6,000 visitors in one month

November 2009

80,000 Visitors

80,269

Serum Osmolality Gap Calculator

Calculates Serum Osmolality and then Calculates Gap from Measured Osmolality

Calculated Osmolality = 2*Na + (Urea/2.8) + (Glucose/8) + (Ethanol/4.6)
Osmolal Gap = Measured Osmolality - Calculated Osmolality

Serum Osmolality Calculator

5,000 visitors in a month

5,127 visitors in September 2009

100,000 page views

100,483 total page views today.

70,000 visitors

70,289 visitors today

History Note Writer

Created for Vista, Epic, and other EHRs, this page will create standard notes for office visits or daily progress notes. It will automatically fill in the subjective, objective, assessment, and plan. Hit the HPI and it will ask for age, chief complaint, duration, and associated symptoms. Press the physical button to enter the standard exam.

 

Note Writer  

Healthcare Reform 2009

New York Times coverage:

 

History of Healthcare Reform in America

 

Medicare has 45 million members and Medicaid has 59 million members.

Healthcare costs increased significantly after the passage of Medicare and Medicaid in 1965.

Healthcare spending reached $2 Trillion in 2006.

 

Health Care Reform Topic Page

 

iPhone Development Links

Metrics 

http://developer.apple.com/safari/library/documentation/InternetWeb/Conceptual/iPhoneWebAppHIG/MetricsLayout/MetricsLayout.html

 

Meta Tags

http://developer.apple.com/safari/library/documentation/AppleApplications/Reference/SafariHTMLRef/Articles/MetaTags.html

 

Forms

http://developer.apple.com/safari/library/documentation/AppleApplications/Reference/SafariWebContent/DesigningForms/DesigningForms.html#//apple_ref/doc/uid/TP40006512

 

60,000 visitors

60,413 today

Predicted Height Calculator

Calculates child's height based on parent's height in inches: Predicted Height Calculator.

Google search results for ipod touch

Searching for "ipod touch" on Google (GOOG) showed some recent changes in advertising strategy. Amazon is no longer allowing associates to directly link from Google to an affiliate landing page. Instead, affiliates have to place a Google advertisement for their own web page with an Amazon link. After this change, the first spot on the advertising panel on the right belongs to Amazon and links directly to their page. Another interesting point is that Microsoft's (MSFT) Bing is advertising it's cash back program for the "ipod touch" on Bing. Recently, there has been a spike in the bid price for these advertisments, and this may have been due to Microsoft and Amazon entering the bidding war for placement. I am not sure how many product advertisments Microsoft is placing on Google, but they're sending  cash to their competitor with every click. 

Gastroenterology Vignettes

American Journal of Gastroenterology Vignettes

Ipod Touch Applications

Free Applications

Best Medical:

Epocrates

MedCalc

Skyscape 

Best Finance:

AOL Finance

with Real Time Quotes

Best Phone:

Skype 

Apple iPods Comparison Chart

FeNa Calculator

Calculates the fractional excretion of sodium based on urine sodium, plasma sodium, urine creatinine, and serum creatinine. Determines the cause of acute renal failure.

FeNa Calculator

 

FeNa < 1 % - prerenal failure: dehydration more than chf

FeNa > 2 % - intrinsic disease: acute tubular necrosis, vasculitis, interstitial nephritis

 

Sources:

1. Le, Tao, Vikas Bhushan, Robert W. Grow, and Veronique Tache.First Aid for the USMLE Step 3. 2nd ed. New York: McGraw Hill, 2008. Print.

 

2. Up to Date
http://www.utdol.com/online/content/topic.do?topicKey=renlfail/11711&selectedTitle=1~32&source=search_result#

 

Citation Sources

Citation Sources

 

AMA Citation Style

 

Son of Citation Machine

Diabetes

Personally, I feel like a majority of inpatients have diabetes. Optimal blood sugar control has been proven to help recovery from multiple diseases including heart disease. Understanding how to initiate insulin and its adjustment is a skill which can be used daily. An endocrine consult month would help to learn insulin management as well as deal with more esoteric concepts as dealing with panhypopituitarism. 

chf and copd

Knowing how to deal with chf and copd hospital admissions should help you carry through 60% of intern year.

A new personal record for sleep

Got home from a 30 hour overnight call shift at 1 PM. Went to sleep around 3 PM. Got out of bed at 8:30 AM the next day with a few interruptions in between. That's 17.5 hours. I should write a little more about internship.

40,000

40,000 visitors

Parkland Burn Formula for the iPhone

Parkland Burn Formula for iPhone
For burn victims, fluid resucitation is critical within the first 24 hours. The amount of fluid resucitation can be determined from the percentage of body surface area (%BSA) involved. "Rule of 9's" can estimate the %BSA.

The Parkland Formula is as follows.
Fluid for first 24 hours (ml) = 4 * Patient's weight in kg * %BSA
Afterwards, the first half of this amount is delivered in the first 8 hours, and the remaining half is delivered in the remaining 16 hours.

The "Rule of 9's" is as follows.
Head and each arm = 9%
Back and chest each = 18%
Each leg = 18%
Perineum = 1%

Medicine Web Calculators for the iPhone

Medicine Calculators
Insulin NPH Calculator
Calculates morning and night time insulin dose based on weight in pounds. The conversion factor requires clinical judgement depending on the type of diabetes, body weight, and insulin resistance. The conversion factor can range from 0.3 to 0.8. Also calculates daily insulin glargine, ie Lantus, dose based on total NPH dose. Conversion factor requires clinical judgement.

Seek the advice of a licensed physician. Patients should not adjust their own insulin regimen. Hypoglycemia, also known as low blood sugar, can be fatal.

BMI Calculator for iPhone
Fill in your height and weight, either in inches and pounds or meters and kilograms, and this BMI (Body Mass Index) calculator will show your BMI. It will also show an ideal body weight range for the height.
A normal BMI is between 18.5 and 24.9. A BMI less than 18.5 indicates a low weight for a specific height, while a BMI greater than 24.9 indicates a high weight for a specific height. The safest and healthiest way to lose weight is to slightly decrease calorie consumption and to excercise. A 3500 calorie deficit per week should decrease weight by 1 pound per week. Eating more lean meats and fish as well as eating more vegetables can help with weight loss. Consult a physician before starting a diet and excercise program

Simple design for small screens: iPhone, gPhone, Bold.
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