retired doc's thoughts

Tuesday, July 31, 2007

Breakthrough govt.study-patients don't always take their meds

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A report is out regarding a government study that demonstrated patients do not always take their medications as they should.Earlier work h...
Sunday, July 29, 2007

Shorter, more focused CPR course sounds better

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Kudos to these folks who tried out a shorter version of the CPR course and found it worked better in terms of retention of concepts ( and l...
Wednesday, July 25, 2007

American Heart Association gets on band wagon for pumping weights

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Even since I heard the term " sarcopenia " I began to worry about this muscle loss that accelerates as we get older. I began to co...
Monday, July 23, 2007

Still more on house staff duty restrictions-faculty angst

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I have written before about the changes in house staff medial education in the post duty hour restrictions era and evoked some critical c...
Friday, July 20, 2007

ABIM proposes certification in "comprehensive internal medicine"

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The American Board of Internal Medicine ( ABIM ) is proposing still another piece of sanctified paper for internists to strive for and jum...
3 comments:
Tuesday, July 17, 2007

Great source for Travel Medicine reference

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CDC has recently made available its "Yellow Book". This is free and is on line and is an invaluable source of authoritative info...

More on medical house staff work hour restrictions

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I evoked a good deal of rather strong comments when I wrote about the ACGME mandated resident work restrictions. Let me go on the record a...
1 comment:
Tuesday, July 10, 2007

Eugenics-an idea whose time has (hopefully) gone

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The July 9, 2007 issue of AMANEWS (subscription required) features a two page piece on the eugenics movement in the United States, highligh...
Monday, July 09, 2007

A no-insurance practice works for one internist

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I attended a dinner "CME"talk a month or so ago. Across the table was a physician who I knew as an oncologist with whom I had pati...
2 comments:
Wednesday, July 04, 2007

Clinical trials-another aspect of their complexity

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The randomized clinical trial proudly sits atop the evidence based medicine (EBM) epistemological hierarchy. The RCT's ability to minim...
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:
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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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