retired doc's thoughts

Thursday, June 28, 2007

Medical "Air quality" in airplane cabins and resistant TB

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I have held for a long time an erroneous idea of the risk of disease transmission aboard airplanes.I envisioned the passenger cabin as some ...
Wednesday, June 27, 2007

Some of the unintended consequences of restrictions on house officer hours

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The NEJM (June 28,2007) has two commentaries regarding the fall out and continuing analysis of the effects of the changes in house officer ...
3 comments:
Tuesday, June 19, 2007

Alternative Medicine-homeopathy allowed in ACCP's journal, Chest

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I was thumbing through a older issue of the journal, Chest and by looking at the summary and title of a particular article nothing much seem...
2 comments:
Saturday, June 16, 2007

Old wine-new bottles-you have to be a doctor to the whole village?

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Dr. David Eddy authored a series of articles in JAMA ( Eddy DM . Rationing resources while improving quality.How to get more for less.JAMA...
Friday, June 15, 2007

Oncologists accused of giving chemo.for profit not patient benefit

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I do not want to believe that oncologists would give chemotherapy( CMT ) to patients who they do not believe would likely benefit simply bec...
5 comments:
Thursday, June 14, 2007

JAMA commentary: Medical commons -conflict of interest?

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The journal of the American College of Physicians ( ACP ), the Annals of Internal Medicine, in 2006 featured a five page article in which th...
1 comment:
Wednesday, June 13, 2007

Whole new ball game-case in point Avandia

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The spin-off as well as the spin seems endless in regard to the Avandia issue.Nissen's NEJM article catalyzed various reactions many o...
Monday, June 04, 2007

Seafood, x-ray contrast material allergies and Iodine

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A long standing dogma is that seafood allergies and radiologic contrast material (RCM) allergies are both due to an iodine allergy and there...
1 comment:
Sunday, June 03, 2007

Pneumonia guidelines-Europe versus U.S.

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The American Thoracic Society (ATS) and the Infectious Disease Society of America (IDSA) agree that the empiric therapy of mild community ac...
Monday, May 28, 2007

Recognition of adverse effects-no quick and dirty way

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The recent flurry of scientific comment, speculation, 6 o'clock news type hype, accusations about everyone concerned-except perhaps pati...
1 comment:
Wednesday, May 23, 2007

Avandia manufacturer issues reply to NEJM article

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On their website GSK presents some arguments and evidence to counter the headline-producing NEJM article by Dr. Nissen ,who is getting ...
2 comments:
Friday, May 18, 2007

SIADH or SIAD-where did the "h" go and does it matter?

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Fifty years ago the syndrome of inappropriate secretion of anti-diuretic hormone was described in a lung cancer patient and the term SIADH ...
Thursday, May 17, 2007

Screening for abdominal aortic aneurysm-looks like a good idea

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The May 15,2007 issue of the Annals of Internal Medicine features several articles and an editorial strongly supporting screening for AAAs ...
Wednesday, May 16, 2007

Patient-Centered Care-what does it mean?

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

A flurry of new guidelines and rules regarding erythropoiesis stimulating agents

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CMS has issued draft guidelines regarding the use of erythropoiesis stimulating agents ( ESAs ) that are certain to cause worry among pati...
2 comments:
Tuesday, May 15, 2007

Coenzyme Q Parkinsons trial -negative results-what about statin myopathy?

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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...
Friday, May 11, 2007

Sarcoid like clinical picture reported in 911 rescue workers

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A recent publication, referenced here, reports twenty eight 911 rescue workers with a sarcoid type clinical picture. The article, Publish...
Thursday, May 10, 2007

Medical news- the trivial and the amazing

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First the trivial: A recently reported research paper should be reassuring to those folks who have been concerned about the resilency and ...
Wednesday, May 09, 2007

More bad news for the physician trust issue-Rebates for EPO ?

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A recent issue of the the New York Times reveals that some physician groups have been receiving rebates from drug manufacturers for parent...
Thursday, May 03, 2007

Still more good things from statins?

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