General

WordPress upgrade

January 2, 2006

I have just upgraded my blogging software to WordPress 2.0 (from 1.5.1). If you notice any bugs, please contact me. Thanks for reading. 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 effects [...]

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A medical student blogs about thinking as a physician

December 30, 2005

A Medical Mind (the link takes you to his entries – I am commenting on his Dec. 25th post). The point is, I am sure that a barrier must be crossed to ‘know’ about patients and medicine and science, I am just a little unsure about when that will happen. I know that I have [...]

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Another example of the importance of clinical judgement

December 29, 2005

Medical decision making should never become formulaic. While I use, and have developed, clinical prediction rules, we must always remember that they are merely diagnostic or prognostic tests. Tests provide us some information, but we should always use them in the context of the patient in front of us. Community acquired pneumonia-Pneumonia severity index falls [...]

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Primum non nocere

December 28, 2005

Study of Heart Attacks Finds Risk in Use of Blood Thinners Patients being treated for heart attacks involving narrowed arteries and clots that reduce blood flow to the heart are often given overdoses of powerful blood-thinning drugs in the emergency room, increasing their risk of serious bleeding, a study has found. Excessive bleeding occurred at [...]

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Might the retainer model have wider applicability?

December 27, 2005

Many physicians immediately recoil when they hear about the retainer model. They attack the physicians and use derogatory code words like boutique, justice, and two-tiered system. However, one should always look beyond the surface to understand the good and bad in any situation. Perhaps the retainer model provides some solutions. For those with AMA subscription [...]

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The physician as detective

December 23, 2005

Frequent readers may remember that I love mysteries. I believe that accounts for my love of morning report and CPCs. Many general internists share this love for a genre which closely parallels our field. For those with access – White coats and fingerprints: diagnostic reasoning in medicine and investigative methods of fictional detectives Current trends [...]

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Some advances save money

December 23, 2005

New Test May Cut Customer Base for Cardiac Implants Late Wednesday, though, Medicare proposed a plan that could portend new limits on that market. In March, Medicare expects to begin reimbursing doctors for a relatively new type of diagnostic heart test that is currently paid for only in some states in limited situations. Studies show [...]

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The miracle of Hanukkah

December 22, 2005

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2 new quotes

December 22, 2005

Once again I reach to Nietzsche for a quote: All of life is a dispute over taste and tasting. and for the first time Thomas Sowell You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing. viagra free viagra buy viagra online generic viagra how does viagra [...]

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On evidence based medicine

December 22, 2005

Come ye, worship at the shrine of evidence! Evidence will fix medicine. What do I hear blasphemers? Bah humbug? Some are challenging the religion of EBM – Evidence Based Medicine proponents need to watch out for their friends and A contrarian view of evidence based medicine I like some aspects of EBM. We should search [...]

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