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db's Medical Rants

Internal medicine, American health care, and especially medical education

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db's Medical Rants | medrants.com Reviews
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Internal medicine, American health care, and especially medical education
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db's Medical Rants | medrants.com Reviews

https://medrants.com

Internal medicine, American health care, and especially medical education

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1

db's Medical Rants » Blog Archive » The anti-vaxxers really anger and befuddle me

http://www.medrants.com/archives/8000

Db's Medical Rants. Internal medicine, American health care, and especially medical education. The anti-vaxxers really anger and befuddle me. Category : Medical Rants. The press loves to criticize the deep South. We in Alabama have many health problems. But we are number 3 in the country for vaccinations! The striking rise in measles. Damn I’m angry. I share your feelings, but I’ve been blogging on this topic for years, and I do have personal experiences with anti-vaxers. And I can tell you tha...For eve...

2

db's Medical Rants » Blog Archive » Washington Post on concierge medicine

http://www.medrants.com/archives/2003/01/24/washington-post-on-concierge-medicine

Db's Medical Rants. Internal medicine, American health care, and especially medical education. Washington Post on concierge medicine. Category : Medical Rants. Retainer medicine continues to grow. Doctors on Call — for a Hefty Retainer. In a few weeks, more than 4,800 people who have been patients of two Bethesda physicians will have to find new doctors — all because they aren’t willing to pay an annual membership fee of $1,500 to continue seeing their internists. This new brand of “concierge care&...

3

db's Medical Rants

http://www.medrants.com/index.php

Db's Medical Rants. Internal medicine, American health care, and especially medical education. Palliative care – our responsibility to patients. Category : Medical Rants. This week we had an all too common clinical situation. A patient with severe COPD developed pneumonia. His prognosis because of his underlying disease is relatively poor. We are fortunate to have palliative care physicians to remind us. We should not need that reminder, but we do. So we should all thank those dedicated physician...The h...

4

db's Medical Rants » Blog Archive » Learning from the detectives

http://www.medrants.com/archives/8086

Db's Medical Rants. Internal medicine, American health care, and especially medical education. Learning from the detectives. Category : Medical Rants. Many readers know that I love mystery novels and TV shows. Recently I was talking with a 3rd year student, and realized that one of the reasons I love internal medicine is that every day I am a detective. As I watch detective shows and movies and as I read or listen to detective novels I am learning lessons about being a better diagnostician. The real evid...

5

db's Medical Rants » Blog Archive » J’accuse – our notes are meaningless

http://www.medrants.com/archives/6530

Db's Medical Rants. Internal medicine, American health care, and especially medical education. J’accuse – our notes are meaningless. Category : Medical Rants. So today I accuse CMS billing for harming clinical judgment. Like most physicians my age I see clearly the flaws in our current note writing. (Younger physicians know this also) We no longer write notes about the patients problems, but rather make certain that we have checklists of review of systems and physical exam findings that have litt...We de...

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DrDialogue: October 2012

http://www.drdialogue.com/2012_10_01_archive.html

Monday, October 8, 2012. Have Electronic Health Records Led to Fraudulent Upcoding by Physicians? Over the past several decades medical costs in the United States have escalated rapidly, exceeding the pace of inflation and threatening bankrupt to Medicare. As we heard in last week’s presidential debate, different solutions have been proposed on how to slow Medicare’s growth and reduce cost. I have discussed this in a previous blog: " When is Unneeded Care Criminal? As reported by the New York Times.

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DrDialogue: February 2014

http://www.drdialogue.com/2014_02_01_archive.html

Saturday, February 1, 2014. Should you be on cholesterol medication? How the new guidelines are different. Cardiovascular disease—including coronary atherosclerosis and cerebrovascular disease, remains the number one cause of mortality in the United States. One out of three people in this country will die of cardiovascular causes. In November 2013 updated guidelines for the treatment of high cholesterol were released by the American College of Cardiology-American Heart Association. The new risk calculato...

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DrDialogue: August 2013

http://www.drdialogue.com/2013_08_01_archive.html

Thursday, August 22, 2013. Should a Doctor Prescribe Drugs that are Unapproved by the FDA? Here’s an interesting clinical dilemma brought to my attention by another physician. Discuss it as an option for women who have trouble with lactation. The questions: Is it legal, ethical or good medical practice for a physician in the United States to write a prescription for domperidone for a patient who has been using it for lactation with good results? How about for gastroparesis? Where does one get the drug?

