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private with my rudimentary understanding of blogger my decision to close the blog in may seemed to present only two options make it private or delete it completely which i wasn t quite prepared to do i have eschewed my dorkdr gmail address until now and regret any hurt feelings as i wade through a great backlog of email tonight to those who might take umbrage at any perceived exclusion from a private blog it was simply easier for me at the time to close the blog and avoid the brief flurry of kind email inquiries the blog was not so much private as in a state of pre deletion i have started lurking about again of late and note that many other health blogs some of my favourites included have shuffled off as well pro tempore or otherwise as others have discussed with far more perspicacity perhaps this is simply the nature of the beast why did i vanish let me count the ways 1 ill health improving now 2 copyright concerns i have developed further some of the nascent scribblings i occasionally posted and as posting on blogger legally counts as publishing in most regards i have had to remove most of my creative work that i am compiling or submitting elsewhere unfortunately 3 privacy i don t write about my patients in any way that could be potentially identifiable this is a hippocratic fundamental in my opinion however i have chosen to bare my personal foibles and failings in this blog others have suffered for similar disclosure possessed of far greater altruism than i whilst hosting grand rounds was a privilege and a pleasure the consequent huge surge in site visits was worrisome for me i much prefer peeping out and piping up occasionally snug beneath my warm little rock to the glare of the hot sun i am of the opinion that particularly with my personal spectrum of illness this fractured window may have been and still could be of use to someone somewhere sometime when traversing one s own dark night of the soul a single kindred spirit is of much value wherever and however found so the blog archive is back in part not that there is much of it in retrospect at least for now it is a pleasure to read the words of others especially those who have lingered long it is a pleasure to be read yours occasionally dork posted by dr dork 34 comments friday may 4 2007 in absentia waiting room long story short dr dork is on hiatus for salubrious and salacious medical writing please explore the blogroll disgruntled patients posted by dr dork 19 comments tuesday april 17 2007 grand rounds vol 3 no 30 grand rounds now available at fat doctors archives and upcoming schedule here posted by dr dork 12 comments monday april 16 2007 another nonsensical bout of self absorbed whimsy irrelevant and irreverent descent into mirth and whimsy has been just about the only output from dr dork of late apart from grand rounds of course which was not as time consuming as dr dork thought it might be dr dork reads most of the blogs which submitted anyway his bloglines feed count stands at 205 and counting dr dork is perhaps showing his age by divulging his love of cheesy creature features an excellent way to while away a few hours of insomnia so here we have a godzilla dancing extravaganza produced by daniel a 15 year old in san jose don t know the music but the combination is much fun dr dork is thinking he will finally bestow a first name on himself for a trial run until next time dr tom f dork posted by dr dork 12 comments friday april 13 2007 the magick of iridology mr odd my back feels completely fine but i still see the chiropractor every 3 weeks of course dr dork of course do the wrists give you much trouble after the operations mr o none at all doc dr d great good for you how has the drinking been going mr o i drink a bottle and a half each night but i took out the unhealthy stuff from the mix dr d meaning mr o i saw my iridologist just after the operations he told me to cut down on the coca cola now i mix my bourbon with ice water only smoke light cigarettes as well dr d ok takes a sip from diet cola mr o the phosphates in that will kill you you know posted by dr dork 11 comments tuesday april 10 2007 grand rounds vol 3 no 29 g day and welcome to this weeks edition of grand rounds dr dork is pleased and honoured to host your journey through some highlights of this weeks medical blogging no time to shave today dr dork has elected to follow the early tradition of grand rounds as established and maintained by nick genes venerable beyond his years in this regard to elucidate a few posts that have stood out in this editor s opinion have been selected for each category to keep this edition of grand rounds to a readable size there were roughly quadruple the number of submissions for the arbitrarily designated size of this edition many quality submissions were regrettably left out this week apologies to all dr dork wouldn t have made the cut himself amongst the field of entries this week for those with particular