Why do we still use oral furosemide?

Recently we had another patient taking 80 mg of Lasix twice daily – and he had gained 50 pounds. IV furosemide worked beautifully.

What is community acquired pneumonia?

So I accuse the system that was trying to improve quality as actually causing diagnostic errors and inappropriate treatments.

We should do a better job teaching “red flags”

Over the years, I have written about the short head and long tail. You can use the search function to find several posts since then.

Antibiotic resistance – should we blame primary care or ICU physicians?

Most organisms already have developed resistance to penicillin, amoxicillin and first generation cephalosporins.

Is Internal Medicine MOC necessary?

I truly believe that we are well represented on the ABIM board by thoughtful, ethical physicians, many of whom I know.

Interpreting the new sore throat article

I hope we can find a company (or more than one) who would develop a point-of-care test for Fusobacterium necrophorum.

An observation on the MOC debates

I have both publicly and privately criticized the former MOC process. Along with my colleagues we urged major changes in the process.

Arguing in favor of appropriate MOC

We all need a roadmap for true improvement. I think MOC could provide that roadmap. If so, then MOC would be most valuable.

Resident burnout – not fixed

We need to look at programs that are successfully addressing burnout before we speculate on ways to decrease burnout.

The Lemierre Syndrome – 2014 survey data

Recently, 79 members of Facebook’s Lemierre’s Syndrome Survivor group (which has 813 members) answered a hastily written survey.