retired doc's thoughts

Thursday, October 26, 2006

Thoracic imaging for lung cancer screening-here we go again

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In the October 26,2006 issue of the New England Journal of Medicine we find a clinical study and an editorial about lung cancer screening us...
Friday, October 20, 2006

"Marketing strategies masquerading as Evidence Based Medicine"

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A commentary appears in the October 19,2006 issue of the New England Journal of Medicine regarding allegations about the length to which a...
1 comment:
Thursday, October 19, 2006

Basis for "Treat to goal" for cholesterol is questioned by Annals Internal Medicine review

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A thought provoking-and in a way troubling review- in the October 3, 2006 issue of the Annals of Internal Medicine ( "Lack of Evidence ...
Wednesday, October 11, 2006

More bad news regarding second generation antipsychotics.

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The October 12, 2006 issue of The New England Journal of Medicine published an article regarding the use of the second generation antipsych...
1 comment:
Sunday, October 08, 2006

Answering services should not make it hard to talk to physician

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A recent article in the September/October issue of the Journal of the American Board of Family Practice by David Hildebrandt called atte...
5 comments:
Friday, October 06, 2006

Is Merck gearing up for "son of Vioxx"?

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The editorial commentary by David Graham in the October 4,2006 issue of the Journal of the American Medical Association ("COX-2 Inhibit...
Thursday, October 05, 2006

Second generation antipsychotics-efficacy versus effectiveness

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In the 1960s, the phenothiazines changed the face of psychiatry when chlorpromazine was shown to be effective treatment for schizophrenia. T...
2 comments:
Tuesday, October 03, 2006

The virtual doctor's lounge-the successor to the now defunct real lounge

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I written before about the demise of the doctor's lounge in the hospital-the previous site of free coffee, curb stone consultations, ph...
Friday, September 29, 2006

Price controls for physician services, the results are predictable

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In the September 28, 2006 edition of DB's Medical Rants we find a great quote from Scapel entitled "Are all physicians equal?...
2 comments:
Tuesday, September 19, 2006

The DREAM study, Are we preventing or just delaying diabetes?

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The results of the DREAM study have published in the NEJM (ramipril arm) and the Lancet ( rosiglitizone arm) . This trial will get a lot ...
3 comments:
Monday, September 18, 2006

NIH report on use of multi-vitamins-we just don't know

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The September 5, 2006 issue of the Annals of Internal Medicine reports on a NIH Conference on the use of multivitamins/mineral supplements (...
Saturday, September 16, 2006

From the Annals of Internal Medicine:Oscar winners live longer-no,wait, maybe they don't

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The September 2006 issue of the Annals of Internal Medicine published an article ( Do Oscar Winners Live Longer than less Successful Peers?...
Thursday, September 14, 2006

No pens or mugs allowed from Big Pharma at Stanford

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It has not gone unnoticed (whatever does) by the medical blogger world the irony or hypocrisy of Stanford's Medical School prohibiting...
2 comments:
Sunday, September 10, 2006

FDA offers recipe for proper mixing of aspirin and ibuprofen

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Aspirin is widely used to decrease the risk of heart attacks. It is an essential part of secondary prophylaxis and typically is recommended ...
2 comments:
Friday, September 08, 2006

Should the single digital FOBT be abandoned?

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For years physicians in the office setting have included a digital rectal exam and then tested stool captured by the gloved finger for occul...
Wednesday, September 06, 2006

More on Quality Improvement Organizations"-another study fails to clearly show they work

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I have written before the Quality Improvement Organizations (QICs) .The Sept 5, issue of the Annals of Internal Medicine published another s...
Tuesday, September 05, 2006

Trial underway to test use of steroids in severe pneumonia

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In the August 14,2006 issue of Internal Medicine News we learn of reports that corticosteroids may reduce the morbidity and mortality of sev...
Wednesday, August 30, 2006

Is interval training better for metabolic syndrome?

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Physicians routinely recommend exercise for patients with the metabolic syndrome -typically walking.Exercise is a generally accepted strateg...
Monday, August 28, 2006

Houston V.A. physicians examine P4P data and find evidence of gaming and treating the chart

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The possibility that health care providers (HCP) might try to game the system and treat the chart when offered or forced to play the P4P gam...
3 comments:
Sunday, August 27, 2006

heuristics and statistics-we need and use both in medicine

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In spite of at least one terrible publication to the contrary-the criticism of which is reviewed here - there can be little doubt that exper...
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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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