Grand Rounds 4:38 Is Up

Dr Crippen of NHS Blog Doc is the host of this week’s Grand Rounds. There is a good, eclectic set of posts and a good sprinkling of ones from the UK.

HolfordWatch was intrigued by some sleight-of-accountancy that has been revealed about the funding of a controversial CT scanning for lung cancer study and the sponsors behind an awareness campaign for CT screening for lung cancer. Dr Nick Genes has the story: Early detection of an invasive mass-marketing campaign and Metastasis.

For a fabulous photograph and a thoughtful piece on the medical consequences of environmental changes, we recommend Outdoor Medicine and the Environment.

Despite our preoccupation with armed conflicts and the economy, the environment is perhaps today’s most pressing global issue, as it contributes not only to direct effects, but to other situations of concern, such as economic decline and civil disobedience. Environmental conditions contribute to the presence or intensity of many medical conditions, such as temperature-related morbidity and mortality, health effects of extreme weather events (e.g., storms, floods, tornadoes, hurricanes, and precipitation extremes) and their sequelae (e.g., oceanic algae blooms), ecological change (e.g., the potency of certain harmful plants, such as poison oak), starvation, allergies, pollution-related health effects, water- and food-borne diseases, and vector- and rodent-borne diseases.1,2

As we learn more, it becomes apparent that the full eventual effects of global climate change and other environmental issues are not necessarily easily defined or well predicted.

Read on to find out what Dr Paul Auberbach thinks that the consequences will be.

Finally, Peter Zavislak of Medical Pastiche tells us why Dr Nick Riviera is the perfect consumerist-driven physician.

The model physician behavior exemplified by Dr. Nick would certainly be rewarded with high marks on patient satisfaction websites and surveys. “Dr. Nick healed my skin failure!” and “Dr. Nick gave me whatever medications I needed, no questions asked!” and “I thought I was qualified to determine proper medical care in the doctor-patient relationship, and Dr. Nick proved me right! All doctors should be like this one!”

Doesn’t it sound as if Dr Nick would be perfect to contribute to the newly proposed Royal College of Lay People as detailed in the BMJ (scroll down through pdf).

We are pleased to announce a new royal college, the first for almost three months. The Royal College of Lay People (RCLP) aims to bring together all those who make decisions on health care in the United Kingdom. Opinion polls tell us that the public still believes that such matters should be left to doctors and that quangos are less trustworthy than medical colleges. The RCLP has been founded to correct these misperceptions and invites applications for the following faculties.

Faculty of Campaigners—Sitting on the pavement with a placard is all very well, but you can reshape the NHS more effectively by joining a committee. Preference will be given to those with anecdotes from the last century about substandard care received by them or a member of their extended family. Please be assured that no professional will challenge your views.


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