retired doc's thoughts

Tuesday, January 26, 2010

Enactment of Comparative Effectiveness Research -Libertarian Parternalism or Orszag type coercion

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An excellent commentary by Dr. Jerome Groopman can be found here . It which offers a very thoughtful analysis of a number of issues rela...

Interesting new term-"Insurance free medicine" That may be what we need.

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Go here to read a very interesting and thoughtful commentary by an academic internist whose thoughts I have quoted before.Dr Matthew Mintz...
2 comments:
Monday, January 18, 2010

Toronto ACP meeting to offer mini-courses in minor surgery-what is that about?

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I recently received a copy of the advance program for the April 2010 scientific meeting of the American College of Physicians ( ACP ). On pa...
11 comments:
Thursday, January 07, 2010

If Mayo Clinic loses money on Medicare , what will the "average" internist do?

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While the AMA and the ACP seemingly see better things ahead ( I assume they do because of their support for a bill whose particulars still ...
1 comment:
Tuesday, January 05, 2010

Why does the AMA support senate and House health insurance bills?

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Several blogs have taken up the issue of the AMA 's support of the health insurance bills currently sliding behind the scenes through Co...
Wednesday, December 30, 2009

More counterpoints to the Dartmouth Atlas data

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This article from the journal Circulation provides data and analysis that at least suggests that the sweeping conclusions of the Dartmouth ...
3 comments:
Tuesday, December 29, 2009

Will long term endurance exercise prevent your telomeres from shortening?

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I hope so and here is some evidence suggesting long term endurance exercise may mitigate the aging process which is part seems to be due t...
Monday, December 28, 2009

Is everyone talking about the same health care bill?

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Apparently John Goodman on one hand and the American Medical Association and the American College of Physicians on the other are interpret...
Thursday, December 24, 2009

It seems very likely than warfarin's days are numbered

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The oral, direct thrombin inhibitor, ximilagatran for a while seemed to be poised to be the replacement for warfarin . Early trials indica...
3 comments:
Friday, December 18, 2009

Will CRP(c-reactive protein) become a cocktail dinner conversation?

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The answer to the title question is "probably yes" if the FDA concurs with the recent recommendation of its advisory committee i...
2 comments:
Friday, December 11, 2009

What do we really know about Tamiflu and flu?

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The latest word ( but likely not the last) on the use of the neuraminidase inhibitors ( Tamiflu and Relenza ) comes from the Evidence Ba...
Thursday, December 10, 2009

Will the senate Health care reconstruction bill cover acupuncture and bee pollen? Maybe

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The answer seems to be "maybe" because while there is no specific mention of bee pollen ( no, I have not read the entire bill to b...
2 comments:
Thursday, December 03, 2009

Maybe we should worry more about Lemierre Syndrome than rheumatic fever given a sore throat in adolescents

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An important and perhaps a paradigm shifting article is found in the Dec 1,2009 issue of the Annals of Internal Medicine by Dr.Robert Centor...
1 comment:

Diminishing returns on heart attack treatment innovation leads to new targets

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JAMA offers this excellent commentary on the topic of diminishing returns in reducing mortality in the treatment of myocardial infarction b...
Monday, November 30, 2009

Excellent new blog on "evidence" and medicine

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A new medical blog named simply "Evidence" has appeared recently and it is definitely worth reading. The author identifies himself...
6 comments:
Thursday, November 26, 2009

Proposed Senate Health care bill shows us how regulatory capture can really work

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If you thought the inclusion of industry representatives on the government proposed " CER panel" illustrated regulatory capture, ...
Saturday, November 21, 2009

Physicians and patients will both pay more attention to the USPSTF after medical care is "reformed"

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Very newsworthy in recent days has been the publication of the latest recommendations from the USPSTF regarding mammograms. Surprising to m...
1 comment:
Friday, November 20, 2009

Still more worries regarding clopidogel and PPIs

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Previously on Retired Doc, I commented that first we were warned about a drug-drug interaction in which PPIs ( or at least omeprazole ) mi...
1 comment:
Monday, November 16, 2009

Health care (insurance) bill has what in common with the Mafia?

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I had promised myself (fingers crossed behind the back) not to comment further on the health insurance bill after reading the comments of B...
Tuesday, November 10, 2009

Follow the money (or promise of it) to see why AMA and AARP support the health care bill(s)

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See this a rticle for one explanation for why AARP might support the current democratic health care "reform" bill. This is from...
1 comment:
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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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