preferences and predilections the 30 selections for this week have been compiled into the following categories rants in practice of patients and for patients education research and advances healthcare policy and reform medicine in the media miscellany and mirth lastly in parting we have a bittersweet farewell from the greatly admired barbados butterfly rants fallen angels rants on discourtesy in the healthcare blogosphere in doctor bloggers dr dino berates the local lawmakers for the misguided enforcement of bmi measurement in schools susan palwick of rickety contrivances of doing good perhaps the tongue twistiest healthcare blog title shares her anger at observing abusive behaviour towards an ed frequent flyer in practice dr kenneth f trofatter discusses the evaluation of recurrent early pregnancy loss as part of an ongoing series on the topic an increasing problem one presumes as many elect to become parents later and later it seems fat doctor shares a moral dilemma as an overzealous schoolteacher almost berates her into support of developing superbugs azygos shares a poignant tale of a patient s death from multiple sclerosis and touches on the dangers of a fragmented care system in paul signout in the midst of a trying cardiology rotation is touched by the power of a simple gesture of thanks in what we re supposed to do dr shazam of mr hassle s long underpants still one of the best blog names period shares the electricity and the enervation of emergency room codes in fallen star of patients and for patients dr rima bishara gives a comprehensive summary for parents examining sports injuries in children adam of daylight atheism gives a disturbing account of the situation faced by those in the congo where a single lone psychiatrist dr alain mouanga struggles to turn the tide of abuse inflicted upon the mentally ill the bohemian road nurse shares her deeply personal experiences of battling alcoholism a common affliction throughout the healthcare professions chronicbabe shares some advice on time management for those struggling with their health advice which we could all heed irregardless education the inimitable orac looks in detail at the subtleties of early cancer detection particularly in regards to breast cancer in a highly informative two part post vitum medicinus shares a compendium of people he admires most in his class at medical school reminds one of the different paths many of us walk to the same destination research and advances grrlscientist identifies a major flaw in the much lauded treatment for abo blood type incompatibility which has been bandied about in recent weeks docinthemachine blogs on new developments in genetic pap smears which could lead us one step closer to eradicating some common stds dr domenico savatta looks at surgical options including some recent research of his own in treating prostate cancer very relevant to us old codgers dr charles revisits some of kinseys ground breaking and controversial work with a kinsey style sex survey of the health blogosphere go on be honest healthcare policy reform australian parliamentary debate dr kevin takes a break from his frenetic link blogging to give us a thoughtful and considered discussion of the growing problem of defensive medical practice amy at diabetes mine previews michael moore s much anticipated sicko documentary even those of us on the other side of the globe will be interested in his take on the american system medicine in the media n 1 from universal health berates the new york times in heart disease treatment and thrills for a recurring debasement of the nursing role kerri at six until me considers from the perspective of a diabetes sufferer the recent macing of a mr universe whilst hypoglycaemic in doug burns maced walter at highlighthealth examines an inflammatory television investigation of pharmaceutical dispensing errors jon schnaars at anxiety addiction and depression treatments comments on recent research looking at the questionable use of check list questionnaires in psychiatric diagnosis and arbitrary exclusion criteria in checklists often fail to address important aspects of depression diagnosis dr anonymous takes another look in is depression really depression miscellany and mirth aaaaaah dr are you ok dancing bare gives us a taste of gilbert and sullivan with an ode to dr mom roy of shrink rap gives an emotive heartwarming view of the necessity of humour in preserving sanity in the face of tragedy in laughter is a drug dr dork couldn t agree more ijeoma eleazu reminds us that april is national humour month f or american readers dr karen little a south african intern of just up the dose shares with us some stomach churning experiences in a post succinctly titled ew dr j of northmed does some brain twisting with medical acronymony nurse ratched shares with us some outstanding additions to her vast collection of medical pulp fiction ah those were the days what time for my sponge bath already in parting charity doc shares an ode dedicated