MARCO Grand Rounds for April 26, 2009

From Warren, KD4GUA:

Last week we finished with the "hi colonic."

By request, this Sunday we will discuss "Cushing's* Syndrome." This can be a bitch but I think we can make it simple...look up "Cushing's Disease" and tell us the difference Sunday....one more thing---hang around as there will be more questions asked and YOU might be called on--this shouldn't chase you away as your answer does not have to be correct.....propagation is lousy like our drought in Florida--one rain in the past six months--and we are supposed to be a semi-tropical state.

*Harvey Cushing, 1932 famed neuro surgeon.

MARCO Grand Rounds for April 19, 2009

From Warren, KD4GUA:

Last Sunday we talked about treating HER2 breast cancer patients with Herceptin. Bruce summed it up when he said they have taken susceptible acute metastatic breast disease and made a chronic disease out of it .

This Sunday we will discuss "Colonic Hydrotherapy." If we have extra time we will move into reflux disease and then time permitting "GAS." If you have a better subject throw it up....

MARCO Grand Rounds for April 12, 2009

From Warren, KD4GUA:

We will finish "Peripheral Vascular Disease" this Sunday and then go to genetic trait HER2, found in 25% of breast cancer patients If you remember, Herceptin is the treatment of choice for this condition. Bring your clinical knowledge to the mic, should be fun.

Chicago's meeting is picking up speed. If you are planning to be there and need a hotel reservation, notify Ellen via this service or at ellenharmn@aol.com.

Sorry for delay, the April fool day worm got me! Just got the computer back. It was a bad one.

MARCO Grand Rounds for March 29, 2009

From Warren, KD4GUA:

This Sunday we will discuss Peripheral Vascular Disease as requested. This term is confusing because basically the word "peripheral" means anything away from the heart whereas the general meaning means the circulation in the extremities. Then it is broken down into arterial, called peripheral arterial disease PAD, and venous, peripheral venous disease PVD.

Regarding the Chicago meeting June 11,12,13 at the Holiday Inn Chicago Mart Plaza, 350 N. Orleans St., Chicago, IL 60654. When you call for reservation (phone 312 529 1114) in order to get the Marco rate you must use the reservation code "CMO." That is the information we have from Kathy B. Leary, CMP whatever that means (her real name is Kathy O'Leary, CMP).

Let's drum it up, Ellen has really gone out of her way to make this a real winner.

Keep the blue side up.

MARCO Grand Rounds for March 15, 2009

From Warren, KD4GUA:

This Sunday we will attempt to feature an update on "Osteoporosis."

Rained out last Sunday by the rain of Dx'ers.

Bruce will be on the road. Tune in should be fun. 11 a.m. EDT 14.307.

Q. What was the biggest battle of the Revolutionary War? Who has the answer?

MARCO Grand Rounds for March 8, 2009

From Warren, KD4GUA:

This Sunday we will discuss "Osteoporosis." This is a condition that affects both malea and females but yes, 2 to 1 in the girls. There are some new drugs on the market....let's get to know them.

The CW net is back on 14.307 at 9:30 a.m. Eastern Time. (I wonder what happened to the Latin station up on 14.310 that made us switch to .307? Perhaps they found out they couldn't aggravate us any longer and skipped).

Bruce's Clarence, N.Y. got it with the jet commuter crash; we got it with the overturned boat in Clearwater, FL., since they go in "threes" watch it.

Blogmeister's note: As this weekend is the ARRL SSB DX Contest, the net may get overwhelmed. We will give it a try, but if conditions are impossible then the topic will be postponed for a week.

MARCO Grand Rounds for March 1, 2009

From Warren KD4GUA:

This Sunday we will continue the discussion of "Testosterone Deficiency." An excess causes baldness--the X-Gov of Illinois must have had a T-defect? Tune in it should be fun.

The mike is open for volunteers who wish to discuss medical or tech problems--don't be bashful, besides the pay is good. Try and chip in the discussions more often--absence makes one think he is talking to Lower Mongolia. Ask dumb questions and get dumb answers there should be someone out there in etherland who has his head on straight.

To jokingly confuse everyone when you check in this Sunday-- ask the question, "What happened to Rick Hudlow?" Everyone will start wondering who is this guy Rick Hudlow (he does exist).

MARCO Grand Rounds for February 15, 2009

From Warren, KD4GUA:

This Sunday we will discuss "IMPORTANCE OF TESTOSTERONE DEFICIENCY IN MEN'S HEALTH." There are a lot of myths out there that we will clarify. Tune in, should be fun.

MARCO Grand Rounds for February 8, 2009

From Warren, KD4GUA:

Last Sunday we discussed "Treatment of Congestive Heart Fairlure." We were unable to complete the discussion so we will conclude that subject Sunday.

If we have time we will begin discussion of "Testosterone Deficiency in Men's Health." Should be two good ones.

It's final...meeting in Chicago will be June 11-14

Art Larson KK1 Y, thoracic surgeon, stopped by Sunday...he checked in earlier as a new member. Nice guy, we didn't have a throacic surgeon on the manifest as far as I know.

