Notes from Dr. RW

Case report and brief review .

Here’s a provocative review article . Some interesting questions were asked. For example, is lactate an indicator of...

From a recent review : Short telomere syndromes (STSs) are accelerated aging syndromes with multisystemic ...

Effective in reducing c diff as well as infection and colonization with resistant organisms in this systematic review .

Jamie Koufman seems to think so . Her solution? Let primary care docs be the gatekeepers who control access to speci...

From AHA meeting abstracts : Methods: Eligible patients were fee-for-service Medicare beneficiaries 65 years and ol...

Maybe early goal directed therapy wasn’t such a bad idea after all .

From the green journal : A new suspected cause of cryptic strokes is “silent atrial fibrillation.” Pacemakers and ot...

Here is a free full text review . These can take the form of extraintestinal manifestations of the IBD itself or dise...

There’s modest evidence that they’ve had an impact .

Slideshare and much more reviewed here .

This is from an evidence summary from AFP : Radioactive iodine therapy and antithyroid medications produce similar h...

From a recent study : Takotsubo syndrome, also known as stress-induced cardiomyopathy (SC), is underrecognized in ca...

From a recently published study : Highlights •LMWH is effective in about 60% of LC with PVT patients. ...

It was common in the elderly who had risk factors.

Peter Pronovost, a champion of this sort of thing, along with a couple of other authors, cites weaknesses of public reporting...

The definition of sepsis is a mess. Sepsis is difficult to reduce to a set of criteria. If you are an experienced clinician...

Here is a report on hospitals’ perceptions of SEP-1: BACKGROUND: In October 2015, the Centers for Medicar...

Well, it was pseudoscience that got us into it .

From the paper : Objective: Systemic capillary-leak syndrome is a very rare cause of recurrent hypovolemic...