Notes from Dr. RW

Hospitalist resources and more.

Saturday, November 07, 2009

Should beta blockers be held or reduced when patients are hospitalized with acute decompensated heart failure?

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No, according to this study : Conclusion: In conclusion, during ADHF, continuation of beta-blocker therapy is not associated with delayed...

Neutropenic enterocolitis

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AKA typhilitis. Another review .

Autoimmune pancreatitis

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It mimics pancreatic carcinoma but there are differentiating clues.
Friday, November 06, 2009

Cardiac CT

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Here I will try and put together the essentials of this sometimes confusing and ever changing topic. Most of this information is from a lec...

Six Sigma and Lean

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---are process improvement methodologies originated by industry (Motorola and Toyota, respectively) increasingly employed by health care sys...

Renal injury after sodium phosphate bowel prep

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Phosphate nephropathy, which can lead to not only AKI but also CKD, is an emerging concern as more and more case reports appear. Here is an...
Thursday, November 05, 2009

Influenza update

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Recent coverage of influenza in the professional media has consisted of a dizzying flurry of disjointed sound bites. I have set out to put ...

Is the American Medical Student Association contributing to the infiltration of non-evidence based woo in academic medicine?

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Multiple factors have contributed to the rising promotion and teaching of quackery in mainstream academic medical centers, something I'v...

Will the copyright treaty take us back to Web 1.0?

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Here's some of what's leaked from secret negotiations to hammer out the treaty, according to Boing Boing : That ISPs have to proacti...

Tygecycline for refractory C diff?

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This is not something worthy of a change in practice yet. File it away in the “stay tuned” category.

Natriuretic peptide levels to guide heart failure therapy

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Although this has been a swinging pendulum the latest meta-analysis suggests that using BNP or proBNP to guide treatment improves mortality...
Wednesday, November 04, 2009

Prescription benefit plans in Canada

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Prescription benefit plans vary from province to province in Canada. How does this affect patient use of medication? From a study in Circu...

Aortic valve calcification

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---(calcific aortic sclerosis or stenosis) is an atherosclerotic process and predicts atherosclerosis elsewhere.
Tuesday, November 03, 2009

What drug is best for initial treatment of rapid atrial fib?

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According to the results of this study it's good old, tried-and-true diltiazem: Measurements and Main Results: The primary end poin...

Factors in hospitalist retention

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Compensation is the obvious one according to this article in ACP Hospitalist, but there are intangibles: Professional development activitie...

How hospital medicine groups have thrived in troubled economic times

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Two new themes emerge from this article in The Hospitalist: Hospitalist groups need to align their incentives with hospitals. Hospitals wit...

Easy rule out test for aortic dissection?

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I've posted about this before. The latest is this study from Circulation: Methods and Results— In this prospective multicenter study, ...
Monday, November 02, 2009

Overuse of CTPAgrams for diagnosis of PE

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According to a poster presentation at a recent conference of the American Thoracic Society: The total number of CTPAs performed for suspecte...
1 comment:
Friday, October 30, 2009

Hospitalists at your beck and call

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Thursday, October 29, 2009

Hospitalists and comanagement---the debate continues

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But the debate, as illustrated by a point-counterpoint piece in the October issue of The Hospitalist, is not about whether collaboration am...
2 comments:
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Robert W Donnell
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