Yesterday’s case

We did that yesterday and again today. We did decrease his bicarbonate, but he continues to have a respiratory acidosis.

More evidence that post-MI drugs work

Since this is a Canadian study, cost was less likely to have been a contributing factor to the lack of medicines.

Politics – Obama vs Clinton – leadership vs. micromanagement

  My observations have coalesced over the past week.  I find this struggle fascinating, so like most observers I strive to understand.

Ineffective intraarterial volume

This article makes more clear an interesting physiologic mystery.  I hope my revelation helps at least 1 reader!

Acid-base 301 – solving yesterday’s morning report case

One of my main teaching philosophies includes understanding how to teach basics and when to move to more advanced concepts.

Maybe lowering cholesterol does not matter

These results will shake some readers faith in science. For me the results add to our understanding. This study affirms the value of scientific inquiry.

Criticisms of retainer medicine

  Why are highly ethical physicians opting for this style of practice?  If they are honest, they will find some truths that knee jerk opposition obscures.

The primary care reimbursement mess

I fear that it is important but a bit obtuse. I cannot imagine a sound bite approach to the evil the RUC has wrought.

What is an academic hospitalist?

I cannot answer the question. Perhaps defining an academic hospitalist is like defining pornography. Perhaps the question is moot.

Dyspneic

As we left the room, I turned to the resident, intern and student and explained, “That is why I love being an internist.”