Notes from Dr. RW

Hospitalist resources and more.

Tuesday, June 12, 2012

Leapfrog gets a bad report card

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--- from some of our nation's best hospitals . Their safety metrics are too subjective, according to some of the experts. I note, to...
Saturday, June 09, 2012

Bleeding and Pradaxa (and other novel anticoagulants)

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Bleeding on blood thinners is a common problem. Until recently the drill was straightforward. Not so much anymore. Enter the novel antico...
1 comment:
Friday, May 11, 2012

Cosmetic treatment of fever not warranted

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We practice in an era of outcome based medicine. It’s not enough anymore, at least when it comes to things like blood pressure and blood su...
2 comments:
Thursday, May 03, 2012

Dabigatran review

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From the Journal of Medical Toxicology . Concerning bleeding complications: However, no therapeutic agent has been accepted to reliab...

It's not just the QT interval, stupid!

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Traditionally we look to the QT interval to assess the risk of Torsades des pointes ventricular tachycardia when monitoring the effects of c...
Monday, April 30, 2012

Physostigmine for anticholinergic delirium?

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This piece from the folks at ToxTalk caught my eye. It's another example of medicine's swinging pendulum. It looks like physo has...
Friday, April 27, 2012

Handwritten (white board) video tutorials on topics in medicine

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I haven't examined the actual content but the topic list looks great. It's definitely worth a look . HT to Clinical Cases and Im...
1 comment:
Monday, April 23, 2012

Moderation and clean living: the legacy of Dr. Lester Breslow

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Profiled in NYT . Via Clinical Cases and Images .

Quick reference: anaphylaxis

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From the Paucis Verbis series at Academic Life in Emergency Medicine .
Saturday, April 21, 2012

Quick reference: interpreting intraosseous blood

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From the Paucis Verbis series at Academic Life in Emergency Medicine .

Woo comes to the mall

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Brought to you by Mayo Clinic .
Friday, April 20, 2012

PET scan for Alzheimer disease

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The tracer has affinity for brain amyloid .  HT to Clinical Cases and Images .
Thursday, April 19, 2012

I’m back

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This blog is not dead. Priorities of life outside the blogosphere came calling. During the hiatus I realized how important a part of my pr...
4 comments:
Monday, January 30, 2012

Update on parasomnias

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Here's an interesting slide show from Medscape .
Monday, January 23, 2012

Anti-vaxxers challenge younger docs' clinical skills

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It's not often I see a good article in the lay press on health and medicine. This one from the Chicago Tribune is an exception. It go...
2 comments:
Saturday, January 21, 2012

A bad report card for Medicare's pilot projects

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---according to a CBO study as reported in this Medscape piece : Most Medicare demonstration projects aiming to reduce costs and improve th...

Imipenem outdoes doripenem in ventilator associated pneumonia

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---according to a recent announcement. Before getting into the report this might be a good time to compare some attributes of the four “pen...
Monday, January 16, 2012

Narcolepsy peak seen after 2009 pandemic flu

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---with a phase delay of several months. It appears to be related to the pandemic itself, not the vaccination. The mechanism of narcolepsy...
Thursday, January 12, 2012

More evidence demonstrating overuse of PPIs in hospitalized patients

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In this study much of the inappropriate use was driven by “prophylaxis” and it was associated with an increased rate of C diff. The author...
Wednesday, January 11, 2012

Whither pharmacologic VTE prophylaxis in medical patients?

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We've known for a while that it reduces VTE but there's never been a basis for a claim that it saves lives. According to this first...
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Robert W Donnell
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