Urologists and NephrologistsThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 4.

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I've changed my middle nameEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I've come to realize that I have become increasingly obsessive-compulsive in my old age. I don't know exactly when this change occured, but I can assure you that I wasn't born this way. Procrastination was my middle name. Growing up, I always did my homework at the last minute, waited until the very end to send in college applications and always pulled all-nighters to finish up papers and other assignments due to poor time management. Medical school wasn't much of an improvement, and the lack of sleep and constant fatigue during residency ensured that I rarely did anything ahead of time. Utility bills were often paid late ...
Source: UroStream - March 27, 2008 Category: Urologists and Nephrologists Source Type: blogs

Questionable Choice for Doctor's Lobby DecorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Questionable Choice for Doctor's Lobby Decor, originally uploaded by KidneyNotes.
Source: Kidney Notes - March 25, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Please don't press that buttonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PCA (Patient Controlled Analgesia) is a godsend for most patients and nurses. It's a pump attached to your IV that contains your narcotic of choice (usually morphine or dilaudid), and by pressing a button whenever you need it, you are able to get a preset amount of pain med into your system.You can order the settings in a variety of ways, from the dose of each pain med, to how often it can be administered, to a four hour maximum dose limit. This way, no matter how many times a patient pushes on the button, you only get a certain set amount, and very rarely do you see overdoses. And if you don't need any pain meds, you just...
Source: UroStream - March 24, 2008 Category: Urologists and Nephrologists Source Type: blogs

Just call me BozoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For those of you who don't give a hoot about women's hair issues, you can stop reading now. This post is for the 51% of the population who can commiserate with me. I had a somewhat eventful trip to my hair stylist yesterday whom I love and who usually does a top-notch job. She just returned from an 8 month hiatus and had been sorely missed. Since I was overjoyed at seeing her again, I decided to entrust fully in her artistic flair and became putty in her capable hands. She cut my hair to perfection, but when I mentioned I wanted "vibrant highlights" in my hair, she interpreted this to mean "fiery orange-red".To my dismay, ...
Source: UroStream - March 17, 2008 Category: Urologists and Nephrologists Source Type: blogs

Green Urine. Happy St. Patrick's Day!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Via The New England Journal of Medicine. Thanks to my wife, who's great at finding stuff like this.
Source: Kidney Notes - March 12, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Merlin Mann's Flocked Up Presentation at SXSW (Worst Website Ever)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - March 11, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"What Would New York Women Do in Bed With Eliot Spitzer for $5,500?"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It turns out, a whole lot.(From the New York Observer, and very not safe for work. But hilarious.)
Source: Kidney Notes - March 11, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Recent reviews in the field of liver supportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recently several interesting reviews on liver support concepts have been published. Roger Wiliams, Institute of Hepatology, University College London Medical School, London, UK, reported on "Acute liver failure--practical management". John O'Grady, Institute of Liver Studies, King's College Hospital, London, UK, gave an overview on the management of acute or fulminant liver failure: "Modern management of acute liver failure". J.P. Vacanti and H.I. Pryor, 2nd, reviewed the significant clinical findings of ALF, as well as, the non-biologic liver support systems and the bioartificial liver devices that have been clinically...
Source: ESAO - Liver Support Working Group - March 6, 2008 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Papers Source Type: blogs

Bizarre interruptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I've already discussed this topic on one of my previous posts, but I always shudder when I get a consult from the locked psychiatric ward. No matter which hospital you happen to be in, the locked ward is always the same. First of all, it's a veritable hassle to enter, as you have to call from the phone outside of the impressive-looking set of steel doors, and wait for someone from the central desk/tower to let you in. It's the same process (though perhaps more frantic) when you are trying to exit the ward as well.Inside are rather depressing bare rooms with unmade beds, while heavily-medicated lost souls slowly wander arou...
Source: UroStream - March 1, 2008 Category: Urologists and Nephrologists Source Type: blogs

