retired doc's thoughts

The recent flurry of scientific comment, speculation, 6 o'clock news type hype, accusations about everyone concerned-except perhaps pati...

On their website GSK presents some arguments and evidence to counter the headline-producing NEJM article by Dr. Nissen ,who is getting ...

Fifty years ago the syndrome of inappropriate secretion of anti-diuretic hormone was described in a lung cancer patient and the term SIADH ...

The May 15,2007 issue of the Annals of Internal Medicine features several articles and an editorial strongly supporting screening for AAAs ...

If you ask patients or other physicians what " patient centered care" (PCC) means I believe you would hear comments like these: ...

CMS has issued draft guidelines regarding the use of erythropoiesis stimulating agents ( ESAs ) that are certain to cause worry among pati...

A recent randomized clinical trial with 300 mg.0f CoQ 10 per day for three months failed to show any benefit. Hope for a neuroprotective e...

A recent publication, referenced here, reports twenty eight 911 rescue workers with a sarcoid type clinical picture. The article, Publish...

First the trivial: A recently reported research paper should be reassuring to those folks who have been concerned about the resilency and ...

A recent issue of the the New York Times reveals that some physician groups have been receiving rebates from drug manufacturers for parent...

I had wondered before about whether there was anything that statins did not help.The latest breaking observational study suggest that the ...

A recent article in the American Journal of Medicine ( AJM ) provides some new data on the mechanisms(s) at work in the condition of marath...

Dr. RW and then DB's Medical Rants correctly point out that the absence of recognized ties with or support by drug companies does not ...

Reacting to an outpouring of criticism and valid complaints about the simplistic four hour pneumonia rule the Joint Commission ( aka JCAHO ...

In the April 19,2007 issue of NEJM ,Dr. D.B. Ross a former FDA physician involved in the Ketek review process, presents what reminds me o...

The ninth version of the AHA's recommendations for prevention of IE was published in 1997-now we have the tenth and if followed there...

Few of the participants in the national dialysis scene escape the overt or implied criticism in comments found in an editorial by Dr. Dani...

Here are still more negative comments about the famous four hour rule.Patients with a discharge diagnosis of pneumonia are supposed to have...

An randomized clinical trial (RCT) in the Annals of Internal Medicine provides evidence favoring use of inhaled corticosteroids (ICS) for ...

An Annals of Internal Medicine meta-analysis and an accompanying editorial argue strongly for the lack of efficacy of chondroitin for the ...