Another "MARCO", this time an outfit in Harrisburg, PA, a "smart marketing catalog" in business since 1964! That makes 3 other Marcos??? Maybe we should spell it backwards and go by Socram. but with our luck there would proably be 6 other Socrams!

[Webmaster's note: Socram is a large French Bank. Maybe there are others...]

MARCO Grand Rounds for February 1, 2009

From Warren KD4GUA:

"If you don't follow guidelines you won't get paid!" This is the news from the capital.

Sunday we will present the guidelines for the most common discharge diagnosis in America, "CONGESTIVE HEART FAILURE," a disease we all get it if we live long enough. The presentation will be excerpts from Dr. Paul Phillips, cardiologist, talk at Morton Plant Hospital in Clearwater on Jan. 27--can't get any more current than that?
Tune in should be fun.

Ellen KC9ARN and Harry WB9EDP are planning on having the annual meeting in Chicago on June 11-14...is that okay with everyone? Will discuss it Sunday.

MARCO Grand Rounds for January 25, 2009

From Warren, KD4GUA:

This Sunday we will resume the discussion on "BOTOX."

The Newsletter "Aether" should be in the mail tomorrow Friday with your CME diploma for 2008 if your dues are paid up. If you don't receive it (diploma), check your renewal date and send your money to Danny Centers, 2712 Bryant Drive, Cleveland, TN 37311 9824, and your CME document will be forwarded. (Hate to do it this way, but we can't operate on heated air alone). We have about 70 delinquents--about 1/3 the membership and we can't run the ship without some fuel. The late Robin Staebler and Bob Currier requested "keep this outfit going." let's try our damndest, damest, damedest, darndest, something like that--If, and IF, you are hard up and can't afford it, let Danny know and we can carry you and no one will know about it.

MARCO Grand Rounds for January 18, 2009

From Warren, KD4GUA:

Last Sunday we got throough about half of the discussion on "What Medicare is going to do to Survive." The discussion got quite involved and I had to duck a few times...one of the earliest clues as to what is coming is the advancement of a children's medicare program which eventually will come together into a one paid system by joining the middle group with the two ends.

Paul N6DMV thinks the dentists should discuss "Flourides in the drinking water." He points out that all Europe has turned this down and that the decrease in dental caries in Europe witihout flourides was the same as here in the States with flourides. Besides, maybe it is making us sick? Any dentist want to take this on?

Otherwise, we have "Botox" on the horizon.

The February "Aether" is in the press and will try and put it on this listserve again, maybe tongiht.

PS: It is a nice warm 57 degrees in Tampa Bay, come on down and join the Polar Bear Club.

MARCO Grand Rounds for January 11, 2009

From Warren, KD4GUA:

This Sunday we will discuss the problems with MediCare...in 1965 eligibility age was 65; in 2008 it is 65. The average lifespan at age 65 in 1965 was 4 years; in 2008, 20 years! In 1965 there were 10.1 taxpayers paying for one MediCare beneficiary; in 2008 there is 3.1. The number of Medicare beneficiaries in 1965 were less than 10 million; in 2008, 44 million---how WOULD YOU you change this?

Cancel the program? Raise the beneficiary age to 70, 80? Raise the Medicare tax? Set an income level for beneficiaries? Tell people to go to Canada? Lock up your office and go home? Join the French Foreign Legion? Decide to kick-off at a younger age by making every Saturday night new years eve?

Should be fun.

PS: I just paid my dues--are your dues dued? We don't want to lose you.

MARCO Grand Rounds for December 28, 2008

From Warren, KD4GUA:

Another Sunday coming--Rick VE6 GK was apparently unavailable last Sunday. We will discuss "Hyperbaric Oxgen" this Sunday. Hyperbaric Oxygen is giving 2 or more atmospheres of oxygen to wounds expecting them to heal faster. We don't hear too much about them because only 20 medical schools plus have hyperbaric chambers available.

Tune in, should be fun.

A Merry (Ham Radio) Christmas

Thanks to Smitty, W6CS, and the NCCC for this defacement of a classic verse:

'Twas the night before Christmas and all through the shack
The rig was turned off and the mike cord lay slack.
The antenna rotor had made its last turn,
The tubes in the linear have long ceased to burn.
I sat there relaxing and took off my specs,
Preparing to daydream of armchair DX,
When suddenly outside I heard such a sound,
I dashed out the door to see what was around.
The moon shone down brightly and lighted the night-
For sure, propagation for the low bands was right.
I peered towards the roof where I heard all the racket,
And there was some guy in a red, fur-trimmed jacket.
I stood there perplexed in a manner quite giddy.
Just who was this stranger - di di dah dah di di?
He looked very much like an FCC guy,
Who'd come to check up on some bad TVI.
I shouted to him, "OM, QRZ"
"Hey, you by the chimney, all dressed up in red."
I suddenly knew when I heard sleighbells jingle.
The guy on the rooftop was jolly Kris Kringle.
He had a big sack full of amateur gear,
Which made a big load for a prancing reindeer.
Transmitters, receivers, for cabinets and racks,
Some meters and scopes and a lot of co-ax.
He said not a word 'cause he'd finished his work
He picked up his sack, then he turned with a jerk.
As he leaped to his sleigh, he shouted with glee,
And I knew in a moment he'd be QRT.
But I heard him transmit as he flew o'er the trees
"Happy Christmas to all, and to all seventy-three's."

