retired doc's thoughts

Monday, May 30, 2016

At least one labor union fails to recognize the social justice of Obamacare

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Apparently the roofers union believed the administration's claim that if you like your health care insurance plan you can keep it. Now t...

The determinates of the stiff aging heart and what if anything can be done

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Diastolic heart failure had been for the most part a diagnosis of exclusion.Symptoms and physical signs of heart failure (Hf) and an elevate...
Friday, May 27, 2016

Has medical care reached a near Fubar condition because of the Answering machine?

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I argue it may have. Being a physician and knowing what I know about physicians , the good and the less good, I absolutely hate to go to a...

Medicine and the first rule of economics and the first rule of poltics

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Thomas Sowell tells us that the first rule of economics is: We live in a universe of scarcity and there will be trade-offs. and The fir...

Some of the reasons why (at least some) older runners have decreased heat tolerance

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Stimulated by my own frustrating inability in recent years to run as far on my weekend "long runs" as I could just 3 or 4 years ea...
Thursday, May 12, 2016

Snake oil salesmen and politicians

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When Chinese railroad laborers in the 19th century used snake oil they consider it  a legitimate and p useful product. The story goes that t...
Monday, May 02, 2016

Retired doc celebrates 1000 + commentaries with some self referential rehases.

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 Happy anniversary to self. About ten years and now  slightly over one thousand blog commentaries have passed by  since I started a blog a...
Saturday, April 30, 2016

Transformation from "layperson" to physician

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In the ten  years since I began blogging  much  of what has been written about medical professionalism, I find alarming. The New Professiona...
Friday, April 29, 2016

Quality adjusted life years is not even argued about any more-

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We don't debate  the merits of quality adjust life year determinations any longer, we just do them.  But, there was a time a few ye...
Thursday, April 28, 2016

The Tenth Commandment and Hayek were right about envy

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Quotes for the day From FA Hayek and PJ O'Rourke bring a year-end message about envy and social justice. Quoting  the economist, Antho...

The authoritarian coercive aspect of the progressive medical elite

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George Will has commented on the recent authoritarian  activity of of attorneys general and  the justice department to go after climate ch...
Tuesday, April 26, 2016

The ethics of the medical progressives

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 Hubris is the belief that one is intellectually superior to his fellow human being.That can be manifest as just an air of superiority , so...

Former ACP presdient asks "must the population health approach compromise the needs of the individual"

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Dr. Harold Sox in a JAMA viewpoint commentary ( see here for link) addresses  three questions regarding 'Population health approach...
Monday, April 11, 2016

The alleged demise of the internist-is it just the money?

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A blog   entry, now several years old,by one of my favorite medical bloggers, DB aka Dr. Robert Centor, offered an important insight into so...
Wednesday, April 06, 2016

Federalization of MOC program and Choosing Wisely is moving closer to reality

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Dr. Wes on his blog gives an update on the alarming progress ABIMF and fellow travelers have made in their program to exert control of med...
Tuesday, April 05, 2016

Statistical independence does not mean causal

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   An article in the Jan 24, 2005 issue of the Archives of Internal Medicine(vol. 165 p1...
Thursday, March 31, 2016

Population Medicine is faith based - without logic or emperical support

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Here are the comments of Apu,owner of the Kwik e Mart after Homer Simpson quite his job there: "He slept,he stole,he was rude to th...
Wednesday, March 30, 2016

The progressive medical elite-nothing wrong with P4P that being smarter (and learning the latest buzz words)- won't fix

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The professional medical elite have had to admit that yes, sometimes in the past the P4P projects haven't worked out very well but we ca...
Friday, March 25, 2016

Population medicine-the poster child for the hubris of the progressive medical elite.

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 Note: the core ideas expressed below originally appeared in a blog post  published 1/16/15 under the title " Are patients pawns on t...
Monday, March 07, 2016

Is transient increase in pulmonary artery pressure one reason why older runners take a while to "warm up"

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Most  older folks who jog,run or cycle probably experience a sluggish,hard to get going period when they first start out on their exercise s...
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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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