DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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Dyspneic

As we left the room, I turned to the resident, intern and student and explained, “That is why I love being an internist.”

Who should take statins?

A resident asked me the other day whether to put someone on a statin. The patient had an LDL of 136, but was not high risk.

On Clinical Judgment

I have participated in research designed to measure one aspect of quality, i.e., adherence to known quality indicators.

Tight control of diabetes matters

A 17-year study confirmed that tight blood sugar control in Type 1 diabetes can reduce heart attack and stroke risks by nearly 50%.