retired doc's thoughts

The answer provided in a recent issue of the Annals of Internal Medicine suggests use of U/S to help determine how long to continue anticoag...

Dr. David D. Nerenbert writing in the May 19,2009 issue of the Annals of Internal Medicine offers his analysis of why internal medicine is...

The Obama administration is promoting the idea that we can finance a wide and expensive variety of government programs-including better qual...

The very name Institute of Medicine for reasons that have eluded me seems to mean to many a venerable assortment of very wise people who unl...

The story of PPIs apparently interfering with the beneficial effect of Plavix is widely distributed and read. Now we see data (see here f...

One of the package of health care "reforms" that will increase quality, provide care for all and save money is the widespread impl...

The Last Psychiatrist (TLP). suggests that an unholy alliance between medical insurance companies and medical academia is well underway.See ...

To reform" health care" (and to fix the nation's economy) we are told we must have electronic medical records, government fund...

Well, the early relatively small studies gave the public health rule makers some empirical justification for claiming success, further study...

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 ...

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 ...

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...

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...

Worth reading is this commentary by internist Dr. Marc Siegel who cautions that "health insurance does not equal health care".Nei...

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 ...

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

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...

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...

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...

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...