The problem of admission diagnoses – a guest post

I am afraid that we are going to have to revert to doctor-run hospitals, with all cash. Let patients deal with their own insurance companies.

The danger of ignoring your instincts

The article emphasizes that clinical guidelines should be flexible to accommodate individual patient differences and needs.

The danger of ignoring your instincts

I hope to do better the next time. Part of not doing better is refusing to rationalize what happened, but rather learn from the experience.

My tweetorial collection

If you do not follow me on twitter or use twitter, you can still use this link to read through these teaching sessions.

The man in 558

The next day, the team reported that he felt much better and that the new medication had allowed them to restart his opiates.

Reflections on risk prediction

We should always remember HL Mencken’s quote, “there is always a well-known solution to every human problem—neat, plausible, and wrong”.

Penicillin allergy, probably not

Given the usefulness of penicillins for significant inpatient infections, we should be testing all “pen allergic” patients in advance.

Speeding vaccination – a supply chain problem

The article critiques over-reliance on studies, stressing the importance of clinical experience and individualized patient care.

2018 #reflection – another great year

This was a huge year for medical podcasts. I have written about this recently. The excitement of hosting a podcast is difficult to describe.

More evidence on suppurative complications from Fusobacterium necrophorum tonsillitis

As the article documents, the epidemiology of FN pharyngitis, PTA and Lemierre Syndrome overlap almost perfectly.