to the much admired barbados butterfly whose wings have been sadly clipped it is common knowledge after some dubious leakage to a major australian newspaper that dr barb was in this dork s and many others opinions inappropriately reprimanded by her hospital administration dr dork recalls his many 100 hour weeks from his hospital training days even back then many administrators preferred to deny the ridiculously unsafe hours many doctors worked unsafe for patients and doctors both dr dork suspects this is what got dr barb in trouble but we will sadly possibly never know dr dork has badgered dr barb into providing an approved statement which follows barb butterfly statement approved for release dear blogosphere thanks to everyone for your well wishes kind words expressions of concern and thoughtful tributes in recent weeks i was amazed to realise the extent to which the barbados butterfly blog had touched and inspired others since its beginning in 2005 as the blogosphere has reported the bb blog has been down since march 15th 2007 the 2006 post tips for surgical intern 1 stated that in a bad situation you can either leave it reframe it accept it or change it in some situations change is the only option it may be daunting and difficult but that must not dissuade us from trying surgical training is necessarily hard but there are some paths that trainees should not have to walk long term readers will recall my darker days series i do know that as a profession we need to do better we need to promote a culture of safety we need humane leaders both clinicians and administrators we need to value our colleagues and create work environments that we feel confident about and excited to be a part of i am grateful that there are people who are both willing to accept the need for change and willing to act my blog is down and i shall miss sharing my stories with you but i sleep restfully my pager notwithstanding and continue to wield my scalpel with a smile we live in exciting times if nothing ever changed there would be no butterflies anonymous best wishes and much love to all barbados butterfly that s all for this week next weeks edition of grand rounds will be hosted by the fat doctor addendum the pre emptively curmudgeonly dr nick genes interviewed dr dork for medscape pre rounds here posted by dr dork 33 comments saturday april 7 2007 can i have some more sir just a reminder grand rounds here this coming tuesday all are welcome submissions to dorkdr gmail com posted by dr dork 3 comments thursday april 5 2007 low expectations pip and miss havisham the key to enjoying modern cinema perhaps dr dork is aware of the detriment that the culture of merit free celebrity has upon civilised society he tries to avoid tv apart from dorky things dr dork occasionally for various and variable reasons inflicts aspects of his musical or literary tastes upon his readers he has only indirectly referenced contemporary cinema once before tonight s film at château dork little miss sunshine lms dr dork loathes formulaic film dr dork enjoys films that break the mold or is that mould unlike much of the current commercial cause célèbre such can still at times be considered an art form dr dork had been recommended lms by a few members of his desiccated gene pool and had read a few rave reviews rave reviews are usually the kiss of death at château dork however dr dork needed an extra movie to complete his videostorecheapodeal today lms effectively cost a dollar expectations were low expectations were surpassed conflict of interests should be identified 1 dr dork has had a schoolboy crush on toni collette since muriel s wedding 2 dr dork perhaps sees too much of himself in steve carrell s previous roles dr dork enjoys ice cream french vanilla preferably enough said pageants debase and demean humanity enough said posted by dr dork 12 comments tuesday april 3 2007 urostream grand rounds and holler for submissions grand rounds are up at urostream dr dork thinks dr keagirl seen here has the most amusing and apt blogheader of all medical bloggers but he can t work out how to display it so you ll have to go see for yourself dr dork will have the pleasure of hosting grand rounds next week please make your submissions to dorkdr at gmail dot com curfew will be lunchtime monday your local time after which the chuds will be released grand rounds will be following the traditional format as per nick genes guidelines from the early days of the tubal interweb with a selection of highlights from the week addendum you can find dr keagirls pre rounds medscape interview with dr nick genes here grand rounds founder co ordinator eternal slave to the beast he has created posted by dr dork 2 comments thursday march 29 2007 centennial rounds dr rosendo ribeiro and his trusty zebra kenya 1907 dr dork whilst briefly logging on the intertubes to upload his typically belated grand rounds notification noticed that this is also his hundredth post dr dork can almost hear the tumultuous resp...