retired doc's thoughts

In discussing tiotropium (a recent posting)I mentioned that the best we have seen so far with medication in COPD is alleviating symptoms and...

The 2005 guidelines are available.Full text downloads can be found here .The 15:2 compression-ventilation ratio has morphed into a 30:2 rat...

Three times in the last 4 months I have attended the typical drug company sponsored evening CME held at nice restaurants at which the subjec...

The not-very-easy-to-fool Cochrane Review group has published a meta-analysis of nine RCT's of COPD patients treated with the anticholin...

Years, before I would actually become a physician I had my first personal encounter with the promise,prestige,respect,authority, and the awe...

As best I can tell from a non-exhaustive survey of their NIH alternative medicine website they are attempting to use the basic scientific me...

The Nov. 9,2005 issue of JAMA has a free full text article by researchers at Cleveland Clinic who re-analyzed the data submitted by Bristo...

I suspected that complementary and integrative medicine was making inroads into traditional medical schools but the recent blog by Dr. RW i...

Seemingly so. Aetna will now begin to pay primary care doctors for screening for depression.The NYT article referred to above gives some of...

The October 26,2005 issue of JAMA published a commentary by a physician and an attorney who give their opinions on improving relations bet...

Recently, I received the MKSAP 13 update cd.In the section of migraine, the update contained a review of a RCT on the use of topiramate in m...

Medical journalist, James Le Fanu, quoted in a 2002 BMJ article made the above -presumably tongue-in-cheek-comment in the context of increa...

With the introduction of the Canadian single-payer health care system, large numbers of physicians moved south in search of a different prac...

Through the incredible-almost most endless- amount of material that reverberates through the internet I came across a now 10 year old lette...

Guidelines are great; guidelines are terrible. Internists are of two minds-at least two- regarding guidelines. We resist the harness of bein...

In the October 2005 issue of the American Journal of Medicine . Dr. Karen Hauer and a group of other academic internists tackle the issue of...

Pertussis-whooping cough-was something we saw at Big Charity hospital on our pediatrics rotation.After that I rarely even thought of it. In ...

Beginning in 2004,Tte AMA's Institute for Ethics and the U.S. Holocaust Memorial Museum in Washington, D.C. have offered a lecture serie...

Blood tests for cancer(s) have been widely sought after. It could be so easy. Order a test, voila a diagnosis. So far, only one blood test i...

Dr. Ruth Berggren,who is on the staff at Charity and faculty at Tulane, give an audio sketch of her days in Big charity In New Orleans as ev...