retired doc's thoughts

Coronary artery calcification is by definition coronary artery disease Calcification can occur in the intima and in the media with possibl...

Recently I came across comments from a retiring Critical care doc who said that the 1978 novel by Samual Shem entitled "The House of G...

Dr. G. Keith Smith's website is a great source of important insightful information about how not for profit hospitals operate and how in...

Well, it might be if one construes broadly-perhaps too broadly- the results of a  systematic review published in the Lancet. See here for s...

Over twenty years ago my partner, who was a very good physician, would occasionally say somethng that puzzled me. He would say  we probably ...

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 the ...

His Bundle pacing (HBP) is no longer the latest thing in cardiac electrophysiology (EP).Now direct pacing of the left bundle branch seems to...

. Some developments have appeared on freeing the physicians from a bit  hegemony of the computer mandates . Back in the old days physician...

The notion of a fiduciary duty of the physician to his patient is long standing . In the era in which I grew up medically  ( now over fifty ...

Has it really gotten that bad? Are things devolving to the point where an application of a version of the following Russian joke is applicab...

I have been out of the game so long that I did not realize that apparently post operative op wound care,at least those with infected wounds,...

Endurance exercise is traditionally considered to be a function of three factors. 1. Cardiac output which is , according to the Fick equat...

Gene Dykes, age 70, a retired computer programmer , ran a marathon time time of 2:54 23 at the 2018 Jacksonville Florida marathon . This  is...

About 200,000 pacemakers (PMs) are implanted annually for slow heart rate reasons  ("brady" indications) in the U.S. as are about ...

When I published the essay found below in 2015,there was considerable chatter in the medical blog space about the dangers posed to the trad...

Of course the teaser tittle is misleading.You should ask "better for what".Remember the old auto ad that claimed Fords (or some br...

Another article (2)  has  been published regarding the proposed relationship between high level endurance exercise and coronary calcificatio...

Is value objective or subjective? A common, though oversimplified and exaggerated view,  is that Adam Smith was the father of economics. H...

In 2013,  when I posted the essay found below in a slightly revised version found ,there was still considerable resistance to the ...

 File this under "The corruption of the medical record".   The topic today is the " After visit summary"(AVS). In m...