Over a year ago, I discovered the medical blogging community, and the amount I've learned from it has been incredible. I linked to my first blog through an online medical forum, found a series I enjoyed (the Don't Become a Doctor series on Incidental Finding's blog), and started reading every post in that series. I was captivated. I loved the humour, the point-blank honesty, and the impact the blog made on me.
I wanted more. But I didn't really have a clue about where to begin reading more medical blogs. I somewhat stumbled through blogs for a while, here and there learning neat things about being a blog reader that I wish I'd known sooner. It would have been nice to know them right from the start - to read them in some sort of concise, brief overview guide. So, after a year of being involved in the medblog community and somewhat 'knowing the ropes' by now, I've decided to put a guide together myself. Here it is.
WHAT IS THE MEDICAL BLOGGING COMMUNITY?
If you're reading this, you've obviously had some experience with the medical blogging community - this is, after all, a medical blog.
You may not be aware, however, how broad the scope of the medical blog community really is - it took me a while to figure it out. Medical bloggers include, to name a few:
There is so much content in the medical blog community that it might seem overwhelming at the start. So, where should you begin?
FINDING INTERESTING POSTS
There are many genres of medical blog posts - humour, drama, law / politics / policy, research - and any one of these genres can contain any type of content - stories, instructions, commentary, helpful advice, or interesting links.
Just Browsing?
If you're just browsing, and you are interested in a recent digest of the best posts of the medical blogosphere regardless of the topic, you should definitely check out a blog carnival. The authoritative medical blog carnival is Grand Rounds (hosted here in July 2007) - here's a list of past and upcoming Grand Rounds hosts. Other medical blog carnivals include Change of Shift, which has a focus on nursing blogs, and Medicine 2.0 which focuses on the combination of Web 2.0 and medicine.
Looking for Specific Topics?
You may already have an idea of the genres you enjoy, or, more specifically, individual topics within those genres. If that's the case, here's how I recommend finding great posts: Good ol' Google.
Two Ways to use Google
Google is a great way to find individual posts on specific topics that are of interest to you, but you might not have known there are two ways to find great posts on Google.
The first way is using the regular old Google.com, but including the keyword "blog" (for example, searching 'medical student blog') - this will sort blog posts by relevance, listing the most linked-to and relevant posts. However, this will show websites that aren't necessarily blogs - news stories, forums, etc.
The second way is to use Google BlogSearch. It works just like Google - the difference is, it only searches blogs, and the results you get tend to be very recent (usually posted that day or week), rather than sorted by the number of links to each post.
FINDING INTERESTING BLOGS
You'll find that as you read interesting posts, you'll really like the author's sense of humour or perspective, and you'll look up more posts on that blog. Like me, you might find that you'll read all the archives of a few blogs you really enjoy - every post that blogger has written.
Blogrolls
So how can you find new blogs by blogger, rather than each individual post? Again, blog carnivals are a great way to do this, but another great way to discover new blogs is to check out the blogroll on the blogs you enjoy. Most bloggers have a blogroll - a list of links to other blogs. You'll notice my blogroll in the right-hand column, under "Vitum bloggicus" - it's a list of bloggers that I have been influenced by, and enjoy reading on a regular basis, to the extent that I thought my readers would enjoy them as well - so I figured I would post the links.
Blog Ranking Directories
There are directories that rank blogs by topic - the Healthcare 100 from eDrugSearch and the Medgadget.nl ranking are lists of blogs ranked according to a number of different criteria, which will let you find popular medblogs. These will also help you get an idea of the who's who of medical bloggers, the more famous ones such as Kevin MD and Over My Med Body.
KEEPING UP ON ALL THE BLOGGY GOODNESS
The Amateur Blog Reader
An amateur blog reader finds a blog or two they enjoy, and then they'll bookmark them or try to remember the title. Every so often, they'll use their bookmarks or Google to find those blogs again, head to the sites, and catch up on the latest reading.
If they're lucky, the blog user has posted something interesting since the reader last checked. Otherwise, there might not be anything new. But the downside is, if you go to a blog that hasn't been updated the last few times you checked, you'll get frustrated and could even throw a tantrum, and you might not be inclined to visit it as often.
The Intermediate Blog Reader
That's how I read blogs for almost a year. Then something amazing happened. After countless tantrums, I realized that more advanced - or perhaps just smarter - blog readers make the blogs do the work: instead of you going to a blog to find out if it's been updated, let the blog come to you.
One way to do this is to sign up for an e-mail subscription to a blog that you like. Some bloggers are considerate enough to offer the ability to have new posts e-mailed to you (clearly if I put it like that, I offer this option to my readers). This is good for people who only want to keep track of a couple of blogs.
