Notes from Dr. RW

The FDA has just added a black box warning despite the fact that this risk has been known for some time. Methimazole is now designated the...

A while back I wrote that medical eduction was slouching towards pre-Flexnerian standards due to the growing influence of unscientific comp...

This idea goes against the popular hospitalist mindset. At first glance it seems redundant and wasteful. After all, don't hospitalists...

I think Gracie's glad to see him.

Essentially endogenous catecholamine overdose followed by disturbances in intramyocardial calcium metabolism. Review here .

Funny stuff from Eric DeLue: You might be a hospitalist if a general surgeon asks you to admit a 24-year-old with acute appendicitis because...

The experience of the Oklahoma TTP Registry, a database of patients referred for plasma exchange from 1989 to 2008, is the topic of an open ...

Those of us who work in health care live in a culture of blame. The Institute of Medicine's egregious spin of data on patient harm and ...

Although the pharmaceutical industry has brought us remarkable advances in patient care it is not above criticism. Pharma critics deliver n...

From a study published in Health Affairs: A national sample of sixty-two hospitals voluntarily used a simulation tool designed to assess ho...

A recent SMJ article (full text via Medscape ) presented a case of B 12 deficiency neuropathy induced by metformin mistaken for diabetic ne...

Here's a paper reporting the experience at a community hospital.

Why is academic medicine devolving into quackademic medicine? What are the driving forces? One is the AMSA foundation's EDCAM proje...

Sit down when you visit the patient. She'll think you spent more time, whether you really did or not. (Now don't think that'll...

Imagine a health care policy leader whose vision for patient centered care is to give individual patients exactly the care they want, whene...

So we could find out what was in the bill! H/T to Retired Doc .

In a way, criticisms surrounding the health care reform bill resemble those surrounding the patriot act : an opportunistic rush to implement...

HM 2010 was a wonderful experience. I'll be spending the next few weeks reviewing course materials, thinking about how to incorporat...

The older I get the more I appreciate the benefits of sleep. So I found this study interesting. Sleep loss leads to profound performance d...

Patients with chest pain who “rule out” with negative ECGs and troponin levels present a difficult problem because although they lack object...