retired doc's thoughts

Congress is looking into the TV ads starring Dr. Robert Jarvik , artificial heart valve innovator and researcher, apparently because he neve...

One sentence from a recent typically well written and insightful c ontribution by Intueri particularly resonated with me. We [physicians] ...

The generally (or maybe just widely) accepted formulation of the hierarchy of medical evidence that is a major construct in what has come...

The history of ARDS ( acute respiratory distress syndrome) is a relatively short narrative in contrast to some other diseases and their trea...

A number of medical blogs, including Health Care Renewal which contributed this essay have commented on the recent revelation of the dear ...

How many evening diner,CMEoid sessions included the chant, "treat to goal,treat to goal" in regard to blood sugar. As with LDl cho...

Some of things I have learned about and written about in my blog over the past three years I would have never imagined three years ago let a...

Here is a great posting by Steve Novella entitled "Role of Anecdotes in Science-Based Medicine". Understanding the world throug...

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 ...