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DrDialogue: July 2013

http://www.drdialogue.com/2013_07_01_archive.html

Wednesday, July 3, 2013. What foods are in the Mediterranean Diet? The Mediterranean Diet is fresh on my mind, having recently returned from a trip to Turkey. During my travels I also enjoyed a variety of grilled fresh fish served with lemon, seaweed salad, pomegranate juice, freshly pressed at the side of road, and roasted chestnuts, also sold by street vendors. I was elated to hear that a new study published in the New England Journal of Medicine. In April of this year. I was after I read these results.

drdialogue.com drdialogue.com

DrDialogue: Should you be on cholesterol medication? How the new guidelines are different

http://www.drdialogue.com/2014/02/should-you-be-on-cholesterol-medication.html

Saturday, February 1, 2014. Should you be on cholesterol medication? How the new guidelines are different. Cardiovascular disease—including coronary atherosclerosis and cerebrovascular disease, remains the number one cause of mortality in the United States. One out of three people in this country will die of cardiovascular causes. In November 2013 updated guidelines for the treatment of high cholesterol were released by the American College of Cardiology-American Heart Association. The new risk calculato...

drdialogue.com drdialogue.com

DrDialogue: March 2013

http://www.drdialogue.com/2013_03_01_archive.html

Monday, March 25, 2013. Have you planned your retirement from driving? When should drivers retire from driving? This question is always difficult to answer. In our suburban car culture driving allows seniors to maintain their independence and prevents social isolation. However, at what point does it become unsafe for the elderly to drive and what are the risks? He drove away, his car and him unscathed, but my in-laws were not so lucky. It turns out that with the aging process, changes in the architecture...

billyrubinsblog.org billyrubinsblog.org

Billy Rubin's Blog: November 2013

http://www.billyrubinsblog.org/2013_11_01_archive.html

Where a spiritual descendant of Sir William Osler and Abbie Hoffman holds forth on issues of medicine, media and politics. Mostly. Friday, November 29, 2013. The "Hunger Games" Critique, Sequel Edition. It's not just me: about a year and a half ago the Billy Rubin Blog posted a cranky essay complaining that "The Hunger Games", whatever its cinematic merits, should not have been given a PG-13 rating. With which we entirely agree. It even includes a link to a medical journal! Finds that depictions of gun v...

billyrubinsblog.org billyrubinsblog.org

Billy Rubin's Blog: July 2013

http://www.billyrubinsblog.org/2013_07_01_archive.html

Where a spiritual descendant of Sir William Osler and Abbie Hoffman holds forth on issues of medicine, media and politics. Mostly. Thursday, July 25, 2013. Stoopid Questions About Health: NYT Edition. Teachers insist that there is no such thing as a stupid question. I would beg to differ. Exhibit A is yesterday's New York Times. As it goes on to discuss (possibly) slightly higher rates of abnormal heart rhythms in these über-fit marathoners compared to the general population. The answer is no. Are much m...

lvntobsn.org lvntobsn.org

Informational Blogs to Follow the ObamaCare Debate - The Practical Nurse

http://lvntobsn.org/2011/33-informational-blogs-to-follow-the-obamacare-debate

Sharing practical health tips and resources. Informational Blogs to Follow the ObamaCare Debate. Healthcare reform, often known as ObamaCare. Has been one of the hottest and most emotionally explosive issues over the past several years among health care professionals. This anonymous blog takes on ObamaCare as well as any other issue that might make this administration appear weak and silly. Big Dog’s Weblog. An organization that focuses on teen and unplanned pregnancy prevention. Dr Goodman is one of the...

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db's Medical Rants

Db's Medical Rants. Internal medicine, American health care, and especially medical education. The cirrhosis chalk talk. Category : Medical Rants. Some days on ward rounds we have time for relatively short chalk talks. Over the years I have developed many. Learners seem to like this one in particular. Here is my list:. Ascites – not hard to diagnose – often taking spironolactone and furosemide. Encephalopathy – lactulose (many patients hate this) and/or rifaximin. Hepatorenal type 2 – midodrine. Many pat...

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Slt tout le monde. Salut tout le monde.je m'appelle mohamed de maroc et mon surnom c mohamed amine et je vx remercier tt les gens qui ont fai une visite ds mon skyblog et laisser vos commentaire svp,merci a tous je vous aimes et bon visite. 039;-` -'`). 039;- . '=' . .-'. 039;#'#.-.#'#'#;`. 039;#'- - ( /. 039;#- - - -*.-.#'. 039;#- - .-.#'-. 039;# .#'/-./. 039;#' ). 04/06/2007 at 5:47 PM. 13/10/2012 at 11:41 AM. Soundtrack of My Life. 1 - Byad Ou K7al (Byad Ou K7al [Explicit]). Subscribe to my blog!

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