Wednesday, February 24, 2016

At least something is still true,giving too much 02 to COPD patients is not good

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Since at least the 1960s pulmonary physicians were preaching not to give high flow 02 to COPD patients because they would "hypoventilat...
Tuesday, February 09, 2016

Bring an advocate if you have to go to hospital

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Bring an advocate with you if you have to go to the hospital,if possible a physician.My two recent times in the hospital made it clear how v...
Wednesday, January 27, 2016

How I aced a college physics course while learning almost no physics

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The basic game plan for the pre-med students was to get good grades and get into medical school.In some ways, many ways, getting a education...
Wednesday, January 20, 2016

Does the two-phase concept for treatment of Thromboembolic disease make sense?

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Dr. Clive Kearon,from McMaster University, has suggested the concept of a two-phase anticoagulant treatment of  of vein thrombosis and pulmo...
Tuesday, January 19, 2016

Pulmonary emboli after pacemaker implantation -symptomatically rare maybe more commonly silent

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 Case reports of pulmonary embolism following pacemaker implantation are rare. One 1986 paper  reported  a "15% incidence of asymptom...
Friday, January 15, 2016

New ACCP guidelines on VTE-stockings out, NOACs solidly in -outpatient treatment of pulmonary emboli for some patients

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The American College of Chest Physicians (ACCP) has issued its tenth set of recommendations regarding venous thrombo embolic disease (VTE) ....
Tuesday, December 29, 2015

Is sacubitril a "game changing" breakthrough or approved on basis of a stacked deck trial or something in between?

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A  number of medical commenters and pundits have claimed game changer status for sacubitril but also the trial that lead to its approval has...
Monday, December 28, 2015

No replay of the 1914 Chistmas truce in Iraq on this Christmas day

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The story of the 1914 ad hoc ,from the bottom up  temporary truce on Christmas day during World War 1 is well known and can be read about in...
Friday, December 11, 2015

Will just 2-3 hours of aerobic exercise a week prevent your heart from getting stiff?

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With the requisite,appropriate,cautionary,more-work- is needed caveat the authors of a very detailed and elaborate study published in 2014 s...
Monday, December 07, 2015

Marathon running and pacemaker safety

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A Dutch group evaluated pacemaker function and safety in nine long distance runners  training for and participating in marathons.The full te...
Friday, December 04, 2015

Left Bundle Branch Block (LBBB) is not just a EKG finding, it is a really big deal

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The EKG pattern of left bundle branch block (LBBB) has been known for decades and that pattern was considered an indication of heart diseas...
12 comments:
Thursday, December 03, 2015

Was the clinical trial that lead to the approval of Rivaroxaban for A Fib flawed?

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The Rocket -AF trial was key in obtaining FDA approval for rivaroxaban, ( Xarelto) in part because of the decrease bleeding  in the riva gro...
Friday, November 27, 2015

The Medical Progressives are an influental subset of the Ruling Class

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The core belief of the Medical Progressives (MPs) is that medicine and health care are  too important and complex to be left to decisions ma...
1 comment:
Thursday, November 26, 2015

Thanksgiving thoughts for 2015-be thankful US is still in the top 20 in the freedom index (barely)

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According to the latest ( 2015) rating and ranking of economic freedom  from the Libertarian leaning Fraser  Institute in Canada The US is r...
2 comments:
Tuesday, November 24, 2015

Does the " gold standard test" for pulmonary emboli have a false postive rate of 5% or 25%?

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You can find articles in the medical literature that claim both? For the most part and for most of the time that CTA  (computed axial tomo...
Monday, November 23, 2015

Bundled medical payments and the Nirvana fallacy

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Browsing the subset of medical literature that deals with policy reveals  a campaign against fee for service in medical care and typically r...
1 comment:
Saturday, November 21, 2015

Merger of high sounding ideals and narrow self interest yields new medical ethics

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Cui Bono. Follow the money or who profits. Ask the question who profits from  what appears to be a sea change in medical ethics in the last ...
Wednesday, November 18, 2015

head trauma and football-What we know and what we do not know as another high school season ends

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What do we know about head trauma in high school and college football?. Mild Traumatic Brain Injury ( mTBI) encompasses the clinical entit...
2 comments:
Tuesday, November 17, 2015

Sarcopenia the largely neglected "penia"

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There are now at least four classes of medications that have received FDA approach for the treatment of osteoporosis and, according to vario...
Monday, November 16, 2015

Which goal of the ABIM Foundation is not part of traditional medical ethics?

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The ABIM Foundation's mission is  putting the Charter ( insert full name) into practice. The Charter's main themes are patient welfa...