Could primary care actually win?

I have remained skeptical, because they have benefited at the expense of family physicians and non-procedural internists.

Some music thoughts

On the trip down (4.5 hours) and back I listened to my trusty IPod Nano. While at the beach I took a first listen to Wilco (The Album).

Now for the hard part, figure out the acid-base problem. Next I will give you his labs 2 days later, then my interpretation.

Too many pundits have already set their opinions in concrete without knowing those details. And you wonder why physicians dislike politics.

So my simple advice is that medicine is worth it – not for riches – but for the work. Helping patients feels good every time.

As readers know, I have done only inpatient medicine (albeit as a teaching attending) for the past 8 years.

I am proud to release the June Wikio rankings. Happily I remain in the top 10! Browse these, and try some new blogs.

Politics requires the art of compromise. In supporting HR #2350 I am willing to compromise, but I do not have to be completely happy.

I see many hyponatremia patients, and few of them have persistent SIADH. I am glad to have this option for those rare patients.

Today’s NEJM has a great editorial (it should be free but it is not) – To Nap or Not to Nap? Residents’ Work Hours Revisited.