Notes from Dr. RW

I’ve made this point before . A recent editorial in Stroke entitled “Homocysteine: Call Off the Funeral” provides reasons in addition to t...

Herbert L. Fred, MD, professor of Medicine at the University of Texas Health Science Center at Houston, calls it hyposkillia and believes i...

The expanding use of IVC filters has outpaced clinical evidence. Most of the current uses of filters are unsupported by high level evidence...

A while back I mentioned two web based differential diagnosis resources , Isabel and Dxplain. I have access to Dxplain through Merck Medicu...

This open access CCJM review of C. diff provides an overview of diagnosis and treatment as well as an update on the new NAP 1 strain. A few ...

From Mayo Clinic Jacksonville. Via Post Graduate Medicine .

AKA Flatbush diabetes, atypical diabetes, diabetes type 1B and more recently ketosis prone type 2 diabetes. This increasingly recognized but...

The SkepticWiki

Mayo Clinic Proceedings provided another addition to the growing literature on hospitalist care with this study of hip fracture surgery, com...

Only as good as their major reference source, Medline. But Medline is biased toward alternative medicine. I recently pointed out that Medl...

Now he’s suing the drug company. “I would never have taken the drug, nor would I have prescribed it to any of my patients, had I known of a...

From the March 16 NEJM comes this paper reporting a greater than two fold increase in risk of recurrent depression in elderly patients who s...

From a large survey reported in the March 16 2006 NEJM: Over all, “recommended care”, as defined across a spectrum of multiple quality indi...

The on line edition of NEJM has published, ahead of print, a large study by the OASIS-5 investigators comparing enoxaparin (Lovenox) and fon...

A report in Mayo Clinic Proceedings from a West Nile Virus (WNV) outbreak in Tunisia points to a strong association with a characteristic va...

No! But you can bet that’s what the media will say about two studies just released ahead of print by NEJM. One, the NORVIT trial , we alre...

“Megadoses” of glucocorticoids were in vogue for sepsis treatment in the 1970s and early 1980s. The practice was abandoned in the late 1980...

First described by Kurt Goldstein , the notion of self-actualization was popularized by Abraham Maslow in his description of the hierarchy o...

A 44 year old nursing home employee jammed her hand in a wheel chair. Her thumb became red and swollen and she was dead within 3 days, evid...

can be found in the March 7 2006 issue of Annals of Internal Medicine. A study from Atlanta found that 63% of staphylococcal skin and soft ...