NYC Subway Ads -- Lung CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } NYC Subway Ads -- Lung Cancer, originally uploaded by KidneyNotes.
Source: Kidney Notes - February 28, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Nephritic Syndrome WorkupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Nephritic Syndrome Workup, originally uploaded by KidneyNotes.
Source: Kidney Notes - February 26, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Smug and proud of it.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
At the risk of sounding extremely smug and self-satisfied, I have to tell you that I had a very productive Saturday morning this past weekend. Alas, I happened to be on-call, and there were several patients at different hospitals that needed to be seen, in addition to new consults and procedures to be done.Nevertheless, before 11:00 AM, I was able to:-Wake up at 6:45 AM. (Come on! Remember that this was a SATURDAY... this should be considered a major achievement already!!!!)-See a trauma consult for a bladder rupture and meatal stenosis (tightness at the opening of the urethra, making insertion of a foley catheter impossib...
Source: UroStream - February 25, 2008 Category: Urologists and Nephrologists Source Type: blogs

Jonathan Coulton, Merlin Mann, Leo Laporte, and Veronica Belmont Perform "Still Alive"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
More thoughts on "Still Alive" and Portal here.
Source: Kidney Notes - February 25, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Arbios Receives Conditional Approval from the FDA to Initiate Pivotal Clinical Trial for SEPET™Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arbios Systems, Inc., announced that the Company has received conditional approval from the U.S. Food and Drug Administration (FDA) of an Investigational Device Exemption to begin the pivotal clinical trial for SEPET™, Arbios’ extracorporeal artificial liver assist device for blood purification of chronically ill patients suffering from acute liver failure. Permission was granted to initiate the trial while the Company responds to the FDA’s conditions and request for additional information. In particular, FDA has requested a survival primary endpoint, which could potentially increase the total number of patients req...
Source: ESAO - Liver Support Working Group - February 23, 2008 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Companies Source Type: blogs

Lunar EclipseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Was anyone else able to catch a view of the lunar eclipse last night? It was quite amazing! I was worried that clouds would obscure our view, but it was an unusually clear night, and the event was wonderous.We have a telescope that I bought as one of my better christmas present for hubby several moons ago, that is now mainly used as a decorative accent to our living space. I always feel like Jimmy Stewart from "Rear Window" when I look through it, but this was the perfect opportunity to use it as it was originally intented. The shadow of the earth eclipsing the moon is a sight to behold!
Source: UroStream - February 21, 2008 Category: Urologists and Nephrologists Source Type: blogs

Girll's best friendsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No, not diamonds, but high heels!!!I just read this little article on high heels from BBC online which suggests that "high heels may improve sex life".An Italian urologist and self-professed lover of the sexy shoe set out to prove that high heels are not as bad for women's health as some suggest. Although high heels can cause a host of problems, Dr Maria Cerruto asserts in her letter to European Urology (an academic journal) that they improve pelvic muscles (Kegels anyone?), which can assist in sexual performance and satisfaction, and provide support to the pelvic organs, including the bladder.I'm inferring from the articl...
Source: UroStream - February 20, 2008 Category: Urologists and Nephrologists Source Type: blogs

Hilarious Journal Articles #91: Parkinson's Disease Patients Benefit From TangoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Via the Journal of Neurologic Physical Therapy:Effects of Tango on Functional Mobility in Parkinson's Disease: A Preliminary Study.Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail and elderly. Individuals with Parkinson's disease (PD) experience declines in functional mobility that may be even more pronounced than those experienced by frail elderly individuals without PD. The purpose of this study was to compare the effects of two movement programs: tango classes or exercise classes. Nineteen subjects...
Source: Kidney Notes - February 18, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Green iPhone Camera ProblemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - February 18, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"Street" diagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I was walking around my little part of town this Saturday with Hubby, doing a little shopping--embracing the clinical benefits of retail therapy, not to mention fulfilling my patriotic duty to help out ailing retailers in these dog-days of looming recession.I was feeling just a tad sorry for myself since the last three pairs of jeans I tried on were far from flattering, emphasizing the less desirable aspects of my physique. Try as I might to shift the blame on the jeans themselves, still, I could not help being just a little sulky. Hubby attempted to convince me that my thighs were not hideously obese and lard laden, but I...
Source: UroStream - February 17, 2008 Category: Urologists and Nephrologists Source Type: blogs

Project RunwayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Why hasn't anyone told me about this show before??????I just discovered it last night because hubby was working late, and I was listessly flipping through channels, looking for anything of interest. I suddenly happened upon Heidi Klum looking annoyingly perky and blonde amidst a group of anguished would-be designers, and the remote control locked itself in place.There is so much drama, cruelty, back-stabbing and tears!!! I was immediatly hooked.I admit that I don't usually watch the "popular" TV shows. I've never seen "Grey's Anatomy", don't know that the big deal is about "Lost" and couldn't tell you what "Desperate House...
Source: UroStream - February 15, 2008 Category: Urologists and Nephrologists Source Type: blogs

Currently Reading: Shaping Things by Bruce SterlingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - February 14, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Heath Ledger's Drug InteractionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
According to the Chief Medical Examiner of New York, Heath Ledger "died as the result of acute intoxication by the combined effects of oxycodone (Percocet), hydrocodone (Vicodin), diazepam (Valium), temazepam (Restoril), alprazolam (Xanax), and doxylamine (Unisom)."To illustrate why he died, the following is a list of potential drug interactions from Epocrates, an online drug database. Nearly everything interacted with everything else:1. diazepam oxycodonecaution advised, especially w/ IV benzodiazepines and IV opioids, consider dose reduction: combo may result in vasodilation, severe hypotension, CNS and respiratory depre...
Source: Kidney Notes - February 6, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

To mitigate Pains in the Kidneys (from 1696)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Via Google Book Search.
Source: Kidney Notes - February 6, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Mr. GrumpyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I've known Mr Grumpy for a little while now, and he didn't come by this nickname because I love Snow White. (well, I actually do love classic Disney animated movies, but that's beside the point). Mr Grumpy always comes to my office full of piss and vinegar, generally annoyed at the whole world. The 30 minutes office visits consist of a litany of grumbles about everything, even when I try to direct the conversation to pleasant topics like kittens and pink cotton candy. Perhaps he is allergic to cats, but then again, he would have to be allergic to the whole world to excuse his mindset.Mr. Grumpy has cancer, and I have to op...
Source: UroStream - February 6, 2008 Category: Urologists and Nephrologists Source Type: blogs

Why You Must Read IntueriEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Maria writes:Hospital staff can easily tell when the medical center has hired new telephone/paging operators: They sound absolutely terrified when they announce codes.To their credit, they try to speak calmly and clearly, but their voices invariably betray their fears:“Code one-nine-nine, second floor, south wing, room twenty… code one-nine-nine, SECOND floor, SOUTH wing, room TWENTY… CODE ONE-NINE-NINE SECOND FLOOR SOUTH WING ROOM TWENTY—”oh my GOD someone just told me that someone is dying will you PLEASE hurry up and DO SOMETHING
Source: Kidney Notes - February 5, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Frozen Grand Central (from Improv Everywhere)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - February 5, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Pedialyte PopsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Note: If you're sick, frozen pedialyte pops aren't half bad.
Source: Kidney Notes - February 4, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Hilarious Journal Articles #90: The Impact of Video Games on SurgeonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arch Surg -- The Impact of Video Games on Training Surgeons in the 21st Century, February 2007, Rosser et al. 142 (2): 181: Background Video games have become extensively integrated into popular culture. Anecdotal observations of young surgeons suggest that video game play contributes to performance excellence in laparoscopic surgery. Training benefits for surgeons who play video games should be quantifiable... Results Past video game play in excess of 3 h/wk correlated with 37% fewer errors (P
Source: Kidney Notes - January 31, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

At Outside Hospital, We Can Cath You.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - January 31, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

AbbreviationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abbrevations are incredibly common in the medical world. They are practically a way of life in medicine, and I use them on a daily basis in my notes, dictations and orders. It was a mark of great pride when I managed to write the following clinic note as a 3rd year medical student:67 yo H M c/HTN & DM, dx c/PCa (init PSA 5, Gleason 3+3) s/p RRP 3 yrs ago. PSA:0, DRE: neg. No c/o. No LUTS, mild ED. RTC 6mo with PSA.*This two-liner managed to convey all the critical pertinent information while being terse enough as a surgical note, and even my senior resident at the time was thoroughly impressed by this feat.However, rec...
Source: UroStream - January 30, 2008 Category: Urologists and Nephrologists Source Type: blogs

Heavy stonesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Again, I must apologize for my lack of blogging of late. My insidiuous cough has persisted, keeping me up at nights, and it's been rather trying. Moreover, being the ever dutiful wife, I have given this lovely virus to my husband who is seriously attempting to cough out one of his lungs.Needless to say, neither one of us has gotten much sleep recently, and I'm feeling tired and perhaps the tiniest bit guilty. I have been concocting some homemade naturopathic remedies from the "old country" consisting of lemons, pears, ginger, dates and honey (slice and dice, mix it all up and pour hot water to make a wonderful aromatic and...
Source: UroStream - January 29, 2008 Category: Urologists and Nephrologists Source Type: blogs

Cloverfield Map of New York City -- SpoilersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - January 28, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Juggling LessonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - January 28, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Flickr: NASAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } 209022main_image_1002_946-710, originally uploaded by warrenellis.
Source: Kidney Notes - January 27, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Announcement PendingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In case anyone wondered: I've been quieter than usual because I'm working on a project behind the scenes that I hope to have permission to announce in the next few weeks. It's big, it will involve the medical blogosphere, and it will potentially be very useful. Things are developing. More info to come.
Source: Kidney Notes - January 23, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Fake Steve Jobs Crunchies Acceptance SpeechEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(For the iPhone.)
Source: Kidney Notes - January 21, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Diplomacy neededEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sorry about the recent lack of blogging. The recent combination of the start of the new year, the return from a week off and a heavy on-call schedule has conspired to keep away from writing.On top of it all, I am now harboring an odious virus whose intent is to have me cough out a bronchus or two. I'm at the tail end of this infection, and I no longer have chills and muscle aches, but the persistant coughing is keeping me up at night. I really do not understand how smokers can tolerate this slight perpetual shortness of breath and imminent phlegm. Yuck...Though I don't think I'm still in the infectious stage, I'm also in t...
Source: UroStream - January 17, 2008 Category: Urologists and Nephrologists Source Type: blogs

Some culinary delights, courtesy of Mexico CityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We just came back from a fantastic trip to Mexico City. The colors, culture and cuisine were just some of the highlights. Six days were hardly enough but to get a small sampling. As you have all probably realized by now, food plays a huge role in all of our trips, and here are some pictures to prove it: This was the popular Tostaderia Coyoacan in an enclosed market with an infinite number of toppings available for a delicious tostada. Yummy yummy tostada de ceviche Limon con coco: a sweet mexican delicacy from the famed Dulceria Celaya. Candied lime stuffed with coconut. My new favorite sweet snack! Quesadilla de flor (squ...
Source: UroStream - January 1, 2008 Category: Urologists and Nephrologists Source Type: blogs

Who? Moi?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
STDs (Sexually Transmitted Diseases) commonly seem to affect the patient who hasn't had sex in 5 years, or the person who professes to be completely monogamous, or the guy who swears he uses a condom every time. I'm getting cynical these days, but anytime I see a patient with the slightest suspicion of an STD, I will do a urethral or a vaginal swab for GC/Chlamydia. I've seen too many positive ones to do otherwise. And I always hate the ensuing conversation when I have to tell the patient about the results. There is always some amount of disbelief and denial, recriminations (with the partner but often with oneself), and a ...
Source: UroStream - December 24, 2007 Category: Urologists and Nephrologists Source Type: blogs

