retired doc's thoughts

Although it was demonstrated at least as early as 1989 by CL Grines et al (1) that left bundle branch block (LBBB) could cause significant f...

The following quotes are from the blog "on health care technology" written by Margalit Gur-Arie: "Go ask Northrup Grumman ...

Drs. Accad and Koka  discuss  major changes in Medical school education with Dr. Stanley Goldfarb.See here for the podcast. Are the chan...

Interesting article in December 2019 Circulation.(See here .) that discusses the "robustness" of a number of cardiovascular disea...

Here is another item from the file labelled "I'm so glad I don't practice medicine any longer" A proposed bill from the ...

This Thanksgiving I am particularly thankful that I am not a practicing physician any longer and no one in my family suffers from chronic ...

In you are or  have been a patent of Ascension health care system your names,diagnosis, date of birth may be accessible to employees of Goog...

Dr. Paul Hsieh explains how exactly that has happened in his recent commentary in Forbes. He explains how the Hospital Readmission Reducti...

Probably the primary care physicians in training who authored a  commentary in the NEJM describing their view of what primary care should be...

Dr. Francesco Zanon of Italy and Dr. Pugashendhi  Vijayaramen of the Geisinger Clinic in Pennsylvania report on the long term performance an...

Some of the docs who see you in the ER,or read your imaging study, or give you Propofol for an endoscopy may well be the employees of a comp...

In 2011, the Aristotle trial was published in the NEJM.It demonstrated aprixaban's superiority over warfarin in the treatment of non-val...

The following is a re-do of an essay I wrote 14 years ago. In the March 1, 2005 Annals of Internal Medicine the "Improving Pat...

Arnold Kling has said that economists do not save the useful economic thoughts and insights for graduate level courses but teach the good st...

In the waning years of my professional medical life I witnessed a trifurcation of internists into  three groups, the hospitalists and those ...

Go to this post by Dr. Jeffrey Parks who blogs under the name "Buckeye Surgeon". He write about the endless demand for excellen...

Scattered throughout medical literature is the metric known as number needed to treat or NNT. It has been claimed that in trials in which ...

note:This a reposting of a commentary posted five years ago. So few people saw the post I am offering it again as High School Football se...

The cardiovascular system of the trained endurance athlete differs in a number of ways from the untrained person.These include: 1.increased...

Does high intensity interval training increase the risk of atrial fibrillation (AF) or does it mitigate the AF burden in patients with non p...