Monday, February 23, 2009

Random thoughts 2/23/09

Sequential compression devices work better when attached to the patient.

I wonder if the incidence of acute renal failure is rising with the non-evidence based replacement of V/Q scanning by CT for the diagnosis of pulmonary embolism. Somebody should do a paper.

Do you ever fantasize about being Dr. House?

Heart failure instructions generated by EMRs save time and improve performance ratings, but are boiler plate in their language and seldom address patient and family concerns. The evidence from which this measure was drawn was based on individualized, detailed verbal counseling with a specialty trained physician extender. No wonder the Optimize data were disappointing.

The New York Times just doesn't get it about comparative effectiveness research. I'll explain later.

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