tag:blogger.com,1999:blog-14743001.comments2024-01-02T02:45:17.328-06:00Notes from Dr. RWRobert W Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comBlogger1635125tag:blogger.com,1999:blog-14743001.post-82717527182995546012021-12-16T07:55:34.811-06:002021-12-16T07:55:34.811-06:00My son can bend his fingers backwards and touch hi...My son can bend his fingers backwards and touch his wrists. My wife can touch her toes to the top of her foot or bend her whole foot backwards and touch her toes to her shins. I wonder if they have it. I'd never heard of EDS. My son gets tired walking because he has to use muscles because his ligaments don't stop the motion or give spring like most of us. I need to look into this. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-46897937032203967682021-06-19T13:10:18.669-05:002021-06-19T13:10:18.669-05:00No one suggested they were mentally ill. From wha...No one suggested they were mentally ill. From what I understand, ehlers danlos syndrome is super flexibility of the skin and joints. Most people cannot do what they couldAnonymoushttps://www.blogger.com/profile/07586964412361971378noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-7359094969817897592021-02-07T23:04:53.194-06:002021-02-07T23:04:53.194-06:00Hey there, I went through your article and found t...Hey there, I went through your article and found this post as a useful and interesting post for all students. Thanks for sharing your efforts and researches. You can also check-out this hyper-link <a href="https://www.drnajeeblectures.com/" rel="nofollow">Online Medical Education</a><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-22824756927669771772020-10-09T02:10:21.436-05:002020-10-09T02:10:21.436-05:00nicenicesunnyhttps://www.seasidemedicalpractice.com/services/aesthetic-services/prp-microneedling/noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-8022995862274504272020-08-22T12:26:09.287-05:002020-08-22T12:26:09.287-05:00Great to see your blogs again
Great to see your blogs again<br />james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-13563392869661728422019-05-08T09:34:08.307-05:002019-05-08T09:34:08.307-05:00Why so much urosepsis in ablation group?Why so much urosepsis in ablation group?james gaultenoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-59713570189976596672019-04-01T10:04:24.841-05:002019-04-01T10:04:24.841-05:00Hi Robert
I really enjoy your blog posts. As a bu...Hi Robert<br /><br />I really enjoy your blog posts. As a busy hospitalist, I have trouble even keeping up with a list of things to read, much less actually reading them.<br /><br />I'm curious to know your workflow. How to you choose what to read? Do you read deeply, or broadly? Do you set time away from your day to do so?Wedgeolihttps://www.blogger.com/profile/13660823253189934038noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-48716104155942437622019-03-11T12:49:42.470-05:002019-03-11T12:49:42.470-05:00Nice to see something that suggests that the PPI u...Nice to see something that suggests that the PPI unintended effects may not be all bad.james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-27875706973933931252018-10-30T13:15:53.693-05:002018-10-30T13:15:53.693-05:00excelent review excelent review Unknownhttps://www.blogger.com/profile/15544511830791764362noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-12522610429629765792018-10-05T13:25:55.136-05:002018-10-05T13:25:55.136-05:00Seeing that the youngest sister killed herself at ...Seeing that the youngest sister killed herself at 33, and there's no such thing as double jointedness, yes. This family was on the Hypermobility Spectrum and most likely never realized.Anonymoushttps://www.blogger.com/profile/10957980104574298417noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-3484103057608946862018-09-21T15:01:33.222-05:002018-09-21T15:01:33.222-05:00Thanks for pointing this out. I have fixed the li...Thanks for pointing this out. I have fixed the link.Robert W Donnellhttps://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-59884580349001855722018-09-02T08:15:48.831-05:002018-09-02T08:15:48.831-05:00links seem to be broken for the past day or solinks seem to be broken for the past day or soscotthttp://emcrit.orgnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-56800068330777190662018-02-05T12:15:27.691-06:002018-02-05T12:15:27.691-06:00As an RN I have always thought they should include...As an RN I have always thought they should include an AMA form in the admissions packet !!! 22 years practice as and RN has taught me that almost every patient I had who went AMA was due to the fact that the MD refused to provide the drugs they wanted or refusing to follow an agreed upon plan for surgery or treatments!!!!! It would be much easier to have the AMA information available in a packet Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-56950212623981412062018-01-07T10:34:48.459-06:002018-01-07T10:34:48.459-06:00When a measure becomes a target it looses its valu...When a measure becomes a target it looses its value as a measure and measures have a way of becoming targets. james gaultenoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-65776418622262010782017-12-29T07:43:28.492-06:002017-12-29T07:43:28.492-06:00Thank goodness that someone found something not as...Thank goodness that someone found something not associated with an increased risk of AF.james gaultenoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-26745127959923228102017-12-18T07:23:59.696-06:002017-12-18T07:23:59.696-06:00Earlier this year, the Skeptical Scalpel blog look...Earlier this year, the Skeptical Scalpel blog looked in detail at the Joint Commision's documents from that period and compared these to their current denials.<br />https://skepticalscalpel.blogspot.com/2017/06/the-opioid-epidemic-what-was-joint.htmlAnonymoushttps://www.blogger.com/profile/15118994847844729043noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-9728781101122882862017-11-25T07:52:00.285-06:002017-11-25T07:52:00.285-06:00A brave new world,indeed.
