Notes from Dr. RW

I watched the 1955 film on TCM the other night. For its time it was an incredibly perceptive commentary on the profession of medicine. Catch...

I really enjoy listening to Donald Berwick , the quality and safety maven who heads up the Institute for Healthcare Improvement . I think w...

These patients present with extreme hypertriglyceridemia and abdominal pain which may or may not be associated with pancreatitis. Clinical ...

Through the years I’ve watched emergency medicine mature and grow from humble beginnings into a well established specialty. There are paral...

---according to this paper in the European Heart Journal, anyway. Although at the bottom of the paper is says “Conflict of interest: none d...

The 2007 updated ACC guidelines for unstable angina and NSTEMI are complex. At the UCSF hospital medicine conference last October Dr. Edwar...

It looks more like promotion to me. Post-scientific medicine is on the march. Read here .

One of Kevin’s commenters , writing in response to my post from yesterday, said: I have long been a sole dissenting voice in the hospitalist...

As a member of the Society of Hospital Medicine I have the opportunity to view archived presentations of SHM 2008. Last night I watched the ...

This guideline, jointly prepared by the Infectious Disease Society of America and the Society of Critical Care Medicine, is available as fre...

Do this at the outset. Otherwise patients and families may expect you to “fix everything” that’s wrong with the patient. From Hospitalist ...

We were once taught that the presence of LBBB or ventricular pacing precludes electrocardiographic diagnosis of MI or ischemia. It ain’t nec...

---is characterized by severe dermatologic manifestations and sometimes multiorgan failure. It is believed to be due to accumulation of a m...

Dated but interesting, from Hepatology . In conclusion, patients with SBP frequently develop a rapidly progressive impairment in systemic he...

Reviewed in Chest.

We all know about the bounce-back---the patient who is readmitted a short time following hospital discharge, often with the same problem. Th...

A case report of uveitis as the as the presenting manifestation is presented , along with a review of extraintestinal manifestations if IBD ...

A review in Nature Clinical Practice Gastroenterology and Hepatology.

The POISE (Perioperative Ischemic Evaluation) beta blocker study was presented at AHA last November. I blogged about it in a year end wrap ...

Just discovered Taylor Mali today (H/T stlmedia.net ). He’s, like, totally awesome.