Notes from Dr. RW

Hospitalist resources and more.

Friday, November 21, 2008

What’s ahead in gram negative infections?

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An article from Expert Review of Anti-Infective Therapy examines the emerging threats of resistant gram negative organisms and what we have ...

Is it woo or is it real?

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Maybe a little of both? This demonstration took place on I've Got a Secret , a popular CBS game show from the early 60’s Neurologists, p...
Thursday, November 20, 2008

Discharge planning after glycemic control in hospitalized patients

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So you’ve done a good job controlling your critically ill patient’s blood sugar with an insulin drip. The patient has recovered and dischar...

Injectable second generation antipsychotics and benzodiazepines in combination: safety considerations

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For years we’ve combined or alternated injectable benzodiazepines (e.g. Ativan ) with injectable first generation antipsychotics (e.g. Haldo...
Wednesday, November 19, 2008

Exciting developments in the medical blogosphere

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Just as I endeavor to increase the readability and usability of Notes from Dr. RW as a hospitalist (primarily clinical) blog two other devel...

I’ve gone green

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---with a new blog design that readers may find a little easier on the eyes. Better yet, the search engine up top actually works now. Lon...
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Liberation from mechanical ventilation

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In the resources linked here the term “weaning” is often misused in reference to the process of liberating patients from ventilators. “Wean...
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The rift between ER docs and hospitalists

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---may have adverse consequences for patient care. A survey published in the Annals of Emergency Medicine documented numerous handoff errors...
Tuesday, November 18, 2008

Vandy Med students get a lecture on alternative medicine

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I have no information about the lecture content but from the picture it was more promotional than science based, I’d wager.

Increased hospital admissions with diagnosis of PE

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Not surprising given the increased use of CT, which may be picking up insignificant filling defects in many patients. Graphic here .
1 comment:
Monday, November 17, 2008

CA-MRSA: From epidemic to endemic

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With the flu season here it’s a good time to review CA-MRSA, particularly CA-MRSA pneumonia. Emergency Medicine News has a blurb on CA-MRSA ...
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Long time, no post

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Just too dang tired to blog last week. Things should ramp up soon.
Tuesday, November 11, 2008

Intravascular catheter related infections

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An article in Expert Review of Anti-Infective Therapy summarizes the latest evidence and recommendations.

Allergic to Wi-Fi?

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Some are advocating for Wi-Fi free zones . H/T to StL Media.net .
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Sunday, November 09, 2008

Coming soon---ceftobiprole

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Via The Annals of Pharmacotherapy : Ceftobiprole medocaril is an extended-spectrum cephalosporin with activity against methicillin-resistan...

Bicarb no better than saline in preventing contrast nephropathy

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---in this study . Via JAMA.
Saturday, November 08, 2008

Henny Youngman doctor jokes

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Here are a few of my favorites: A doctor gave a man six months to live. The man couldn't pay his bill, so he gave him another six months...
Friday, November 07, 2008

Hospitalist turnover

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It’s widely said that a rolling stone gathers no moss. Try telling that to a hospitalist .

Putting evidence into practice: the Surviving Sepsis guidelines

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Experts discuss the ins and outs in Today’s Hospitalist.
Thursday, November 06, 2008

Disruptive behavior policies---they’re not just about doctors anymore

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Today’s Hospitalist interviewed Alan H. Rosenstein, MD, MBA, a long time hospital based physician who has authored several papers on the sub...
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Robert W Donnell
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