retired doc's thoughts

First do no harm,primum non nocere and do what what is right for the patient.Those were the core principles taught to me and my medical scho...

 Willl longtime endurance exercise really preserve ( help preserve) a compliant left ventricle (LV) and mitigate the age related stiffening ...

In recent weeks there have been numerous internet compliants about ChatGPT.Some of them are regarding erroneous references or citations, I h...

I knew from the first day of medical school that this doctor business was not going to be easy. We were told how many newwords and and conce...

After all the cochrane group says that in regard to establishing scientific truth the "systematic review of all relevant randomized cli...

Half of the patients labelled as having  heart failure are designated as "diastolic heart failure" or HFpEF,  the currently prefe...

The title question was raised in an article published in the Journal of the American Medical Association in 1995 by dr. Edmund D. Pellegrino...

Is value subjective? Is value derived from the labor going into a good or service? Do business owners exploit their employee by stealing the...

 In this essay I will describe how the evaluation of a medical problem seems to work in at least one large not for profit big city hospital ...

The overly long tittle  refers to Kenneth Arrow's information asymmetry argument against fee for service in health care? Does "Baum...

Clinical trials are concerned with efficacy and safety. There are statistical tricks and methodologic manuevers than can be used to either...

 In the days when I trained as an internist and for another 20 years or so after that medical folks talked about the doctor's doctor. Th...

A few years ago I spent some time doing "well baby" exam on employees and the executives of a large international company. The emp...

If data show that endurance athletes live longer than non endurance athletes is it  so because of the life prolonging effects of endurance e...

 Late gadolinium enhancement (LGE) in long time endurance athletes may not mean scar tissue  (in the sense of replacement scar tissue ) and ...

I think so , here is why,  Paroxsymal atrial fibrillation  (APF) is currently defined a a spontaneous remitting episode of atrial fibrilla...

I can remember when being an internist was a really big deal. You were consulted on complex ,complicated cases and frequently some of whom w...

Some (many?) conservatives and libertarians seem to think that they favor equality of opportunity while the progressives or egalitarians fav...

 The jury  has been back for a quite a while. Statins decrease the risk of coronary artery events. The curvilinear relationship between exer...

 I have sampled four internists , two in active practice two retired more than 10 years earlier.Perhaps we can excuse the ignorance in the r...