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.

An IV ADH antagonist becomes available

Those familar with my teaching know that I get most excited when discussing acid base or electrolyte problems.

On Clinical Judgment

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

Another example of the importance of clinical judgement

I will rant more on clinical judgment in the near future. This is the essence of excellence. The mystery is how we might measure it.

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%.