the difference between complementary medicine and straight-up snake oil.

InsureBlog gives us the play-by-play of which country is offering the best chances for cancer survival.

Paul Mason, writer of Neuroanthropology, gives us 10 steps to better brain health.  Ten steps to health - that covers both the "science" and the "mathematics" part of this category.

David Williams of the Health Business Blog gives a nod to the Wall Street Journal for their stent study coverage.

Dean Moyer of The Back Pain Blog gives some tips for avoiding back trouble (and the graphic on this page made me giggle).

Tech Medicine has a great post about creating an automated voicemail system for non-urgent messages from patients - eliminating the need for chicken scratch on notepads.

Walter at Highlight Health talks about recent advances in stem cell biology that may change the course of treating cardiovascular diseases.

Isn't this one of the basic things a doctor is supposed to know?  Medical Jokes, Cartoons, and Videos sent in a post about a medical student learning how to use a stethoscope.

The Cockroach Catcher gives us a post about lithium to treat bipolar disorder, and how only time will tell if this is the best method.

Susan at the Rickety Contrivances of Doing Good writes about a volunteer chaplain reflecting on the new and the old in the ED

Rachel and her Diabetes Tales talks about finding an acceptable breakfast joint for the carbohydrate conscious.  Breakfast, in this instance, is classified as "recreation."

If you're hiking, running, or generally traipsing around outdoors, Dr. Paul Auerbach offers up some tips on managing foot blisters.

Christine at the Corn Allergic writes on the day-to-day trade offs to be made in efforts to stay healthy and have fun in a world filled with allergens.

Nancy Brown at Teen Health 411 suggests that you see your doctor if you have a history (see?  HISTORY - it fits!) of stress fractures.

Henna has been kicking around since the Bronze Age, but the now-used temporary black henna ink is under scrutiny at Allergy Notes for causing scarring and allergies

These posts deserved their very own Dewey Designation for aiming at the funny bone:

Bongi deals with taunts for his pirate-wear headgear.  

Theresa Chan twitters with ease about the entrepreneurial possibilities of maggot therapy.

Dr. Jolie Bookspan blogs about the sports miracle that is the mustache.

And what could be my favorite post:  The Samuari Radiologist gives up some medical malapropos that made me laugh out loud.

"Evil Card Catalog?  I finished.  They're all organized."

ECC shuffled over.  I heard Siah rumbling around in the drawer.  "You're done?"

"Yes.  Can I post this now?  And can I please wake up, to my real life where there's internet and Google and all the modern conveniences of 2008?"

"I guess."  ECC opened the Ca-Cu drawer again and Siah bounded out.  She and I held hands (okay, I grabbed her paw and she stuck her claw in my palm) and we jumped out of the library window into the garden below, where we tumbled to safety.

And I awoke from this nightmare, understanding completely why there was no entry for "800 - Literature."  Because it was saved for me, and my ability to spin a pointless yarn. 

Visit Rural Doctoring next Tuesday for another edition of Grand Rounds!


What a wonderful cataloging job you did!!!

Oustanding 'Rounds, Kerri!

Thanks for hosting, and for including our post.

awesome format. thanks for the inclusion. :)

Dewey is smiling in his grave right now. He'd be so proud of you mastering his decimal system.

Love your system! Thanks for including my post.

I never thought the Dewey decimal system would make me laugh. Thanks for that and a great job on Grand Rounds. And thanks for including my post.

Thanks for this edition of Grand Rounds and including a post from Teen Health 411!

I too loved the card catalogs and miss them some days.

Very clever theme, well done. Thanks for including my post.

Wow! Did you go to bed. Thanks for highlighting my post on lithium.

The Cockroach Catcher Blog

OMG - the Dewey Decimal system??? I love it! Actually, I hated it, but love the theme! : D

Wow, the Dewey Decimal System-what a flashback! Nice way to tie these posts together! Thanks for including mine...

Great theme! Thanks for including me. :)

Thanks for including me Kerri & for getting the word out about Jenny! I posted a link to your blog today @ http://www.healthline.com/blogs/health_observances/index.html

Congrats! Great job with this!

Love the pics; I always preferred Dr Dewey to the Library of Congress :)

Thanks for including my post!

I have to ask, was your nightmare with the card catalog related to your blood sugar being high. I ask because you posted recently about highs/ nightmares.

Well-done Grand Rounds! I would never have thought of the Dewey Decimal system, not in a million years. Fantastic!

Thanks for including my post!

What a wonderful Grand Rounds! Your enthusiasm is infectious. Thanks so much.

Great GR! Thanks so much for including me!

Cleverly organized! Thanks for including my post.

I've only been reading since the last few posts, but I am enjoying your views more and more. I'll be back for more and will be sure to subscribe!

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