Tuesday, May 26, 2015

Who elected the ACP as the"conscience" of medicine?

›
In a embarrassing display of  self congratulatory praise , in this  commentary Bob Doherty ,senior vice president of the American College ...
1 comment:
Tuesday, May 19, 2015

Can a regular exercise program improve cardiac function in asymptomatic diastolic dysfunction with and without heart failure?

›
 Well ,at least one recent research paper answered that question in the affirmative.  Dr. Nole and colleagues  (see below for reference) d...
Wednesday, May 13, 2015

Summertime running in the south, quicker glygogen depletion and possible value of ice slurries

›
You don't have to be an exercise physiologists to know you cannot run as fast or as long in the summer. One of the reasons long traini...
Thursday, May 07, 2015

The U.S. medical care boondoggle depends on hookwinking the physicians

›
The terms hoodwink and boondoggle are so appropriate. My comments here were inspired in large measure by Dr Michel Accad's Jan 2009 insi...
2 comments:
Monday, May 04, 2015

endurance exercise and the right ventricle-some thoughts

›
The issue of the effect(s) of endurance exercise on the right ventricle bothers me from time to time and I have blogged about it before.(see...
Monday, April 27, 2015

Standard maximal heart rate prediction formula may result in an underestimate

›
For stress tests purposes ( regular treadmill and nuclear exercise imaging) physicians  typically use the formula : Maximal heart rate =220-...
Thursday, April 23, 2015

Do we neeed to worry about the right ventricle in endurance exercise?

›
Is the right ventricle the Achilles heel of endurance exercise? I wrote briefly about this subject in 2007 . In that regard there is more...
2 comments:
Wednesday, April 22, 2015

Is the doc-fix bill worse than SGR?

›
Here is what Dr. Scott Gottlieb has to say in his Forbes column on 3/19/15: "The current Medicare reforms being put before Congress (...
Friday, April 17, 2015

The Doc Fix, prayers of the progressive medical elite have been answered and then some

›
In regards to the passage of the doc fix bill (known now by the acronym MACRA) John Goodwin said it well: " it locks in Obamacare...
2 comments:
Friday, April 10, 2015

After 18 years and randomized trials with 25,000 men ,the relationship between 5 ARs and prostate cancer is still ??

›
This commentary from JAMA give a good summary of where we are with 5 ARs ( Five alpha reductase inhibitors) and prostate cancers.Large rand...
Tuesday, March 24, 2015

The medical progressive's fear-that someone,somewhere is deciding with his physician's input what his health care should be

›
H.L. Mencken defined Puritanism as that haunting fear that someone,somewhere may be happy. The Medical Progressive Elite's haunting fe...
3 comments:
Thursday, March 12, 2015

Newsweek article echos practicing internists concerns about the ABIM and the ABIMF

›
 Rising criticism about the American Board of Internal Medicine and its twin, the American Board of Internal Medicine Foundation is getting ...
3 comments:
Monday, February 16, 2015

Defensive backs at greatest risk for serious head and neck injuries from football.

›
This article from AANS regarding traumatic brain injury (TBI) data from 2012 discusses sports related concussions and the more serious bra...
Friday, January 30, 2015

As the destroy fee for service movement ramps up just remember there is no perfect compensation mechanism

›
 The Obama administration is ramping  up the campaign against medical  fee for service and claiming they want to pay for quality not quant...
Monday, January 26, 2015

Are patients pawns on the chess board of population medicine?

›
They would seem to  be at least so it appears to be in the presentation of the "population medicine approach" of by Dr. Harold Sox...
1 comment:
Friday, January 23, 2015

Maybe the health care supply curve slopes upwards and more ACA bait and switch

›
See here for a review of a recent NEJM article that supplied data indicating that the temporary increase in Medicaid fees which was part of...
Thursday, January 15, 2015

Is Maintenance of Certification (MOC) part of ACA and who put it there?

›
The short answer is : Yes, MOC  has been implanted into the legislative structure of ACA and for many (most?) practicing physicians this i...
3 comments:
Monday, December 22, 2014

If you wondered what the American Board of Internal Medicine Foundation was all about...

›
I have asked more than once on this blog why does the American Board of Internal Medicine (ABIM) have a foundation ( the ABIMF).Why did one ...
Friday, December 12, 2014

Fewer hospital readmissions,the seen and the unseen and Goodhart's Law

›
One of the multiple provisions of the Affordable Care Act (ACA) is something called the Medicare Hospital Readmission Program.This provision...
Friday, December 05, 2014

Does a JAMA viewpoint essay by Dr. Harold Sox reveal what population health really means?

›
Dr. Harold C. Sox writing in the November 13,2013 issue of JAMA in an article entitled  "Resolving the tension between Population Healt...