Eight Years of Aging on VideoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Living My Life Faster - 8 years of JK's Daily Photo Project from c71123 on Vimeo.
Source: Kidney Notes - December 22, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Home EdEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
You can easily tell the guys who have a "strong" wife at home. They're the ones who clean up the exam room before they leave.After I'm done with the examination and discussion, I usually get up and head towards the door, expecting the patient to follow me and make their next appointment. However, these are the patients who immediately wipe the water splashes on the counter with a paper towel, put away all the magazines back to the rack and roll out a new exam table paper sheet before they leave. For lack of a better expression, they are "well-trained" by someone who obviously rules the household with a firm hand. I know th...
Source: UroStream - December 18, 2007 Category: Urologists and Nephrologists Source Type: blogs

(No) dress code part IIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
My previous post about the bathrobe-clad gentleman in my office reminded me of this other occasion when I was leaving the hospital and walking towards my car. Right across the street from the hospital is a convenience store that sells the usual sundries at inflated prices in addition to some alcoholic beverages.Imagine my surprise when I saw a hospital patient inside the store, wearing his hospital gown (yes, the kind that exposes the whole back), but also thoughtfully wearing pyjama pants and hospital slippers. He was encumbered by his IV pole, but that did not stop him from standing in line with a six-pack of beer in his...
Source: UroStream - December 14, 2007 Category: Urologists and Nephrologists Source Type: blogs

"Still Alive," from Portal, by Jonathan CoultonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - December 14, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"Still Alive" by Jonathan Coulton, from PortalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Kidney Notes - December 14, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

EuphemismsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I have discovered that the "art" of medical dictation is actually a carefully nurtured skill. You want to give as much information as possible in a concise manner, yet you don't want to spend an inordinate amount of time doing so. I try to do my dictations in between patients during "down-times", but that is not always possible on a busy day, and when I see the mountain of charts piling up on my desk, a sense of overwhelming fatigue and languish takes over. I must admit that dictating is one of my very least favorite chores as a physician. (It ranks very closely to washing the dishes...)Over the years, I have fine-tuned my...
Source: UroStream - December 9, 2007 Category: Urologists and Nephrologists Source Type: blogs

(No) Dress codeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A urology clinic would be a difficult place to work in if you have prudish sensibilities. There are frank discussions about sex, STDs, urinary and bowel functions and other delicate topics. Because we address the genitourinary health of patients, we are singularly interested in the "nether regions", hence our particular focus in the area "below the belt" during our physical exams. ("What made you go into urology?" is an oft asked question, both from patients and family members, and perhaps a topic for a future post).At one point or another, I have seen most of my patients naked from the waist down, just like an opthalmolog...
Source: UroStream - November 30, 2007 Category: Urologists and Nephrologists Source Type: blogs

Illuminatus! the Unabridged AudiobookEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Here.
Source: Kidney Notes - November 27, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Disposable DellEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
My barely three year old Dell laptop died last week. It was quite sudden and completely unexpected. There were certainly no symptoms at all until my husband came home one afternoon, and found it down in our study. There were no lingering agonizing last moments, no prolonged suffering (except coming from yours truly) and no obvious reasons. He tried a couple of heroic maneuvers, and finally brought her emergently to the computer hospital (his IT department at work), but alas, even the IT professional could not revive it. Apparently the hard drive and motherboard (who knew computers had moms?) were both completely fried, a...
Source: UroStream - November 26, 2007 Category: Urologists and Nephrologists Source Type: blogs

Stunning temples secretly carved below ground by eccentricEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
But the 'Temples of Damanhur' are not the great legacy of some long-lost civilisation, they are the work of a 57-year-old former insurance broker from northern Italy who, inspired by a childhood vision, began digging into the rock.Eighth wonder of the world? The stunning temples secretly carved out below ground by 'paranormal' eccentric | the Daily Mail
Source: Kidney Notes - November 24, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

23andMe - Open Letter to the Medical CommunityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To the Medical Community:At 23andMe our mission is to help our customers understand their own genetic information and how the current biomedical literature pertains to it. Our service combines genotyping with a set of tools and features that depict each customer's personal information clearly, yet without distorting or misrepresenting our current understanding of how genes combine with environment and other factors to produce human traits and diseases. We also keep our service up-to-date by evaluating major genetic association studies as they are published in peer-reviewed journals, and incorporating them into o...
Source: Kidney Notes - November 23, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

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