Notes from Dr. RW

Hospitalist resources and more.

Tuesday, April 23, 2019

Should you get immunoglobulin levels on patients admitted with community acquired pneumonia?

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From a recent study : BACKGROUND: Immunodeficiency is an underrecognized risk factor for infections, such as communi...

Should docusate be removed from your hospital’s formulary?

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According to this article it should.
Saturday, April 20, 2019

Prealbumin testing is not useful in the assessment for malnutrition

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Prealbumin (aka transthyretin) is, like albumin, an acute phase reactant. It is, also like albumin, a negative acute phase reactant bec...
Friday, April 19, 2019

Very low utilization of advance care planning (ACP) CPT codes among hospitalists

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From a recent study : We analyzed advance care planning (ACP) billing for adults aged 65 years or above and who were...
Thursday, April 18, 2019

Survey data on the state of research in hospital medicine

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From a recent paper in the Journal of Hospital Medicine: BACKGROUND: Little is known about the state of research in...

Are residents getting enough training in managing crashing patients in the hospital?

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From a recent study in the Journal of Hospital Medicine: BACKGROUND: Internal Medicine (IM) residency graduates sho...
Wednesday, April 10, 2019

Atul Gawande on the electronic medical record

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Atul Gawande has a piece in the New Yorker titled Why Doctors Hate their Computers . The title is deceptive. In the first place doctors ...
Tuesday, April 09, 2019

The EMR mess and its horrible consequences

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What practicing docs knew all along .
Tuesday, April 02, 2019

Extended infusion protocols for piperacillin-tazobactam (PTZ): do they mitigate nephrotoxicity?

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Not in this study . From the paper: Our findings suggest a similar rate of nephrotoxicity between patients who rec...

A little background on thalidomide

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From a recent review article : Thalidomide is a drug with interesting therapeutic properties but also with severe si...

Syncope guidelines

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Unbelievably long for what should be a simple topic, but everything you’re likely to want or need to know is here .
Monday, April 01, 2019

Visceral fat: an inflammatory engine driving worse outcomes in sepsis?

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Recent study findings here .
1 comment:

Strength training improved cognition in older patients

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--- in this study .

What explains strokes in young people (ages 18-55)?

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Traditional, modifiable risk factors in almost 80% in this study .
Saturday, March 30, 2019

Do you really need a TSH receptor antibody test to distinguish Grave’s disease from other forms of hyperthyroidism?

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In this study clinical assessment alone was poor .
Friday, March 29, 2019

Low vitamin D levels associated with increased mortality

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From a recent study published in Mayo Clinic Proceedings : Objective To determine the relationship between 2...

Testosterone replacement associated with better cardiovascular outcomes

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Will a randomized controlled trial some day blow this out of the water like we saw in the case of ERT ?

Troponin elevation in stroke may point to a cardioembolic etiology

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From a recent paper : Abstract Background Our aim was to determine whether patients with embolic strokes of ...
Thursday, March 28, 2019

Appropriateness of troponin ordering in the hospital

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Form a recent study : Troponin assays are integral to the diagnosis of acute myocardial infarction (AMI), but there ...

Triple antibiotic therapy against carbapenemase producing bacteria

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Here is a review on the topic. These regimens have been our go-to for a while now and are effective although the crude mort...
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Robert W Donnell
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