retired doc's thoughts

When I first learned of a putative association between a particular medication ( pramipexole (Requip)) I was reminded of a defense in a bank...

NPR reported on the ongoing investigation of possible euthanasia at Memorial Hospital in New Orleans. The report describes 4 eyewitnesses t...

Seldom are the results of a randomized controlled trial (RCT) so definitive that the issue is settled and and more questions are not raised....

Flex sig seems to be going the way of the doctor visit when enough time was available to discuss things in depth with the patient. With flex...

The Women's Health Initiative (WHI) has had a major impact on the use of hormone replacement therapy (HCT) for post-menopausal women. Th...

A recent NEJM article will get wide press coverage as it will allegedly be shocking. The Women's Health Study strikes again, this time s...

A death blow or near death blow to the use of Vitamin E in the prevention of whatever it was supposed to prevent was dealt by an article th...

Dr. M.R. Tonelli in his 2001 article entitled " The Limits of Evidence Based Medicine" speaks of two gaps or two aspects of one ga...

The Feb. 13,2006 issue of the Archives of Internal Medicine published a letter to the editor which I will reference here to echo the thought...

The Feb 8,2006 issue of JAMA published the results of a trial that will make headline news and reinforce the beliefs of some folks that the...

There are several current and politically correct maxims regarding antibiotic use which include: 1.We must reduce the use of antibiotics for...

The Feb 03, 2006 issue of Medical Economics has a interesting discussion of why the tradition of the doctors lounge is dying out. This seem...

Observational studies have demonstrated that exercise delays (prevents) dementia to at least some degree. We will all run more confidently o...

The Feb. 2, 2006 of the NEJM features a randomized trial regarding "tight" blood sugar control in intensive care patients.Physici...

The Jan-Feb issue of the ACP Observer in its "the Business of Medicine" section has a number of suggestions to improve the bottom ...

American Medical News (subscription required) quotes Dr. Mark McCleland as saying " there is a strong congressional interest in not doi...

FDA's Medwatch reported 3 serious cases of liver toxicity with Ketek (telithromycin).The patients were not on other medication and said...

A recent article in the Archives of Internal Medicine by Dr. D. Shefet et al who performed a systematic review and an editorial review of t...

Two medical bloggers have recently disagreed a bit regarding integrative medicine or alternative medicine. We speak of the art and the scien...

Singly or in combination it seems that whatever problem is identified,worried about or exaggerated, the proposed cure will be 1)IT-that is, ...