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	<title>Comments on: Grand Rounds 2:18</title>
	<atom:link href="http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/feed" rel="self" type="application/rss+xml" />
	<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html</link>
	<description>medical blog</description>
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		<title>By: Rebecca</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-83440</link>
		<dc:creator>Rebecca</dc:creator>
		<pubDate>Fri, 08 Feb 2008 02:40:00 +0000</pubDate>
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		<description>Well done.&lt;br/&gt;&lt;br/&gt;I really like this blog. Thank for sharing.</description>
		<content:encoded><![CDATA[<p>Well done.</p>
<p>I really like this blog. Thank for sharing.</p>
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		<title>By: Prof.</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-69377</link>
		<dc:creator>Prof.</dc:creator>
		<pubDate>Wed, 06 Dec 2006 23:15:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-69377</guid>
		<description>Nice Work!</description>
		<content:encoded><![CDATA[<p>Nice Work!</p>
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		<title>By: doctor82</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58720</link>
		<dc:creator>doctor82</dc:creator>
		<pubDate>Fri, 27 Jan 2006 11:08:00 +0000</pubDate>
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		<description>Thanks for saving our time going through all those informative medical weblogs. Thanks for putting on your precious effort. Go on with this good work!</description>
		<content:encoded><![CDATA[<p>Thanks for saving our time going through all those informative medical weblogs. Thanks for putting on your precious effort. Go on with this good work!</p>
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		<title>By: Adam, MPH</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58710</link>
		<dc:creator>Adam, MPH</dc:creator>
		<pubDate>Thu, 26 Jan 2006 20:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58710</guid>
		<description>Doc, you got &lt;b&gt;burned&lt;/b&gt; like Richard Pryor cooking crack with that methamphetamine story, and it&#039;s doubly depressing that another medblog thought that the story was credible enough to re-publish approvingly.  &lt;br/&gt;&lt;br/&gt;The long and the short of it is that the &quot;Anxiety, Addiction and Depression Treatments&quot; blog uncritically repeated bogus data from a study they didn&#039;t bother to read, relying on the New York Times instead, and they drew some horrendously scary conclusions that have absolutely no basis in reality.&lt;br/&gt;&lt;br/&gt;For two discussions of the study that are actually worth a damn, &lt;a HREF=&quot;http://www.slate.com/id/2134392/&quot; REL=&quot;nofollow&quot;&gt;Slate Magazine&lt;/a&gt; and &lt;a HREF=&quot;http://www.reason.com/hitandrun/2006/01/another_fine_me_1.shtml#012326&quot; REL=&quot;nofollow&quot;&gt;Hit &amp; Run&lt;/a&gt; cover the issue with a modicum of dispassion and level-headedness.</description>
		<content:encoded><![CDATA[<p>Doc, you got <b>burned</b> like Richard Pryor cooking crack with that methamphetamine story, and it&#8217;s doubly depressing that another medblog thought that the story was credible enough to re-publish approvingly.  </p>
<p>The long and the short of it is that the &#8220;Anxiety, Addiction and Depression Treatments&#8221; blog uncritically repeated bogus data from a study they didn&#8217;t bother to read, relying on the New York Times instead, and they drew some horrendously scary conclusions that have absolutely no basis in reality.</p>
<p>For two discussions of the study that are actually worth a damn, <a HREF="http://www.slate.com/id/2134392/" REL="nofollow">Slate Magazine</a> and <a HREF="http://www.reason.com/hitandrun/2006/01/another_fine_me_1.shtml#012326" REL="nofollow">Hit &#038; Run</a> cover the issue with a modicum of dispassion and level-headedness.</p>
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		<title>By: PaedsRN</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58707</link>
		<dc:creator>PaedsRN</dc:creator>
		<pubDate>Thu, 26 Jan 2006 20:04:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58707</guid>
		<description>Thanks for hosting this week Kevin.  Great job!</description>
		<content:encoded><![CDATA[<p>Thanks for hosting this week Kevin.  Great job!</p>
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		<title>By: The Medicine Man</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58703</link>
		<dc:creator>The Medicine Man</dc:creator>
		<pubDate>Thu, 26 Jan 2006 18:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58703</guid>
		<description>Great job Kevin.  A lot of great posts...and the number keeps growing!  Is this necessarily a good thing?&lt;br/&gt;&lt;br/&gt;I posted &lt;a HREF=&quot;http://califmedicineman.blogspot.com/2006/01/grand-rounds-room-for-improvement.html&quot; REL=&quot;nofollow&quot;&gt;an opinion&lt;/a&gt; on my blog of my concept of what I&#039;d like to see Grand Rounds become.  It&#039;s definitely not meant to be a criticism of this edition which was excellent!&lt;br/&gt;&lt;br/&gt;Just my own opinion, not the only one.&lt;br/&gt;&lt;br/&gt;John</description>
		<content:encoded><![CDATA[<p>Great job Kevin.  A lot of great posts&#8230;and the number keeps growing!  Is this necessarily a good thing?</p>
<p>I posted <a HREF="http://califmedicineman.blogspot.com/2006/01/grand-rounds-room-for-improvement.html" REL="nofollow">an opinion</a> on my blog of my concept of what I&#8217;d like to see Grand Rounds become.  It&#8217;s definitely not meant to be a criticism of this edition which was excellent!</p>
