Notes from Dr. RW

Hospitalist resources and more.

Friday, August 31, 2007

What will be the consequences, intended and unintended, of the new Medicare coding rules for adverse events in hospitalized patients?

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Recently I objected to the new CMS rules on two principles. First, they are unfair because they operate on a presumption of blame for adver...
1 comment:
Monday, August 27, 2007

Medicare and mistakes: more fallout

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Implicit in the new CMS rules for hospital reimbursement is the idea that every patient fall, every catheter related infection and every ...
Sunday, August 26, 2007

Criticize Sicko, face the Thought Police

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A recent tirade in NEJM on the U.S. health care system, ironically published as a Perspective piece, accused a USA Today editorial writer o...
3 comments:

Medicare won’t pay for mistakes?

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This has been covered heavily in the blogs recently. I’ve been mulling over whether to weigh in these last few days, and up to now things...
4 comments:
Saturday, August 25, 2007

Hormone therapy and the risk of thromboembolic disease

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A review in Current Opinion in Hematology summarizes the evidence on this topic. Interactions between hormonal therapies and intrinsic risk...

Chest X ray interpretation

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Just the basics . Via Continuing Education in Anaesthesia, Critical Care & Pain .
1 comment:
Thursday, August 23, 2007

Vitamin D update

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The science behind the latest buzz on vitamin D is summarized in this review from Current Opinion in Rheumatology. The vitamin D receptor i...
Wednesday, August 22, 2007

Atypical antipsychotics

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This review in Cleveland Clinic Journal of Medicine compares the atypicals with older antipsychotics and reviews safety concerns. Recommend...
Tuesday, August 21, 2007

Woo attitudes and use at University of California, Irvine

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This paper from a few months ago in BMC Medical Education looked at attitudes toward and use of complementary and alternative medicine (CAM...

Influenza, COPD and statin use

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Statin use is associated with reduced mortality in these conditions according to a study published in Chest.

Hyponatremia and the brain

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CCJM review .

Hereditary thrombophilia review

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Via Thrombosis Journal .
Thursday, August 16, 2007

Hepatocellular cancer

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This topic was recently reviewed in the American Journal of Medicine. Cirrhosis of any cause is the principal risk factor, particularly rel...

COPD update

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An update , summarizing key papers for 2006, was published in the American Journal of Respiratory and Critical Care Medicine. The article i...

Cardiovascular update ‘07

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Highlights of a recent Cleveland Clinic Grand Rounds covering perioperative cardiovascular medicine, drug eluting stents, statins and cerebr...
Tuesday, August 14, 2007

No woo is beyond the pale

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---for the National Center for the Promotion of Pseudoscience (NCPP) or, if you prefer, the National Center for Complementary and Alternativ...
Monday, August 13, 2007

HIT antibody positivity as a vascular risk factor

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The presence of HIT antibodies (antibodies to heparin-platelet factor four complex) has been found in multiple studies to confer risk of art...

Yes, there is free lunch at Mayo Clinic Medicine Grand Rounds

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And it improved attendance by 38.4% in a recent study published in BMC Medical Education. Pharmaceutical industry support was used to help ...
1 comment:

Thought Police update

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You should not say the U.S. has the best health care. You should not even think the U.S. has the best health care. So says Dr. Christopher ...
1 comment:
Saturday, August 11, 2007

Are you guilty of medical thought crime?

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You may be if you hold to certain political views. I’m not talking about extreme positions and ideas that most decent human beings, regardl...
3 comments:
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Robert W Donnell
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