DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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The value of fitness

This study does give us another reason to approach fitness like younger athletes.  Fitness really does matter.

The suffering man resolved

I called him the next day and he told me that he had taken the pill, gone to sleep and awoke asymptomatic.  Diagnosis likely confirmed.

A suffering man

Around 20 years ago, while I was still doing outpatient medicine, a 65-year-old construction worker came as a new patient with diffuse pain.

Some thoughts on clinical judgement

Do we just use the term when we want to stray from protocol or algorithm?  I found this definition which gets us part way to an understanding.

db’s anion gap pearls

Almost every resident has an anion gap talk.  Many students learn MUDPILES – I prefer KILU (An anion gap puzzle that explains KILU). 

The focus of rounding

Her understanding of different rounding styles highlights a key question about rounds and graduated responsibility.