retired doc's thoughts

Monday, May 30, 2005

VA's computerized medication system does not fix the problem of adverse drug reactions

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In this month's Archives of Internal Medicine an article describes what so far has not been accomplished by the VA's highly tout...
1 comment:

Big Pharma's bad news shared by at least one generic manufacturer

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Able Laboratories-a manufacturer of over 40 generic medications- has stopped production and recalled its products.Its history of problems wi...
Friday, May 27, 2005

statins and colon cancer-still another case-control study will not answer the question

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Here is a case control study that I really would like to believe but I am skeptical. In the May 26, 2005 issue of the NEJM a 47% reductio...
Thursday, May 26, 2005

NEJM headline news-CABG better than stents (at least they were in the past)

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The May 26 issue of the NEJM article "Long-term outcomes of coronary artery Bypass grafting versus Stent implantation" concludes ...
Wednesday, May 25, 2005

More Bad News for Crestor possible good news for Vytorin

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A recent article in Circulation indicates that rosuvastatin leads the other statins in the adverse effect category. Although the absolute ...
2 comments:
Tuesday, May 24, 2005

If IM residents are not learning to be hospitalists already, what are the 3 years about anyway?

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A recent article in the AMA News-soon to be a publication to which only AMA members are privy-describes what some perceive to be a need fo...
6 comments:
Sunday, May 22, 2005

SPN's, malpractice and Stephen Gould's essay " the Median is not the message"

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Stephen Jay Gould's family is suing the Dana-Farber Cancer Insititute and Brighams and Womens Hospital for allegedly missing a solitary...
1 comment:
Thursday, May 19, 2005

Thoughts on what does clinical experience bring to the table.

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An interesting editorial appeared in ACP Journal CLub ( May/June 2005/volume 142 no. 3 p A-8) entitled " Does clinical experience make ...
2 comments:
Wednesday, May 18, 2005

Retired Doc's suggestion for medical curriculum,part 10, Beware of misleading bias in drug trials

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Dr. Richard Smith, a editor of BMJ for 25 years,discusses some of the ways that drug companies get the results they want published in main ...
2 comments:
Tuesday, May 17, 2005

Shout Out to AAFP for stating the obvious about one pay for performance plan

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Unlike the ACCP, the AAFP seems to be calling it like it is in regard to one recently imposed pay for performance program, namely the Unit...
1 comment:
Monday, May 16, 2005

New Criteria for Metabolic Syndrome

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The IDF has published new criteria for the Metabolic Syndrome. Obesity as defined by waist circumference is required plus two more criteri...
Friday, May 13, 2005

Retired Doc's opinion on "Big Pharma" at all time low and falling

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The first medical memory I have of what- at the time- were known as "ethical drug companies" was actually part of the rites of pas...
Monday, May 09, 2005

Retired Doc's suggestion for Medical Curriculum,Part 9, The Nazi transformation for Healing to Killing,

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Media coverage of the 60th anniversary of the end of world war II has focused on various events including the anniversary of the liberation ...
1 comment:
Saturday, May 07, 2005

More thoughts on Older doctor bashing,

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Dr. Philip R. Alper has a regular column in Internal Medicine World Report . In the April 2005 issue, he discussed the Annals of Internal M...
2 comments:
Thursday, May 05, 2005

Cost effectiveness of X, , how can a doctor possibly interpret what that means?

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A typical cost-effectiveness article appears in the May 2, 2005 Annals of Internal Medicine. The summary states in part "alendronate ....
Monday, May 02, 2005

Retired Doc's Suggestion for Medical Curriculum,Part 8,Meta-Analysis -know its limitations

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The twin pillars of the epidemiologic-statistical foundations of the "best evidence " part of Evidence based Medicine (EBM) are th...
2 comments:
Friday, April 29, 2005

Paradigms can turn on a dime,or maybe a data-dredge,Case in point digitalis

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With in memory (ok, a long memory) we did not worry about should we give digitalis to heart failure patients, the only issue was how much of...
Thursday, April 28, 2005

Retired Doc's suggestion for Medical Curriculum, Part 7-how to apply population data to individual patients

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The basic message is " everyone does not react the same to a given treatment" . This should be obvious but in the frenzy of jumpi...
2 comments:
Wednesday, April 27, 2005

Medical Ghost Writing-you just don't know who to trust

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The blog ,(hcrenewal.blogspot.com) has featured several excellent pieces on the topic of the practice of drug companies planting articles i...
1 comment:
Tuesday, April 26, 2005

"Cultural Competency" courses required for N.J. medical licensure

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The April 24, 2005 issue of American Medical News reports that New Jersey has passed a law requiring "cultural competency training...
1 comment:
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About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
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