retired doc's thoughts

Tuesday, January 30, 2007

New Guidelines for Thromboembolic disease

›
New guidelines for DVT and PE are appearing in the Feb. Annals Internal Medicine and the Journal of Family Practice and a overview of is fo...
Monday, January 29, 2007

Are SSRIs bad for the bones?

›
In the January 22, 2007 issue of the Archives of Internal Medicine, Dr. J.B. Richards et al have written a paper providing evidence tha...
Saturday, January 27, 2007

Is endurance exercise bad for the right ventricle?

›
For someone who recently finished his 50 th marathon, (with a - modestly put- incredible comeback from a mysterious orthopedic disability) t...
Wednesday, January 24, 2007

Hand off problems or lack of personal responsibility by physician

›
Here is an interesting and alarming story of what went wrong at teaching hospital allegedly because of problems in the system of "ha...
6 comments:
Tuesday, January 23, 2007

Heuristics invaluable but need to be understood and monitored

›
I was impressed by and wrote about an article by Dr. Croskerry who has studied how physicians think and how they can think better diagnos...
Monday, January 22, 2007

Should we consider HIT (heparin induced thrombocytopenia) in cases of DVT and PE?

›
The answer to the title question is "yes" if the patient is receiving or has recently received unfractionated heparin(UFH) or low...
Sunday, January 21, 2007

The"Disruptive Physician" -what is all about ?

›
A recent blog and a comment by a colleague stimulated my interest in the concept of "disruptive physician". Googling it quickly ...
Wednesday, January 17, 2007

Observational data is important but how do we analyze the data.

›
Here is a summary of a recent JAMA article that should make it clear that the statistical techniques on which a study result may turn are d...
Tuesday, January 16, 2007

Combining CABG with carotid endarterectomy-good or bad idea?

›
A recent article in Neurology suggests that the combination of coronary artery bypass surgery with carotid endarterectomy may not be a good...
Monday, January 15, 2007

More important caveats re: generalizing from Randomized trials

›
In the Jan. 9, 2007 issue of the Archives of Internal Medicine, there is an interesting article regarding the external validity of randomiz...
Friday, January 05, 2007

Federal Trade Commission and physician group negotiation

›
It seems- at least from this account of recent FTC action-the likelihood of groups of physicians banding together to successfully negotiat...
2 comments:
Tuesday, January 02, 2007

Great review of major Hospital Medicine issues-Go Web 2

›
Dr. R.W. has posted a useful series of essays highlighting his version of the top issues for 2006 in the field of hospital medicine. Anyone ...
3 comments:
Saturday, December 30, 2006

The Limits of Risk Factor Epidemiology

›
First a great quote, from Michale Thun, VP of Epidemiology and Surveillance Research at the American Cancer society: With epidemiology you...
1 comment:
Thursday, December 28, 2006

Proton pump inhibitors, hip fracture and small relative risks

›
A JAMA article has generated considerable media attention citing a case control study that linked PPIs (proton pump inhibitors) to an incr...
4 comments:
Sunday, December 24, 2006

Is being a hospitalist the only way to still be a old time internist?

›
Dr. Laurence Wellikson seems to believe that the only way -at least a way-to recapture the core of what internist used to do (care for the p...
2 comments:
Tuesday, December 19, 2006

Sowell's "Conflict of Visions" and medicine

›
Thomas Sowell's book "Conflict of Visions" is one of the most insightful and intellectually satisfying books I have ever read...
1 comment:

Now American College of Surgeons favor P4P-say it isn't so ,Joe.

›
Seemingly following in the footsteps of the American College of Physicians (ACP) the executive director of the American College of Surgeon...
Monday, December 18, 2006

More accusations of big pharma behaving very badly

›
The ethics of business is not the same as the ethics of medicine but if recent accusations against Lilly are true you might conclude that in...
1 comment:
Saturday, December 16, 2006

FDA relegates Ketek to second line treatment for community acquired pneumonia

›
The FDA seems to making some progress in the Ketek matter.Maybe now we will be seeing less of the ubiquitous Ketex advertising owl on the ba...
2 comments:
Friday, December 15, 2006

Post-modernism,EBM and George Orwell

›
Dr. Roy Poses in his Dec.01,2006 posting on Health Care Renewal tackled the topic of the attack of the post-modernists on Evidence Based Med...
‹
›
Home
View web version

About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
View my complete profile
Powered by Blogger.