The Advanced Blog Reader
If you're interested in more blogs than just a few, you might want to consider signing up for an RSS Feed Reader such as Google Reader - almost every blog offers their posts in regular updates through a feed you can subscribe to. I took a long time before I started using a feed reader... and every time I look back I wonder why I waited so long. This way, I can keep track of a few dozen blogs without having to check them so often - I just go to my feed reader and new posts show up whenever they've been written.
SUPERCHARGE YOUR MEDBLOG EXPERIENCE
Perhaps the best thing about medical blogs is you can play a huge role in the content you're reading. Almost every blog contains the capacity to accept and display reader comments, and most bloggers have contact information available so you can contact the bloggers directly - use these! Contribute to the discussion and increase the quality of the blogs, and you'll improve medical blogs for yourself - and everyone else.
THE LATEST MEDBLOG GOSSIP - CONFIDENTIALITY AND ETHICS
If you're going to hang out in the medblog community, you might as well know about the latest gossip. A major event that had repercussions throughout the medblog community recently has been the disappearance of a couple of bloggers due to patient confidentiality issues. Both The Flea (former Best Medical Weblog winner) and Barbados Butterfly ended up getting attention in the mainstream media (such as ABC News) after they found that medical blogging is hard to mix with getting sued or working in certain hospitals - both of them suffered consequences such as being forced to settle their lawsuit or being suspended from work.
The events sparked lively discussion, and some medical bloggers posted reactions lamenting the loss of the bloggers, and were reminded to be more cautious to keep patient confidentiality an extremely high priority.
Rob from medbloggercode.com was kind enough to comment on this post and point out the Healthcare Blogger Code of Ethics, a development in the healthcare blogging community that deserve mention in any med blogging guide. The Code is designed to hold medical blogs to a high standard when it comes to the nature of medical blogging, and its goal is to provide benefit for readers and bloggers alike.
THE NEXT STEP - START YOUR OWN MEDICAL BLOG?
Soon you might find that you've got so many things to say in the comment sections of other blogs, that you realize you should start your own blog. Blogger and Wordpress are two awesome, free sites that will get you started on your blog.
THE END
That's all I've got for now. Maybe over the next year I'll find just as many tips about medical blogs. Feel free to ask questions about medblogs, or post your own tips for new medical bloggers in the comments below.
Sunday, August 12, 2007
New to medical blogs? Vitum's Beginner's Guide to Reading Medical Blogs
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Chronic cerebrospinal venous insufficiency (CCSVI), or the pathological restriction of venous vessel discharge from the CNS has been proposed by Zamboni, et al, as having a correlative relationship to Multiple Sclerosis. From a clinical perspective, it has been demonstrated that the narrowed jugular veins in an MS patient, once widened, do affect the presenting symptoms of MS and the overall health of the patient. It has also been noted that these same veins once treated, restenose after a time in the majority of cases. Why the veins restenose is speculative. One insight, developed through practical observation, suggests that there are gaps in the therapy protocol as it is currently practiced. In general, CCSVI therapy has focused on directly treating the venous system and the stenosed veins. Several other factors that would naturally affect vein recovery have received much less consideration. As to treatment for CCSVI, it should be noted that no meaningful aftercare protocol based on evidence has been considered by the main proponents of the ‘liberation’ therapy (neck venoplasty). In fact, in all of the clinics or hospitals examined for this study, patients weren’t required to stay in the clinical setting any longer than a few hours post-procedure in most cases. Even though it has been observed to be therapeutically useful by some of the main early practitioners of the ‘liberation’ therapy, follow-up, supportive care for recovering patients post-operatively has not seriously been considered to be part of the treatment protocol. To date, follow-up care has primarily centered on when vein re-imaging should be done post-venoplasty. The fact is, by that time, most patients have restenosed (or partially restenosed) and the follow-up Doppler testing is simply detecting restenosis and retrograde flow in veins that are very much deteriorated due to scarring left by the initial procedure. This article discusses a variable approach as to a combination of safe and effective interventional therapies that have been observed to result in enduring venous drainage of the CNS to offset the destructive effects of inflammation and neurodegeneration, and to regenerate disease damaged tissue.
As stated, it has been observed that a number of presenting symptoms of MS almost completely vanish as soon as the jugulars are widened and the flows equalize in most MS patients. Where a small number of MS patients have received no immediate benefit from the ‘liberation’ procedure, flows in subject samples have been shown not to have equalized post-procedure in these patients and therefore even a very small retrograde blood flow back to the CNS can offset the therapeutic benefits. Furthermore once the obstructed veins are further examined for hemodynamic obstruction and widened at the point of occlusion in those patients to allow full drainage, the presenting symptoms of MS retreat. This noted observation along with the large number of MS patients who have CCSVI establish a clear association of vein disease with MS, although it is clearly not the disease ‘trigger’.For more information please visit http://www.ccsviclinic.ca/?p=978
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