DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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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.

Pushback against Groopman

Megan McArdle and eSkeptic have written pieces implying that Groopman has missed an important point.

More on we

We have a steadily increasing number of physicians providing retainer medicine. This model succeeds because it fulfills patient needs.

What is malpractice?

Of course I would love to see a national system of health courts. I would love to see consistency. But then I am a dreamer.

A love letter to the VA EMR

We would clearly save money. Too often patients have expensive tests repeated because we cannot get the old results.