Notes from Dr. RW

Hospitalist resources and more.

Wednesday, May 31, 2006

Just out in NEJM: old news about pulmonary embolism (PIOPED II)

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Despite popular opinion CT pulmonary angiography has not emerged as the diagnostic modality of choice for PE. Finally, 16 years after PIOPED...
Tuesday, May 30, 2006

Questions raised by firing of CMAJ editors

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Heated discussion continues about the Canadian Medical Association Journal (CMAJ) since my post May 20 . The bitter dispute between the jour...
Sunday, May 28, 2006

Heparin for ischemic stroke: still not evidence based

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This study looked at low molecular weight heparin in various subsets of patients with atrial fibrillation, published in Stroke. Outcomes we...

Platelets and vascular events

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This bench to bedside review in Mayo Clinic Proceedings covers clinical trials of platelet antagonists and discusses the biologic mechanisms...
Friday, May 26, 2006

Kudos to Medpundit

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I knew there was another reason to miss Medpundit. She was, on occasion, willing to challenge the PC orthodoxy in medicine. In researchin...
Wednesday, May 24, 2006

Are state medical boards becoming draconian?

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Perhaps so, opines Chris Rangel . State boards, suffering from an image of being too lax, are under public pressure to police the medical p...
Tuesday, May 23, 2006

Just the FACTTs (Fluid and Catheter Treatment Trial)

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Just in: For patients with ALI and ARDS, pull the PA catheter and keep ‘em dry . These long awaited results have been posted on line ahead o...

Medical webcast: physician-Pharma relationships

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My latest find is Internal Medicine Grand Rounds (traditional Grand Rounds that is) at the University of Nebraska. Noteworthy: Dr. Martin To...
1 comment:

Most physicians don’t know a long QT when they see one

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Not even cardiologists, according to this study from last year in Heart Rhythm . There are many pitfalls. Sometimes the T wave is not well...
1 comment:

Essentials of blood banking

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Here’s what takes place when you order blood products. From CMAJ.
Saturday, May 20, 2006

Fired CMAJ editor rants in NEJM

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Politics versus science, editorial independence versus accountability Dr. John Hoey wants editorial independence. Maybe he should start a bl...
Tuesday, May 16, 2006

How far do you have to jog to burn off that Big Mac?

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Try the on line calculators at calories per hour.

The Medical Algorithms Project

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Since I last checked a few years ago this resource has become a gem. It’s a vast and easy to navigate collection of reference material—more...

Playing with Google calculator

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1 light year in angstroms 1 ml in bushels 9th root of 4 360 joules in BTUs
Monday, May 15, 2006

Wait times in Canada spur new industry: medical travel agencies

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The Canadian Institute for Health Information has released its first survey on health care wait times, reported here in CMAJ. The wait for ...
Thursday, May 11, 2006

Any med students listening in?

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At least one, over at Medskool , who offers this take on basic science in medical school.

JAMA reprints CDC distortion on chelation deaths

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This week’s JAMA republished the March 3 MMWR piece on chelation associated deaths being investigated by the CDC. This was spun by the CDC ...
Wednesday, May 10, 2006

Medical school basic science---a follow up

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Somehow I can’t quite let this go. Dr. Rangel’s post and my reply on the question of how much basic science should be taught in medical sc...
Thursday, May 04, 2006

Is the hospitalist movement a product of intelligent design?

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A letter to the Annals of Internal Medicine seems to suggest it is. Dr. Ashok Daftary writes “Academic medicine is the carpenter that fashio...
1 comment:
Wednesday, May 03, 2006

CPAP and BiPAP in acute pulmonary edema---evidence based and ready for prime time

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ER and critical care docs I’ve worked around seem to have figured this out some time ago, and now we have high level evidence to support the...
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Robert W Donnell
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