Monday, February 28, 2011

SHAKE syndrome

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---is a term coined by the authors of a report in the Archives of Internal Medicine of two cases of hyperammonemia with encephalopathy afte...

More evidence that preoperative statin therapy is beneficial

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In patients undergoing infrarenal aortic surgery : Methods: In this observational study involving 1,674 patients undergoing aortic recons...

How soon after intracerebral hemorrhage can you resume anticoagulants?

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Review in CCJM.
Friday, February 25, 2011

Fake-notes-real-docs: was it civil disobedience

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---as some have suggested? NO, says Dr. Rich : These young doctors had no thought of risking their personal freedom, or anything else th...

Use of proton pump inhibitors with thienopyridines

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---especially clopidogrel (Plavix). I first blogged about the clopidogrel-PPI interaction here and updated the topic here . At that tim...

Electrocardiographic differentiation of narrow complex tachycardias

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Sure it's SVT. But is it AVRT, AVNRT, FAT or something else? Here's a nice update . Free full text. Related content here . ...

Vancomycin MIC and outcomes in MRSA pneumonia

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From a recent article in Chest : Methods: Adult patients in ICUs with a diagnosis of MRSA HAP, VAP, or HCAP were entered in the study.......

Duration of anticoagulation after VTE

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Here is a synthesis of evidence and expert opinion . Key points and observations: Evidence is gradually driving a shift in thinking t...
Thursday, February 24, 2011

Would you tolerate those occasional computer glitches in a commercial aircraft?

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It's a reasonable question to ask as we go full speed ahead with EMR/CPOE, given all the patient safety comparisons with the airline ind...

In just over two and a half years we'll all be required to use ICD-10

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--- as required by CMS . Great. Job security for the coders and clin-doc specialists, and Medicare terminology will only be 21 years out o...

Docs' attitudes about EMRs

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A casual look at this recently reported survey suggests that doctors' attitudes about EMRs are, on the whole, positive. When looked a...

Eleanor Roosevelt's miliary tuberculosis---the most fabled diagnostic error in the history of medicine, or not?

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For over 20 years following the death of Eleanor Roosevelt various stories of her final illness circulated around. The gist was that she ha...

Tetralogy of Fallot all grown up

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What an internist needs to know.
Wednesday, February 23, 2011

Camel brought to Madison as a prop for The Daily Show isn't used to the ice

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Who'da thunk? Fire department to the rescue. Via Gateway Pundit .

"How can teachers go to school and tell their students not to ditch class at the same time they're childishly obtaining fake sick notes..?"

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Great question by Mark Jefferson. Via JSOnline . 

Fake notes by real docs: it's about our professional culture, not individual docs

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I blogged yesterday that the fake notes real docs scandal in Wisconsin was more about a cultural shift in the profession than about the doc...
2 comments:

Donald Berwick's incoherence

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Although few people, including Berwick's detractors, seem to have noticed, I have blogged for some time about the fact that Dr. Berwick,...
3 comments:
Tuesday, February 22, 2011

Introducing the University of Wisconsin department of Family Medicine, division of social activism

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When Health Care BS tried to post this the other day it looked as though someone had cleaned out the department, as most of the links to th...

And you thought medicine was about the doctor-patient relationship? “How 20th century!”

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Please read this post from Health Care BS on the real docs-fake notes story. Here's the message: We're dealing with something mor...

Ethicist “stunned, absolutely stunned” about the behavior of Wisconsin street docs

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Dr. Arthur Derse , an ethicist at the Medical College of Wisconsin, is thus quoted in yesterday's Atlantic article . From that piece we...