What is primary care? (revisited)

I generally avoid using the term for this reason. I hope this discussion emphasizes the importance of the semantics.

On perioperative beta blockers – another hole in the performance indicator movement

I am interested in the ability of the performance movement to adjust.  Of course, they will shrug off the unintended consequences that they caused here.

Reasons to become a doctor

I will agree that if your goal is to get Rich (rather then just very well off) you should choose another career.

An acid base puzzle from rounds

Started rounds today and had several interesting laboratory findings.  I plan to post some patient quizzes for the next 3 days.

Are vitamin supplements dangerous?

  NNT the author of Black Swan probably enjoys this story, because it shows the triumph of empiric data rather than theory.

Epistemocrat – a Black Swan term

I am currently reading Black Swan. Over the next few days, I will likely share some observations which the book has suggested.

Fixing health care – Time

  The profession needs it to maintain our self-esteem.  And it probably would save the overall health care enterprise moneys.

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.