gdp's Comments

http://blog.pranab.in/ : Robben It In!

Fri, 2 Jul 2010 18:19:39 +0000

By the way - if you really want a football lesson in why you should never, ever give up look back to one night in May (2005)... http://www.youtube.com/watch?v=YHtjmofqBeM

http://blog.pranab.in/ : Robben It In!

Fri, 2 Jul 2010 18:16:05 +0000

Witzelsucht...? Sounds like you've had a funtabulous Friday ;-)

Micrognome : Snake bitten

Tue, 15 Jun 2010 09:25:22 +0000

Great to see Prof Warrell is going strong. He brings an incredible historical and global view to the study snake bite envenoming. Cheers for posting the notes. Chris

Micrognome : Creatures in a state of war - the arboviruses & their vectors

Mon, 10 May 2010 12:16:46 +0000

Give me a tent full of leviathans any day!

Micrognome : Manson's Tropical Diseases reviewed

Mon, 10 May 2010 12:15:21 +0000

My favourite excerpt from the old edition of Manson's I had when I was in Zambia concerned Babinski. It was noted that if Babinski was African he never would have discovered the Babinski sign, as eliciting the reflex is impossible in people who have gone barefoot their whole lives.

Micrognome : First, stop them biting

Mon, 19 Apr 2010 06:09:15 +0000

Thanks for the DTMH flashbacks Tim. I still think there is something distinctly malign about the name 'anthropophagus'....

Micrognome : By order of the Boot

Mon, 19 Apr 2010 06:04:25 +0000

Fantastic stuff from the Duke of Gum Boots.

Micrognome : Postscript on clinical microbiology applications of cell biology

Sun, 28 Mar 2010 06:16:58 +0000

Wow - exciting stuff- thanks for the glimpse of the future-in-the-present, Tim. Particularly like: "Whole-body imaging of E. coli-GFP infection in various organs" at http://www.pnas.org/content/98/17/9814.long and the acanthamoeba-meliodosis model is fascinating. Contact lenses in the tropical outback may not be such a good idea...

Life in the Fast Lane : Imagery in Medicine

Fri, 26 Mar 2010 03:44:25 +0000

Yes, I definitely wrote crude... not rude.

Micrognome : Newly emerging disease: carpox

Thu, 25 Mar 2010 10:35:41 +0000

Fantastic stuff micrognome. So what will be Perth's 'Broad Street Pump'?

Life in the Fast Lane : Imagery in Medicine

Thu, 25 Mar 2010 10:32:24 +0000

Good point Clinton, I often draw crude diagrams to help with explanations for patients. One of the most successful is explaining lumbar punctures - patients tend to be very worried at the mere mention of an LP but when they see where the spinal cord stops and that there is sac of fluid around and below it, it makes more sense. 'Clinical Neuroanatomy Made Ridiculously Simple' was a favorite book for me when learning clinical neurology. I have some relevant links here: Brainstem figures http://lifeinthefastlane.com/2009/05/helpful-brai... and the Circle ('spider') of Willis http://lifeinthefastlane.com/2009/05/a-spider-cal...

Life in the Fast Lane : Pacemaker Panic #001

Thu, 25 Mar 2010 10:26:05 +0000

Thanks for the comment Clinton, The key point is that yes you can defibrillate a patient with a pacemaker. The secondary key point is that you however you do it, try to avoid placing the pacemaker between the defibrillation paddles/ pads. If you use gel pads then the patient can still be lying on their back for anteroposterior defibrillation. Otherwise the patient will need to be positioned on their side to allow simultaneous AP placement of defibrillation paddles. TBH, I never done AP defibrillation/ cardioversion with paddles, only with gel pads. Anteroapical placement is generally more convenient in emergencies for the reason you suggest - the patient does not need to be turned over. In general there is probably little difference in effectiveness between anteroapical and AP defibrillation, but if one fails (e.g. during cardioversion) the other may be successful. Images showing defibrillation pad placement: Anteroapical positioning: http://en.wikipedia.org/wiki/File:Defibrillation_... AP positioning: http://4.bp.blogspot.com/_2MjIeQJj8UM/SgRYWK45TiI...

Life in the Fast Lane : Lost Under the Skin?

Wed, 24 Mar 2010 06:03:20 +0000

I'd have to agree Aaron! 'Musculetal' is a new word for me too ;-) Anatomical variations are a problem for any anatomy guide map - and are why the anonymous surgeon I quoted is correct - things are never quite where textbooks say they should be! (or it's missing... or there are more of them than there should be...)

Life in the Fast Lane : Academic Strife in Waiting Room Medicine

Sun, 21 Mar 2010 09:05:39 +0000

Glad to see you welcoming the competition from Prof Stickler and UCEM. BTW, a few tears is OK, so long as you passed the continence test... :-) Chris