MARCO Grand Rounds for December 21, 2008

From Warren, KD4GUA:

This Sunday we promised Rick in Calgary to discuss hyperbaric oxygen...we still have to finish off MOHS surgery. Maybe we can get both in..both interesting subjects.

Tune in 14.307, 10 a.m. eastern Sunday.

Spam strikes!

We were blitzed with spam comments today.
I have changed this blog's settings so that only members of googlegroups can post comments.

The web site linked to from comments posted by "chat," "tchat," "music," or "anonymous " contains potentially harmful content. DO NOT VISIT THIS WEBSITE.

Thanks,
-KM2L

MARCO Grand Rounds for December 14, 2008

From Warren, KD4GUA:

This Sunday we are going to discuss "MOHS SURGERY."

To those not familiar with Mohs a brief description....you find a growth on your nose and go to a dermatologist. He says "We can remove it by standard means and it will cost you $100 or we can use Mohs surgery and it will cost you $3,000.

Which would you pick? Why would anyone go for the more expensive way? Are surgeons using this to pad their wallets or are they honest in the their recommendation? This is your problem as a doctor and a patient--what choice should I make?

Tune in, should be interesting.


There has been some interesting email in follow-up to this topic.

Alfred Greenwald WA2CBA, a retired plastic surgeon described his experience:

Just to add a note on my experience with MOHS Surgery in the discussion on Sunday. As a plastic surgeon, I was not impressed with MOHS technic because in the two cases I saw prior to my retirement, the dermatologist doing the original procedure was not able or capable of handling the reconstruction with restoration of function.

1) A dentist friend of mine who served with me in the Army in 1955 had MOHS surgery by a dermatologist for a basal cell carcinoma of the right lower eyelid resulting in an ectropian of the lid. I reconstructed the lower lid using a full thickness skin graft taken from the upper lid and suturing the upper and lower lid margins together temporarily for a week with an excellent end result.

2) An elderly male patient who consulted with me wearing a band aide across the upper lip. A local plastic surgeon had referred him to the same dermatologist from the case above who treated this patient using MOHS surgery to remove a basal cell carcinoma of the mid portion of the upper lip just beneath the columella of the nose. He had a wide defect of the upper lip showing his upper central incisor teeth with his lateral lips closed. I recommended reconstruction of the upper lip using a two stage procedure with a V shaped pedicle flap from the lower lip. He declined the surgery and continued to wear the band aide.

73s,

Alfred WA2CBA

Mary K Favaro AE4BX had these memories:

I have the honor of actually knowing and being taught by Dr. Mohs (thought I'd throw that in for some celebrity prestige....). He had already retired but was a professor emeritus when I was a med student at Univ of Wisconsin. He came in for some dermatology lectures - on - you guessed it his Mohs technique. This was in the mid 60's and derms were still being trained in the procedure.

Also had Dr. Schilling of the Schilling test as a hematology prof. And of course WARFarin is named for the Wisconsin Alumni Research Foundation" after their work on cows and fermented grain.

I myself haven't invented anything important enough to carry my name. Maybe that's why I'm banished to the South.

Still traveling and doing Locum Tenens. Hope to get some station time when the sunspots improve enough to make my lousy attic antennas function.

Mary K Favaro MD
Surfside Beach SC

MARCO Grand Rounds for December 7, 2008

From Warren, KD4GUA:

Last Sunday we did some day--morning dreaming. We picked up a couple of sleep walkers and learned that a lunatic is a wakeful dreamer. Thus, the dream has been called a short-lasting psychosis and a psychosis is a long-lasting dream.

This Sunday we will continue the discussion on dreams.

There was an AP bulletin on a fellow who thought his life was being portrayed on a TV show--this is called "the Truman Syndrome" after a delusional movie filmed in 1998 in which a phony, stage-set world was set and he was the star....When I was in 5th grade I once thought my eyes were a projector and the world was a movie!!! Fortunately, I grew out of that..anyone ever have that delusion?

Tune in should be fun.

MARCO Grand Rounds for November 30, 2008

From Warren, KD4GUA:

This Sunday we will attempt to sew jello to jello by talking about dreams as suggested by Alfred Greenwald. This is a tough one so will need all the help oen can get...do your research and bring what may to the mike Sunday--personal experiences especially.

The newsletter AETHER went in the mail Tuesday Nov. 25th. Tried via internet but a no-go....will try again.

Marco needs a vitamin..our membership has settled at 200 down from 232 so in order to keep the organ vital we will need some gift memberships. Perhaps the directors can offer guest memberships at a discount--say $10 like we did in Dayton. More later.