retired doc's thoughts

Tuesday, October 16, 2007

Different meta-analytic technique fails to confirm increased risk from rosiglitazone

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It was only a matter of time before someone published an article using a different meta-analytic technique from that used in the now famous...
2 comments:
Thursday, October 11, 2007

Even PAs are moving away from primary care?

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An article that can be found here suggests that my prediction that not too far down the road primary care will be delivered mainly by ...
3 comments:
Wednesday, October 10, 2007

The 2007 Chicago marathon-a hot weather wipeout

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The weather is not supposed to be hot for the Chicago marathon which is held in October. This year it was hot and so hot that things seemed...
Tuesday, October 09, 2007

Yet another reason why students do not choose primary care-from DrRich

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Primary care providers-at least those with a M.D. degree- are seemingly moving along a path leading to extinction. In The Covert Rationing B...
Tuesday, October 02, 2007

Are physicians no longer "proud" and "Ethical"

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The Covert Rationing Blog's author DrRick uses the phrase "Once-proud,once ethical" to refer to the medical profession. I ce...
3 comments:
Wednesday, September 26, 2007

Who is at risk for venous thrombosis on long haul flights?

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A large international study from Leiden attempts to answer some of the questions regarding venous thrombosis in air travelers and is availab...
Wednesday, September 19, 2007

Policy side effects:thinking beyond Stage One

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DB 's MEDICAL RANTS recent comments about the need to consider the potential "side effects" of health policy decisions stimul...
Sunday, September 16, 2007

Applying group data to individual patients-the problem revisited and perhaps a solution sugested

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How does one apply the results of even the very best designed and executed randomized clinical trials (RCT) to the individual patient? I gue...

New COPD guidelines-the guideline epidemic continues unbated

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Here is a link to comments about the new GOLD COPD guidelines and here are the guidelines. Even with references it is only a merciful 26 ...
Tuesday, September 11, 2007

P4P and Covert rationing

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DrRICH's posting on P4P is a masterpiece and it is only Part One. I have ranted on and on about P4P here wherein I seconded the notio...

MEDICARE taketh away and giveth back -sorta

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Recently, various Government agencies have been very active in regulating the use of erythropoiesis stimulating agents (ESAs) . The major ES...
1 comment:
Sunday, September 09, 2007

New Asthma guidelines-some more some less

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Here is the latest version of asthma guidelines. The full report is 487 pages and is entitled " Guidelines for the diagnosis and manag...
Wednesday, September 05, 2007

Efficient claims payments is the last thing Medical insurers want

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Everyone who has ever been stooged by Insurance carriers regarding medical claims, patients and physicians alike, has to read this entry in...
Friday, August 31, 2007

Consequences of Medicare's new don't pay for certain problems policy

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Dr. RW discusses some of the problems associated with Medicare's latest ploy to decrease costs. You can bet there will be predictable ...
Monday, August 27, 2007

If we required evidence before initiating quality projects, there would be many fewer such projects

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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 ...
2 comments:
Friday, August 24, 2007

UnitedHealth Group's "Medical Home" -Old wine new bottle?

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DrRich in his latest commentary in The Covert Rationing Blog delves into the Medical Home as it is being put into motion by Unitedhealth ...
Friday, August 17, 2007

United Health Care Teams with internist,peds, and FP groups for medical home-for whose benefit

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Health Care Renewal raises important concerns and asks pertinent questions regarding the recently announced alliance of Unitedhealth Group ...
Thursday, August 16, 2007

Multi "generational" agreement -it is all about time (and money)

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Health Care Renewal called my attention to a Over My Med Body posting suggesting another force pushing in the direction of fewer docs goin...
Friday, August 10, 2007

The FDA's deliberations on Avandia-worthwhile insights

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

Quality can be hazardous to your health

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