A brave new world,indeed.<br />james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-19025878387711880422017-11-20T10:08:28.467-06:002017-11-20T10:08:28.467-06:00How can you write an article on concierge medicine...How can you write an article on concierge medicine and not even mention Direct Primary Care, its simpler, more efficient, lower priced offspring?Anonymoushttps://www.blogger.com/profile/15118994847844729043noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-34650327082802578352017-10-06T07:24:05.857-05:002017-10-06T07:24:05.857-05:00Don't your ER docs do it all the time?Don't your ER docs do it all the time?<br /><br />DrONnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-56428079442510033742017-10-02T15:54:19.991-05:002017-10-02T15:54:19.991-05:00I wonder how effective yoga and chiropractic sligh...I wonder how effective yoga and chiropractic slight of hand will be for a post op total knee replacement.As I commented recently patients in pain will be the collateral damage in this latest war on drugs.james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-6180171829746095872017-04-17T06:52:01.026-05:002017-04-17T06:52:01.026-05:00Yes, other articles as well demonstrate lower stro...Yes, other articles as well demonstrate lower stroke risk in PAF versus persistent or permanent AF. But I think those studies have not shown that the risk is sufficiently lower to withhold OAC if the stroke risk score reaches generally accepted levels above which the party line is to anticoagulant. <br />Much less clear is the situation regarding the subclinical atrial fib that occurs in james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-57635800895160790662017-03-26T10:48:20.855-05:002017-03-26T10:48:20.855-05:00I find myself using uptodate almost for everything...I find myself using uptodate almost for everything. However, here is my logic in when to read either Harrison's or UpToDate: Harrison's = physical findings, diagnosis and quick reference stuff. UpToDate = anything pertaining to treatment or management.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-54467861538355446632017-02-08T06:19:21.040-06:002017-02-08T06:19:21.040-06:00Thanks for a great review of DCM and also for poin...Thanks for a great review of DCM and also for pointing out that LBBB is more than a interesting EKG pattern. Even a number of cardiologists I have encountered seemed unaware that LBBB can after a variable and unpredictable lag period lead to DCM.In fact, early on there is significant decrease in cardiac function, noticeable mainly on exercise while the slight decrease in resting EF is james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-87931575540601011562016-09-30T18:46:53.166-05:002016-09-30T18:46:53.166-05:00Having had two stroke mimics and being the subject...Having had two stroke mimics and being the subject of a Code Stroke, I've been keenly interested in learning enough about tPA to form an advance directive in the event of a real ischemic stroke. I'm also concerned that I could receive tPA in the event of another mimic when I have lost the capacity to make my own decisions. There are, no doubt, individuals who have AF, a history of TIA orAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-71311880256191961202016-08-31T19:13:32.519-05:002016-08-31T19:13:32.519-05:00My husband, his brother and their mother passed aw...My husband, his brother and their mother passed away from aortic aneurysms. Last year a doctor determined that my daughter has EDS based that on how flexible her joints are. There are different forms/levels of EDS but I think joint flexibility is the common denominator. I pray to God everyday for a treatment or cure. Anonymousnoreply@blogger.com