retired doc's thoughts

Dr. RW discusses some of the problems associated with Medicare's latest ploy to decrease costs. You can bet there will be predictable ...

This thoughtful and -I think-spot-on commentary in the NEJM is worth reading.I always like to read things that make me say, "I wish I ...

DrRich in his latest commentary in The Covert Rationing Blog delves into the Medical Home as it is being put into motion by Unitedhealth ...

Health Care Renewal raises important concerns and asks pertinent questions regarding the recently announced alliance of Unitedhealth Group ...

Health Care Renewal called my attention to a Over My Med Body posting suggesting another force pushing in the direction of fewer docs goin...

Dr. Clifford Rosen speaks candidly in the NEJM about the multi-faceted situation regarding the issue of cardiovascular risk of Avandia an...

"No man's life,liberty or property are safe when the legislature is in session ". This thought has been attributed to various ...

A commentary in the August 8,2007 issue of JAMA by an international group of authors (U.S.,England,Canada) presents the notion that the pro...

Has the increasing hegemony of third party payers over physicians lead to a change in medical ethics, one that is compatible with and may e...

According to an ABIM website in 2001 the first year of the current re-certification test for internists 92% passed, in 2004, 86 %passed...

D. Rob has a thoughtful piece concerning his group's ( IM - PED ) experience with the new world of the hospitalist . Dr. Rob is a meds...

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 ...

A good deal of evidence links leukoaraiosis (white matter lesions or WML) to decline in executive function and there is much evidence link...

All of the above topics were touched upon in an excellent posting by Dr. Steven Novella. You would expect the President of the New England ...

I have obsessed about the issue of small relative risks before and quoted some folks who know a lot more about it that I do. One of those f...

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

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...

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...

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

The American Board of Internal Medicine ( ABIM ) is proposing still another piece of sanctified paper for internists to strive for and jum...