retired doc's thoughts

Tuesday, August 29, 2023

The attack on science and medicine makes more sense after reading Jason Stanley on Fascism

›
I was puzzled as to why someone would verbally attack Dr.Peter Hotez and threaten him with physical violence. What problem could they have w...
Saturday, July 08, 2023

Inflation is not just egg prices how about echocardiogram price hikes

›
Echocardiogram prices at at least one large megtropolitan hospital system in a large southern city,have accelerated impressively over the la...
Friday, May 12, 2023

What retired doc learned from economics

›
From Leamers book on Maco humans are pattern seeking story telling creatures. Economics cannot provide the level of certitude that the ex...

It began with Ayn Rand and may have ended up on life support with Covid19 and how humans have reacted

›
It (my general political-philosophical set of beliefs) really did begin with Ayn Rand, first reading "Capitalism, the Unknown Ideal ...

can recent innovations in health care delivery be explained in the context of Baumol's disease

›
Note this blog post is the first of a joint authorship with chatgpt and me. Can recent innovations in health care delivery be explained in ...

Covid 19 2022 101 -the basics

›
Three  basics emerge as we enter year three of a pandemic that has claimed 900.000 lives in the United States"  Covid 19 is a respirato...

New data on angio invasive follicular thyroid cancer necessitates change in ATA guidelines

›
With the publication of an article from Japan involving study of 303 cases of encapsulated angioinvasive FTC the current ATA risk classifica...
Thursday, May 11, 2023

Thyrotrophin suppression to prevent thyroid cancer recurrence

›
Fron reading the Amercan Thyroid Association;s thyroid cancer guidlines I had assumed that the notion that TSH supression to reduce risk of ...
Sunday, May 07, 2023

Was the old time medical ethics just an artifact of economics?

›
This is a redo of an earlier essay with minimal editorial change. I repeat it now with a nagging thought that "that ship has sailed som...
Monday, May 01, 2023

How reliable are tissue diagnosis of follicular thyroid carcinoma

›
In a study by Cipriani et al (1) in 2011 a pathology review of 66 follicular thyroid carcinoma (FTC) by three pathologists the diagnosis of ...
Monday, April 03, 2023

I did not go to medical school to practice population medicine but maybe medical students do now

›
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...
Friday, March 17, 2023

Will long term endurance exercise really keep a youthful heart

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

Beware- CHATGPT 's references sometimes are fabrications

›
In recent weeks there have been numerous internet compliants about ChatGPT.Some of them are regarding erroneous references or citations, I h...
Saturday, February 18, 2023

Here is how a physician can be a steward of health care resources

›
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...
1 comment:
Wednesday, February 15, 2023

How do we know what is right? Easy do a meta-analysis

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

What does "impaired relaxation" on echo report mean and what to do about it

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

Is medical ethics a social,historical or economic artifiact?

›
The title question was raised in an article published in the Journal of the American Medical Association in 1995 by dr. Edmund D. Pellegrino...
Saturday, February 11, 2023

Is the ACP's notion of value centuries behind current economic tought?

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

Tales of "corporate medicine"- care delayed may equate to care denied

›
 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 ...

Do the arguments of Kenneth Arrow and William Baumol forclose Market solution provison of health care

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

About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
View my complete profile
Powered by Blogger.