retired doc's thoughts

Tuesday, August 30, 2005

ADA statement- metabolic syndrome not a useful concept any longer

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In what will be to many a surprising comment,The American Diabetes Association issued a statement challenging the value of the metabolic syn...
Friday, August 26, 2005

A follow up to restless leg syndrome post and comments

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Medscape has an article explaining new warnings issued by the FDA on Requip.RebelDoctor Weblog had commented on my earlier blog indicating t...

Homeopathy-Lancet article critical-NHS pays for it

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A recent article in Lancet appropriately criticizes homeopathy and concludes there is no scientific basis for it and it does not work. This...
Wednesday, August 24, 2005

Restless leg syndrome-unrecognized epidemic or drug company hype

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This sounds a lot like my recent posting on bipo*r disease and allegation of physician underdiagnosis and it should since it is another exam...
Monday, August 22, 2005

Canadian Supreme Court ruling,CMA recent vote-is private care on the way in Canada?

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Delegates at the Canadian Medical Association 's recent meeting voted to not reject the alternative of private care in Canada if waitin...
Friday, August 19, 2005

Dueling medical mathematical models- to choose- An act of faith?

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The August 16, 2005 issue of the Annals of Internal Medicine published an article by Dr. David M. E. Eddy et al using a mathematical model ...
3 comments:

"Addicted" to sun bathing ? Arch. Dermatology article

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A recent study published in the Archives of Dermatology investigated the use of the CAGE- alcohol abuse screening too, somewhat modified- ...
2 comments:
Monday, August 15, 2005

Bipol*r disease, unrecognized epidemic or drug company hype

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Several months ago at a local internist's club meeting we had a presentation by a psychiatrist about bipolar disorder. He is a co-direct...
Friday, August 12, 2005

IM and EM residents and EKG reading-overall competency score is low-AJM article

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A disconcerting article appeared in the August 2005 issue of the American Journal Of Medicine. 87 internal medicine residents and 33 emerge...
2 comments:
Wednesday, August 10, 2005

Practice guidelines in patients with multiple diseases not just inappropriate -may be harmful-JAMA article and editorial

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That single disease guidelines may be harmful in multi-disease patients is a topic I have talked about before . Dr. Mary Tinetti published a...
Tuesday, August 09, 2005

AMA News: Docs urged to detect RX drug abuse

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The war on drugs continues.New theaters of operation are always opening up even though the enemy in older venues of combat have not been def...
1 comment:
Monday, August 08, 2005

NEJM editorial: Modafinil about as good as coffee

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The August 4, 2005 issue of the NEJM has an interesting article on the new "alertness" drug, modafinil, and an editorial that exp...
2 comments:
Thursday, August 04, 2005

Skepticism about ACP's initiative in Quality and P4P

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Dr. Philip R. Alper,Fellow at the Hoover Institution,in a recent column in Internal Medicine World Report expresses concerns about ACP's...
1 comment:
Wednesday, August 03, 2005

New report on NHS speaks poorly for the single payer system

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A recent lengthy report on the British NHS is a good source of ammunition for those who believe that a single payer system for health care ...

When hypertension mega-trials disagree-what do you do?

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The topic of conflicting results from BP treatment trials was considered in a roundtable discussion in the July 2005 issue of The Journal of...
Thursday, July 28, 2005

A new medical blog on the scene

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Notes from Dr. RW is the name of a new blog by a hospitalist and the entries so far are well worth reading. I suggest you add his blog to ...

Do inhaled steroids cause osteoporosis? One case control article does not answer the question

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A nested case control study published in The January 2005 issue of Chest and commented on in the July/August issue of the ACP Journal Club ...
Tuesday, July 26, 2005

Another VItamin E lesson-statistics experts do not agree on how to analyze a meta-analysis

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There were 11 letters to the editor published in the July 19,2005 issue of the Annals of Internal Medicine critical of the methodology used ...
Monday, July 25, 2005

Prominent academic hospitalist expects growth driven-in part-by desire for "through-put"

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Dr. Robert Wachter, Professor of Medicine at UCSF, gave a "state of hospital medicine" address at the annual meeting of the Societ...
4 comments:
Thursday, July 21, 2005

It is all about time-not enough time and the best doctors do poorly

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DB's Medical Rants recently wrote about his observation of a waning of intellectual interest in house officers which he at least partia...
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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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