<p>Just my own opinion, not the only one.</p>
<p>John</p>
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		<title>By: Nurse Practitioners Save Lives</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58699</link>
		<dc:creator>Nurse Practitioners Save Lives</dc:creator>
		<pubDate>Thu, 26 Jan 2006 17:22:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58699</guid>
		<description>In response to the anonymous comment regarding primary care providers not seeing their patients.. If you want to see your doctor instead of a NP, make an appt to see him/her.. If you can&#039;t get into your doctor, change doctors..&lt;br/&gt;Only the patient can make their wishes known about who they want to see. There are three types of patients.. those that want to see a doctor only and those that want to see a NP only and those that blend.. As long as you get competent care.. the rest is personality issues.</description>
		<content:encoded><![CDATA[<p>In response to the anonymous comment regarding primary care providers not seeing their patients.. If you want to see your doctor instead of a NP, make an appt to see him/her.. If you can&#8217;t get into your doctor, change doctors..<br />Only the patient can make their wishes known about who they want to see. There are three types of patients.. those that want to see a doctor only and those that want to see a NP only and those that blend.. As long as you get competent care.. the rest is personality issues.</p>
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		<title>By: Echo Mouse</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58693</link>
		<dc:creator>Echo Mouse</dc:creator>
		<pubDate>Thu, 26 Jan 2006 08:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58693</guid>
		<description>I was enjoying it until I visited the link to Insureblog. As a Canadian, I wish that the supposed intelligent minds would stop bashing that which they know next to nothing about.&lt;br/&gt;&lt;br/&gt;And Kevin, you&#039;re Canadian, so I&#039;m particularly  surprised you didn&#039;t warn others that the link was a derogatory article about Canada&#039;s healthcare system. &lt;br/&gt;&lt;br/&gt;When Americans can stop being defensive about their own Medicare and look at other country&#039;s systems with an honest eye, that&#039;s when a post about it is worth reading. Just my two cents of course but I&#039;m rather tired of all the Canada bashing, particularly because it is not warranted or qualified.</description>
		<content:encoded><![CDATA[<p>I was enjoying it until I visited the link to Insureblog. As a Canadian, I wish that the supposed intelligent minds would stop bashing that which they know next to nothing about.</p>
<p>And Kevin, you&#8217;re Canadian, so I&#8217;m particularly  surprised you didn&#8217;t warn others that the link was a derogatory article about Canada&#8217;s healthcare system. </p>
<p>When Americans can stop being defensive about their own Medicare and look at other country&#8217;s systems with an honest eye, that&#8217;s when a post about it is worth reading. Just my two cents of course but I&#8217;m rather tired of all the Canada bashing, particularly because it is not warranted or qualified.</p>
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		<title>By: Allyson M Dyar</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58670</link>
		<dc:creator>Allyson M Dyar</dc:creator>
		<pubDate>Wed, 25 Jan 2006 03:40:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58670</guid>
		<description>Great Job, Kevin!</description>
		<content:encoded><![CDATA[<p>Great Job, Kevin!</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/01/grand-rounds-218.html/comment-page-1#comment-58661</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 24 Jan 2006 23:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/01/grand-rounds-218.html#comment-58661</guid>
		<description>I wish someone would address the changes in the way primary care physicians practice nowadays.  My own internist now has a nurse practitioner and pretty much won&#039;t see his patients for certain ailments, apparently unaware that some of us don&#039;t care to see a nurse practitioner and prefer an MD.  (Please, no ranting from the &quot;We can do anything doctors can and we do it better,&quot; etc, ad nauseam, crowd).  In addition, I am troubled as a nurse of 26 years at seeing primary care physicians abandoning their hospitalized patients to the care of hospitalists, whose expertise and skill levels the primary MD cannot possibly know.  What role do primary care doctors see themselves having now?  Who are they to their patients, and what role do they see for themselves in terms of their relationship to their patients? What is the future of internal medicine/primary care going to be?</description>
		<content:encoded><![CDATA[<p>I wish someone would address the changes in the way primary care physicians practice nowadays.  My own internist now has a nurse practitioner and pretty much won&#8217;t see his patients for certain ailments, apparently unaware that some of us don&#8217;t care to see a nurse practitioner and prefer an MD.  (Please, no ranting from the &#8220;We can do anything doctors can and we do it better,&#8221; etc, ad nauseam, crowd).  In addition, I am troubled as a nurse of 26 years at seeing primary care physicians abandoning their hospitalized patients to the care of hospitalists, whose expertise and skill levels the primary MD cannot possibly know.  What role do primary care doctors see themselves having now?  Who are they to their patients, and what role do they see for themselves in terms of their relationship to their patients? What is the future of internal medicine/primary care going to be?</p>
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