The danger of pronouncements in medicine
Save the money and time spent on crafting these missives and explain why our decision making is appropriately messy.
New drugs for hyperkalemia
Hyperkalemia has become a significant problem. With more type 2 Diabetes Mellitus, we are seeing an explosion of chronic kidney disease.
Syncope week – Day 2 – high-risk features
The list is not exhaustive, but very suggestive. These features require admission and careful cardiac evaluation:
Syncope guidelines published Day 1
There is enough material here for 5 days of short posts rather than one long post. Today, I have copied their key messages.
The value of controversy in medicine – sepsis
We must hope that this controversy will lead to gathering more information to resolve the controversies and improve care.
The tyranny of metrics – a book review
I highly recommend this book. It will take around 3-4 hours to read but it may induce even more anger over metrics.
Tips for IM attendings – my favorite question – Chapter 22
I want the learners to see me as a well rounded human being. They need to see that to keep their goals in perspective.
Tips for IM Attendings – Chapter 22 – take a mental break
They also need time to move around. We present sitting, and it usually takes 2 full hours to hear 8 patients (and that means going quite fast at times).
The cirrhosis chalk talk
Some days on ward rounds we have time for relatively short chalk talks. Over the years I have developed many.
Using 1/creatinine to assess the possibility of AKI
If the creatinine stays steady for a period of time, then we could use the term, but often the creatinine inevitably increases.