retired doc's thoughts

Wednesday, September 24, 2008

Power outage from Hurrican Ike

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Now 12 days since Hurricane Ike and still no power to my part of the Houston area. So no blogs for a while and for a short while to come. I ...
3 comments:
Tuesday, September 09, 2008

More news on the fall out from restricted house officer work hours

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Every time I mention there may possibly be some problems with the work hours restriction regarding house officers, I receive a barrage ( OK...
4 comments:
Saturday, September 06, 2008

work-life balance,shift worker physicians and paradigms lost

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Sometime in the 1980s the term "work-life balance " ( which I will abbreviate as "wlb" to save key strokes) began to see...
Sunday, August 24, 2008

More reason to be wary of meta-analyses

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A tip of the blogging hat to DB's Medical Rants for this reference . This article by Ian Shrier and others from McGill investigated ...
2 comments:
Tuesday, August 19, 2008

Merck replies to the criticism of the Advantage trial

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Dr. Jonathan M. Edelman , Director of Scientific affairs for Merck, has offered this reply to the charges leveled in the Annals of Internal...
1 comment:
Monday, August 18, 2008

Annals Internal Medicine article dissects the "seeding trial" aka "Marketing trial"

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A number of e-mails and other internal Merck documents became fair game for analysis and critique when they became available as part of the ...
1 comment:
Friday, August 15, 2008

Physicians who are confused and mislead by drug companies can rest easy-maybe, the government is coming to help

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Enticed by pizza and promotional pens and mugs, enchanted by attractive, tricky drug reps and hoodwinked by cleverly crafted medical article...
3 comments:
Tuesday, August 05, 2008

Physicians learning to be shift workers?

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In a recent Medscape edition (July 1,2008) we find a disturbing essay by a practicing academic pediatrician who expresses concern about som...
9 comments:
Thursday, July 31, 2008

Still more possible benefits from statins-the list goes on and on

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Dementia prevention and statins are again in the news with this study . Previous studies offered contradictory data , some showing an bene...
Wednesday, July 23, 2008

The really, really dark side of P4P (maybe the only side)

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Comments by an Hawaii physician,called to our attention by the prolific Sandy Suracz , should do more than raise a few eyebrows.I have char...
1 comment:
Sunday, July 20, 2008

More deserved criticism of P4P

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I welcome attacks on the dangerous and muddled headed concept and practice of P4P. There is so much wrong with it that I hardly know where t...
5 comments:
Friday, July 18, 2008

More things too important for individuals to manage for themselves

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I have ranted before about those who think and want everyone to think that medical care is far too important to be left to uninformed, selfi...
Tuesday, July 08, 2008

WSJ editorial carries foward theme of Medicare as a harbinger of what a single payer would be like

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Recently, I wrote that if you wonder what a single payer for medical care in this country would be like, all you need to study is how Medic...
Monday, July 07, 2008

Pediatric organization issues proactive recommendations re use of stains in children

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Several years ago, Dr. Antonio Gotto , noted lipid researcher, jokingly suggested putting statins in the drinking water. While we are not q...
1 comment:

How will a government single payer work?Go to the Happy Hospitalist to see how it did/does work for Medicare

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Everyone who is a physician or is training to be one,everyone who is a patient or who might someday be one (that really is almost everyone)...
1 comment:
Monday, June 30, 2008

More on rivaroxaban trials

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Recently, I referenced two clinical trials published in the NEJM which compared a new oral anticoagulant, rivaroxaban , with the low molecu...
1 comment:
Friday, June 27, 2008

This time,new oral anticoagulants may well make it to the market

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I had my hopes that ximelagatran would be the replacement for warfarin. That did not happen because of liver toxicity problems with the dru...
Sunday, June 15, 2008

More on end of Era of the Oslerian Internist

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DB Rants takes on the issue of "what will happen to the Internist" in this entry and more and more internists are offering a pess...
Thursday, June 12, 2008

Help for the environment is on the way but maybe not for asthma patients

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Fears of ozone depletion and the purported health effects of that should be soothed somewhat with knowledge that the CFC containing broncho...
4 comments:
Wednesday, June 11, 2008

Let us shift the risk factor paradigm-it is about time

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The June 6,2008 NEJM published a very important editorial . This is one should be handed out to medical students and house officers. This i...
2 comments:
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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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