DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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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.

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.”

ABG quiz revealed

While ABGs are painful, in cases like this one, they provide important information that pulse oximetry alone does not provide.

ABG quiz

The patient has metabolic alkalosis with respiratory compensation. The low oxygen level (pO2 of 62) suggests mild hypoxemia on room air.