Notes from Dr. RW

Vital signs are supposed to be objective measurements. Read this White Coat Rant . Via Kevin M.D .

In the springtime a medical student’s fancy turns to thoughts of woo. It’s almost time again for the AMSA sponsored University of Florida ...

Anticonvulsant hypersensitivity syndrome (AHS) was recently reviewed in Pharmacotherapy (free full text via Medscape). Key points: AHS belon...

Internist Lisa Sanders, M.D., writing for the New York Times Magazine, recently presented an uncommon presentation of an uncommon disease: p...

I’m finding it harder and harder to defend evidence based medicine (EBM) these days. My usual defense is to explain away all the things tha...

Ever since my initial rant about the new Medicare policy I’ve waited for Bob Wachter’s take. Wachter is an expert on safety and quality and...

This needs no elaboration: Mr. Stark's profound ignorance of medical issues is stunning and dangerous. It is frightening that a politici...

---is proliferating faster than Orac can update his on line hall of shame, the Academic Woo Aggregator . His February 18 post notes some ob...

My rantings against Medicare’s impending no pay for adverse events policy have been largely theoretical. Happy Hospitalist gives us an examp...

When I glanced at the title and abstract of this JAMA study the other day I decided to skip the rest of the article. It looked pretty ho-hu...

A few years ago an ARDS network study said no for mortality and ventilator free days. Two recent studies published in JAMA revisited the qu...

That’s right, I said it. I’ve tried really hard over the last several years to learn about, read about and practice EBM. Along the way I’ve ...

Last Tuesday I began a review of the changes in the Surviving Sepsis Guidelines (SSG) as reflected in the 2008 revisions , recently made av...

---is underway and a spate of news reports offers some glimpses. I may comment and link from some of them later. For now I’ll just present...

Maharishi Mahesh Yogi , developer and promoter of Transcendental Meditation (TM), died February 5, 2008. TM is a topic of interest to me fo...

DB posted a case from morning report and put me on the spot with a challenge! I posted my best guess in his comments.

A safety analysis and early halt to the intensive glycemic control arm of the ACCORD study was reported yesterday in an NIH press release . ...

Our recent Medscape Roundtable discussion on the controversies surrounding integrative medicine in the med school curriculum must have hit a...

As my readers know, I generally don’t blog about local issues or patients. I’m going to take exception today and blog about a patient. I r...

Blog reactions to the Ritter suit are trickling in. Here are some I found noteworthy. A post from the New York Personal Injury Law Blog (one...