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On vaccination

April 30, 2004

Recently, a reader wrote to ask if I allowed “guest rants”. The reader wanted to rant against vaccinations. I do not allow guest rants, this page is my ranting place. You can comment, but I chose the rants. I had not thought much about the request until I came across this article – Anti-Vaccination Fever. [...]

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Controversy over the Medicare drug discount card

April 30, 2004

Cheaper drugs or siren songs? Next week, the Department of Health and Human Services’s Medicare drug card discount Web site is going to go “live,” giving seniors the first chance to shop for the lowest prices for drugs under the new program — which also includes about $8 billion in cash, about $4 billion in [...]

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An important surgical study

April 29, 2004

Too often, new surgical techniques do not receive a careful analysis. The VA came through to answer an important question – what is the best approach to hernia repair – Open Mesh Better Than Laparoscopic Mesh Inguinal Herniorrhaphy Of 2,164 men with inguinal hernias enrolled from one of 14 VA medical centers and randomized to [...]

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And we all know these patients?

April 29, 2004

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General internal medicine – the domain

April 28, 2004

Task Force Redefines the Domain of General Internal Medicine The Society of General Internal Medicine (SGIM) asked a task force to redefine the domain of general internal medicine. The recommendations of the Task Force on the Domain of General Internal Medicine (DGIM) are published in the April 20 issue of the Annals of Internal Medicine, [...]

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More on stretching not preventing injuries

April 27, 2004

Hold That Stretch: Warm-Up Is Challenged Now a major study is stirring renewed discussion about when stretching is and is not beneficial. The study, a review of six decades of research by the Centers for Disease Control and Prevention, found that stretching does little to prevent injury during exercise when done outside of a warm-up. [...]

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Will the governor veto?

April 26, 2004

Iowa governor might not sign tort reform bill Iowa physicians cleared two of the three hurdles needed to enact a $250,000 cap on noneconomic damages awarded in medical malpractice lawsuits. But it looks as if the third obstacle — the governor’s signature — will be a stumbling block. After failing to pass tort reform by [...]

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A case to read for your medical enjoyment

April 25, 2004

I like this case a great deal. Read it carefully, and see how quickly you can make the diagnosis. Tunnel Vision, Cramped Hands, Nausea viagra free viagra buy viagra online generic viagra how does viagra work cheap viagra buy viagra buy viagra online inurl viagra 6 free samples viagra online viagra for women viagra side [...]

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Statins for diabetes

April 24, 2004

As we discuss type II diabetic patients, we generally assume that they have coronary artery disease unless we have proven that they do not. Atherosclerotic complications occur very frequently in patients having type II diabetes. Current guidelines also make this assumption. Now we have a strong recommendation concerning statins in these patients. Treatments: Statins and [...]

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They are right, but …

April 23, 2004

Amazing! I just ranted about this issue yesterday. This article bemoans our expenditures on hypertension management – Following Evidence-Based Hypertension Guidelines Could Save Billions. Great! We can do a better job! As they say on the Guiness commercial (I only wish that I could get some royalties here) – BRILLIANT! . Quit bemoaning, and develop [...]

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