retired doc's thoughts
Wednesday, August 03, 2016
New high school football season advice-don't let your babies grow up to be defensive backs
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Extracted from an article from AANS regarding traumatic brain injury (TBI) data from 2012: Defensive backs in American football are a...
Monday, August 01, 2016
Another football season begins, what do we know about sports related head trauma
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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...
Tuesday, July 19, 2016
Grief Counseling-who benefits? hint- who get paid for it?
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Bringing in grief counselors seems to be a fairly common occurrence. We hear about it when a tragedy, such a shooting at a school, occurs. W...
Monday, July 11, 2016
Is the new professionalism and ACP's new ethics really just about following guidelines?
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The Charter ( Medical Professionalism in the New Millennium.A Physician's Charter) did not deal with just the important relationship of ...
Tuesday, July 05, 2016
The 4th of July, Pride and "How Can I help you/"
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This blog is for the most part about medicine and the practice of medicine so quoting extensively from a economist's blog might seem off...
Wednesday, June 22, 2016
The last refuge arguments for central planning find a home in health care discourse
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The economist and historian Dierdre McCloskey put it this way ( my paraphrasing). If some one glanced at what happened in the twentieth cent...
Tuesday, June 21, 2016
Exercise associated collapse
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The term exercise-Associated Collapse (EAC) as used by Dr. Tim Noakes of Cape Town South Africa refers to athletes collapsing after complet...
Friday, June 17, 2016
This preventive medicine stuff is not easy
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Case in point is in regard to hormone replacement therapy (HRT) for menopausal women.It has not been easy to get that right. The stylized...
Information voltage drop-not just a hospitalist issue
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I recently read that hospitalists have a term for one type of failure to communicate namely "information voltage drop" This refe...
Monday, June 06, 2016
Does the Conflict of Interest statement in medical journal articles really mean anything?
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I am beginning to think that the answer to the question in the heading is no.Thinking about a article in the NEJM published at the time of ...
Managed Care and "learned helplessness" and medical professionalism
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Health Care Renewal in the Sept.22,2006 posting referenced comments by the editor of The British Medical Journal,Leona Godlee, suggesting ...
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Sunday, June 05, 2016
Worried about your health care?Do not fear, the Medical Platonic guardians are gearing up
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Plato envisioned a utopian society ruled by philosopher kings,leaders with ideas. Brilliant and knowledgeable, logical and devoted to the go...
Friday, June 03, 2016
Politicalization of medical ethics-you have to ask why and by whom
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The politicization of medicine is cogently discussed by Dr. Thomas Huddle. See here for an abstract of his article. First, with the pu...
Thursday, June 02, 2016
Presidential Election 2016-the wisdom to choose.
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Thomas Sowell laments the choice that we are likely to have in the upcoming presidential election.In a recent commentary entitled "G...
More thoughts on correction of severe hyponatremia
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In adults electrolyte issues have traditionally been the arena in which internists ( and I guess now mainly hospitalists) earn their fees. ...
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...
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