Notes from Dr. RW

Hospitalist resources and more.

Friday, May 30, 2014

Concern over MOC goes beyond the blogs

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This just published article from Cleveland Clinic examines the evidence concerning MOC, its unintended consequences and the current status ...
1 comment:
Thursday, May 29, 2014

Growing resentment and misery over MOC

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Dr. Robert M. Centor, the blog author at DB's Medical Rants , opines on this subject from time to time and did so again yesterday . He ...
Wednesday, May 28, 2014

American Board of Internal Medicine to all the old farts out there: you're still certified for life---well, sort of

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The push back against ABIM's Maintenance of Certification program (MOC) is growing by leaps and bounds . Most of this, as far as I ca...
Tuesday, May 27, 2014

Dalbavancin: about to be launched

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A Dalvance drug rep will be bringing lunch to a hospital near you, and soon. So you might as well learn a little about it now. Here's...
2 comments:
Monday, May 26, 2014

Vancomycin, Zosyn and nephrotoxicity: should we be worried?

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I hope readers will understand my using the name Zosyn instead of the more clunky piperacillin/tazobactam. I think the term “gone viral” w...
Saturday, May 24, 2014

Antidotes for target specific oral anticoagulants: coming soon

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Currently available options for reversal of TSOACs are limited. However, specific antidotes are in the pipeline and were the subject of thi...
Wednesday, May 21, 2014

Update on the Surviving Sepsis Guidelines

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This recent article in the Annals of Emergency Medicine is nothing new, and it is already a little out of date because it does not acknowl...
Monday, May 19, 2014

Vancomycin dosing: the right way and the wrong way

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Current guidelines for MRSA targeted vanc dosing have been around for a while now and should be pretty familiar but inappropriate dosing is ...
Sunday, May 18, 2014

TPA for acute ishcemic stroke: trends in usage

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From the Get with the Guideline-Stroke database : Methods and Results—We analyzed all AIS patients (n=1 9093 895) and those arriving less ...
Saturday, May 17, 2014

RSV can cause severe disease in adults

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Particularly the elderly according to this paper : Methods. A retrospective cohort study was conducted on all adults (greater than or equa...
Friday, May 16, 2014

Prehypertension is a risk factor

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From a recent meta-analysis : Methods Databases (PubMed, EMBASE and the Cochrane Library) and conference proceedings were searched for p...
Thursday, May 15, 2014

Subsegmental PEs: How important are they?

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CT pulmonary angiography has opened up a can of worms. Although less sensitive than VQ scanning for clinically significant pulmonary emboli...

Metformin associated lactic acidosis: what hospitalists need to know

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Phenformin, an older generation biguanide and metformin's precursor, was in its last days on the pharmaceutical market during my train...
Wednesday, May 14, 2014

STEMI versus NSTEMI: misunderstood, misapplied, revisited

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I have written a number of posts about the binary distinction of “STEMI versus NSTEMI” for acute coronary syndrome. In those posts I have...
Tuesday, May 13, 2014

Z-drugs, cognition and driving

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The Z-drugs are the newer generation hypnotics zolpidem, zopiclone, and zaleplon. These drugs are increasingly reported to impair cognition...
Monday, May 12, 2014

Avoiding IV contrast hazards: facts, myths, FAQs

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Here's a great podcast andaccompanying notes from ercast. For further reading here's the American College of Radiology...
Sunday, May 11, 2014

New evidence on IVC filters: low level but compelling

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From a recent large database of patients with unstable PE : Results Among 21,095 unstable patients with pulmonary embolism w...
Saturday, May 10, 2014

May-Thurner syndrome

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Here is a case report and brief topic discussion from the SHM 2014 abstract presentations. This condition is easily overlooked b...

Hospitalization increases the risk of gout attacks

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In this study .

Intravenous interferon-beta-1a (FP-1201): promising pharmacotherapy for ARDS?

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From the Lancet RespiratoryMedicine : Pulmonary vascular leakage occurs early in acute respiratory distress syndrome (ARDS)....
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Robert W Donnell
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