retired doc's thoughts

Thursday, April 30, 2009

Whistle blowing is always risky,In Great Britain's NHS even worse,nurse looses a lot

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See here for what happened to a nurse in England who dared to help let the public know how bad things were at one NHS service about which ...
1 comment:
Monday, April 27, 2009

Two of my favorite medical bloggers seem to disagree regarding CER

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When I read a recent blog posting by DB,who postings inspired me to start to blog and with whom I rarely disagree, I was sharpening up my ...
Thursday, April 23, 2009

Still more thoughts on problems with EMRs and who or what is responsible for the patient

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Here is a link to a discussion of more problems with electronic medical records (EMRs) that ties in with the issue of individual versus gro...

Earth Day -some cogent counterpoints to the standard green koolaid

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The first thing I remember about Earth day were reports of some cases of histoplasmosis in a group of well meaning well-meaners who breath...
Wednesday, April 22, 2009

Health Insurance does not equal health care

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Worth reading is this commentary by internist Dr. Marc Siegel who cautions that "health insurance does not equal health care".Nei...
1 comment:
Tuesday, April 21, 2009

In Canada health care is a right,wait ,no it isn't?

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In Canada, there is universal health care with a single payer and for the most part no opting of the system.Their supreme court ruled that ...
1 comment:
Sunday, April 19, 2009

More concerns about Government mandated and financed electronic medical records

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To reform medical care we are told that we need three things; 1)electronic medical records ( EMR ), 2)comparative effectiveness research (d...
2 comments:
Tuesday, April 14, 2009

Comparative effectiveness research-more warnings

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Those, including several medical bloggers, who seem to have placed more than a little faith in the notion of a government funded and run com...
1 comment:
Monday, April 13, 2009

Medical Home will not be enough, we need the Medical Village

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I written before about my skepticism regarding the Medical Home concept.It has been suggested that the home does not go far enough and that...
Tuesday, April 07, 2009

Statins (or at least one of them) seems to just get better and better

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Just as we thought there could not possibly be any more purported benefits of the statin drugs we are treated to still another reason to ge...
Monday, April 06, 2009

What the heck could increased variation in red blood cell size have to do with heart disease or mortality?

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This article from the Archives of Internal Medicine seems to link a measure of variability in red blood cell ( rbc ) size with all cause mo...
Thursday, April 02, 2009

Is the Massachusett Universal coverage plan the canary in the mine?

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See this article from WSJ online to gather facts about how poorly things are working out in the grand universal health care program for Ma...
Wednesday, April 01, 2009

NHS's hospital from hell showcases performance measures

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The British NHS is investigating how things could go so very wrong at one of their hospitals,the Stafford hospital . See here for the news...
Monday, March 30, 2009

Should "preventionists" treat the population and real docs treat individuals?

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I had not heard the term " preventionist " before reading this excellent entry by Dr. Michal Accad . His thoughtful essay in part...
Wednesday, March 25, 2009

If you get Universal health care with a single payer you better have a "safety value"

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In Great Britain, at least for some, the safety value for the NHS is private health care. In Canada, if you can afford it, the safety value...
1 comment:
Tuesday, March 24, 2009

Tight glucose control in ICU seems hazardous

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In the March 24,2009 on line issue of NEJM the results of the Nice Sugar trial are published and shows that conventional treatment ( tar...

The other side of the health Care "debate"

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As for as the main stream medical journals ( JAMA , NEJM , Annals Internal Medicine) the health care issue is largely already decided with c...
Monday, March 23, 2009

The new HFA inhalers may or may not help the environment and drug companies but are the users the forgotten men?

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Here is on article discussing the possible cons of the introduction of the HFA inhalers and the outlawing of the older CFC type (except fo...
3 comments:
Friday, March 13, 2009

Wait-Maybe electronic medical records might not save money.

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We have been told by President Obama that we cannot fix the economic mess without fixing health care (and education and the environment, for...
2 comments:
Sunday, March 08, 2009

What does universal health care have to do with the economic mess?

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Tell me again why we cannot get out of this economic mess without fixing health care? I have read over twenty putative explanations for why ...
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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