retired doc's thoughts

This recent commentary in a family practice journal speaks of a major attitudinal change in family practice . Recently trained Family doct...

Randomized clinical trials work best for discrete outcomes in well defined groups of patients. In studies involving more complicated, hetero...

MKSAP 14 has been available for over a year and I finally could resist it no longer and ordered a hard copy of it.I have enjoyed/suffered t...

Our old friend,the efficacy-effectiveness phenomenon (EEP) can be found in the drug eluting stent (DES) controversy.The NEJM electronic iss...

A reprint of a  no longer recent " A Piece of My Mind" section of JAMA should be handed out to all medical students. The title- ...

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...

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...

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

Here is an interesting and alarming story of what went wrong at teaching hospital allegedly because of problems in the system of "ha...

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...

The answer to the title question is "yes" if the patient is receiving or has recently received unfractionated heparin(UFH) or low...

A recent blog and a comment by a colleague stimulated my interest in the concept of "disruptive physician". Googling it quickly ...

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...

A recent article in Neurology suggests that the combination of coronary artery bypass surgery with carotid endarterectomy may not be a good...

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

It seems- at least from this account of recent FTC action-the likelihood of groups of physicians banding together to successfully negotiat...

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 ...

First a great quote, from Michale Thun, VP of Epidemiology and Surveillance Research at the American Cancer society: With epidemiology you...

A JAMA article has generated considerable media attention citing a case control study that linked PPIs (proton pump inhibitors) to an incr...

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...