retired doc's thoughts

Hats off to Dr. RW for his coining of the term quackademics . His relentless battles against the forces of altie medicine and quackery sl...

The American College of Physicians (ACP) apparently has problems with the latest proposal from the American Board of Internal Medicine (AB...

I have ranted about various aspects of the Ketex saga before-fatal liver side effects and bogus clinical trial data and a major thought lea...

I am quoting this paragraph from Health Care Renewal because it is such an excellent sketch of the outrageous situation that now exists ...

Probably every lung doc in his career has seen a patient who has been apparently cured ( at least has gone over five years without evidence ...

Several thoughtful bloggers , on the heels of the Enhance trial, have raised the question and given their views of the issue of "should...

Here is a recent WSJ article in which we read about drug trials ( in this instance antidepressants) that do not see the published light o...

In the wonderful age of the recursive, self amplifying, instant news Internet few people have yet to comment on the Enhance trial which fai...

The comments published by Dr. Ronald M. Davis, President of AMA, published in the AMA News were not the reason I opted not to continue my me...

What the New England Journal can give it can take back. In 2001 the Journal published what can be called the first Van den Berghe study in...

I remember forty years ago as a house office that we used steroids in patients with septic shock. We also used antibiotics,fluids and vasopr...

In the not too distant past, but well before the current generation of medical students and house officers were born, a person might go to ...

P4P,quality,the plight of the general internist, the control of third party payers over physicians lead by CMS's price controls, the lim...

Sometimes you read something that nails it so good , that condenses so many killer insights into one long sentence that you go way past wish...

I have written before about the expected effects of rationing health care and listed the usual outcomes-shortages,poor quality etc. The ri...

I have not been one to sing the praises of the American College of Physicians and usually have offered my share of criticism. However, their...

A recent comment made to a posted essay by DB of DB's Medical Rants spoke of a term I had not heard before, namely aleatoric uncer...

With the publication of a recent observational study published in the NEJM which seems to indicate that hospitalists save a little money (...

The following quote is taken from DBs Medical Rants which he quotes from a BMJ article which apparently requires a subscription so I can...

Dr. Robert Centor in his DB's Medical Rants hits a home run. Read his essay here . He reminds us that physicians have responsibility t...