Hyperkalemia – why

A 53-year-old man, with a history of DM II, hypertension, depression and hepatitis C,  He is admitted for muscle cramps.

Why the man was jaundiced

What could cause such acute cellular destruction?  When I first heard this presentation at morning report I assumed viral hepatitis. 

A jaundiced man

Here is a puzzle for you to consider.  One of my residents told me that I needed to post more clnical problems.

RUC this

Let me explain.  The RUC has systematically (either with or without malice) over valued procedures and undervalued cognition.

If I were health czar – steps to decrease health care costs

Please comment and I will respond.  Perhaps we could even develop a health care bloggers guide to decreasing health care costs!

Are we whining about primary care?

I ask how we should modify our system to encourage the growth of primary care.  Money does matter.  To think otherwise is unfortunately wrong.

Understanding the financial collapse

I had heard of Liar’s Poker, and actually had heard of this article.  Having just read it, I highly recommend it for anyone who wants to understand.

Work hours and unintended consequences

At 59, I’m still improving as an internist. You won’t keep up with all the science, but can still become great.

Resident work hours

On the positive side, the committee did not back off from the 80 hours.  They recommend more strenuous enforcement, and I agree with that plan.

Why we should not short change medical training

When I have a medical problem, I hope my physicians have adequate experience.  I hope their training was not short changed.