Tuesday, September 30, 2014

Can long standing endurance exercise training mitigate the of age related loss of compliance of left ventricle?

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With more evidence available to generate legitimate concern about an increased risk of atrial fibrillation with  many years of endurance exe...
1 comment:
Friday, September 26, 2014

Another chapter in "were you wrong then doctor, or are you wrong now?" this time regarding stenting of non culprit lesions.

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The American College of Cardiology recently retracted one of its magic five "Choosing Wisely" recommendations.In 2012 ACC had ad...
Friday, September 19, 2014

Are pediatric football concussions different from high school and college head trauma?

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It would be nice to think so and a 2012 study by Maugans et al provides some data ( see here for full text) which suggests it may be the ca...
Thursday, September 18, 2014

Is the "triple aim of health care" analogous to the dual mandate of the Federal Reserve

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Well, it can be argued that they are both unachievable and the execution of their aims and goals will require wise men such as the "Men...
Friday, September 05, 2014

Is there convincing evidence that some high school football players develop traumatic brain injury without sustaining a concussion?

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Traumatic brain injury (TBI) is classified as mild,moderate and severe based on mental status change and duration of loss of consciousness (...
Sunday, August 31, 2014

The effects of multiple sub-concussion head blows in football

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Two research  groups have demonstrated brain imaging findings in collegiate football players over the course of a season.Importantly these a...
Wednesday, August 13, 2014

What would happen if Choosing Wisely became the medical "law of the land"?

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Choosing Wisely (CW) is an initiative or campaign lead by the American Board of Internal Medicine Foundation (ABIMF) to change the thinking ...
Wednesday, August 06, 2014

The crusade to change medical ethics,custom and practice gains momentum

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The mega-thought leaders,the established leadership of some of the major,influential professional medical organizations, and an alarming num...
Friday, August 01, 2014

Is "low value [medical] care like Justice's Stewart's definition of pornography?

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In a 1964 obscenity case, Supreme Court Justice Potter Stewart admitted that he might not be able to specifically define the parameters of p...
Wednesday, July 30, 2014

Population medicine approach meets Public Choice theory and practice

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What happens with the population medicine approach (PMA) when one considers how thing really work according to the insights of public choice...
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Monday, July 28, 2014

Dr. Gruber-were you wrong then or are you wrong now?

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The "were you wrong then.." question is a classic attorney question thrown at an expert witness who has been caught in a contradic...
Monday, July 21, 2014

A physician does not need to be society's steward to "Choose wisely"regarding medical advice

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Eliminating dangerous and unnecessary medical tests and treatments is the ostensible aim of the "Choosing Wisely" ( CW) initiative...
Friday, July 18, 2014

The population medicine approach does not respect the separateness of the individual,traditional or Rawlsian social justice nor evidence based medicine

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 The population medicine approach does not respect  the separateness and sanctity of the individual and individual liberty. It is antithetic...
Friday, June 13, 2014

Does the concept of "value based payments" make any sense at all?

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Greg Scandlen at the Health Policy Blog comments on the term "value based" quoting from a worth- reading article by David Carr wr...
Friday, June 06, 2014

Is the underlying problem with the VA hospitals scandals greed?

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Perhaps self-interest in a better word to describe what is going here. There is a wide spread and naive notion that for-profit institution...
Saturday, May 31, 2014

Wanted: Men of System to manage the Population Medicine Approach and maximize society's health

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 Let's begin with explaining Men of System and Population Medicine Approach (PMA)  Adam Smith , in his first book, The Theory of Mor...
Thursday, May 29, 2014

Swedish study provides More data but not much definitive useful information regarding levels of exercise and atrial fibrillation risk

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A recent article in BMJ has stirred  more comments regards the possibility that there is a "j shaped" curve in regard to the relat...
Thursday, May 15, 2014

Former president of American College of Physicians explains the population medicine approach and we should be afraid,very afraid

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Dr. Harold C. Sox has played a leadership role in the American College of Physicians  for many years, serving as President of the ACP and lo...
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Monday, May 12, 2014

Is the bait and switch of the new medical professionalism more apparent now?

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The concept "social justice" was the bait. The folks at ABIM, ABIMF, ACP and RWJ declared without even a token effort at historica...
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Tuesday, May 06, 2014

Has the third party medical payers' dream come true,physicians as medical resource stewards practicing parsimonious care working for the common good

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No longer do the third party payers (TPP) have to deal with the physicians and patients working against their bottom line. Physicians,  pati...
1 comment: