Category Archives: Medicine

Intestinal bleeding transfusion strategies parallel Battlefield Protocols

This paper is going to be the discussion item for this month at our journal club.

Lay people can and should understand why medical research sometimes provides guidance that is counter intuitive, at least on the surface.

Continue reading

About these ads

Statins, Cholesterol, confusion

I can always count on some interest among old white guys about cholesterol and cardiovascular health.
Continue reading

No Ethics? No Problem: The Sequel

A few weeks ago, this column ran a story exposing just a few of the shocking ethics violations that occurred in conjunction with a clinical trial called SUPPORT (Surfactant, Positive Pressure, and Oxygenation Randomized Trial). The trial’s primary purpose was to examine the efficacy of two experimental strategies for managing oxygen and two strategies of ventilation therapy in extremely premature babies. As noted in the earlier piece, the consent forms left much to be desired. In fact, it is likely that if the risks to the babies were properly outlined, few if any parents would have agreed for their children to have been part of the trial.

Continue reading

Atopic Dermatitis in the family? My sympathies

The patient with atopic dermatitis suffers a lot. Eczema and atopy are hard to separate, and what a burden for the poor patient, particularly the child.

Continue reading

Intestinal biodiversity improves transplant survival

Patients under stress and immune compromised are found to do better if their bowel flora is diversified. the study group is bone marrow transplant patients.

Continue reading

Computers are dumb machines–patient safety alert

We knew this, didn’t we–garbage in garbage out–and the electronic health record gathers too much and takes away from physician patient interaction.

Continue reading

Antidepressants good? Antidepressants bad?

Ok so what do antidepressants do, and what is their impact?

Continue reading

Blood pressure keeps you alive–don’t treat it too low

Here’s a reminder, moderation in all things.

Continue reading

Johns Hopkins proves up the Hygiene theory of Asthma? Big surprise?

So for years the decline of air pollution has been associated with an increase in Asthma.

Continue reading

Risk for sudden death familial?

Here is a worthwhile study on the question of familial tendencies in sudden death syndrome.

Continue reading

Junk medical epidemiology on air pollution

These researchers used the same lousy methodology, but at least they were willing to admit they didn’t find anything. What they do claim is not statistically valid.

Continue reading

No Ethics? No Problem: The Story of SUPPORT

The National Institute of Child Health and Human Development was established by President John F. Kennedy, with the support of Congress, in 1962 to study the “complex process of human development from conception to old age.” In 2007, the NICHD was re-christened to include the name of Eunice Kennedy Shriver. Among NICHD’s many large projects was the so-called SUPPORT study (Surfactant, Positive Pressure, and Oxygenation Randomized Trial). Continue reading

Stan Young and Henry Miller on reproducibility

Stan Young PhD Stats and Genetics, Henry Miller MD Hoover Institution Scholar, on research reproducibility.

Continue reading

CABG superior to stents in 3 vessel disease

Well I guess you would have to score one for the surgeons, on 3 vessel disease, but that’s really bad disease. Recall there are only 3 coronary vessels the right, and the left main that divides into anterior and posterior.

Continue reading

ACE inhibitors win

I always liked ACE Inhibitors and shied away from Angiotensin Receptor Blockers because of cost.

Now I am rewarded for being parsimonious.

Continue reading

Chikungunya virus spreads in the Caribbean

Been in Haiti for a while, short term debilitation except in patients with morbidities.

Continue reading

Zeke assures us ACA is going very well

So now Zeke, oncologist, acclaimed healthcare policy and ethics expert, member of the nomenklatura, wonk, is a University Professor at Penn.

Continue reading

Unpasteurized camel milk and, of course Camel urine

I can’t comment on this one, interesting though. Lookee here.

Continue reading

Activity is important, use it or lose it

I am past Medicare age and enjoy good health, so now I need to keep active, right?

Continue reading

More on Statins from the Family Practice Crowd

I still think the jury is somewhat deadlocked on risk and relative merits and benefits.

Continue reading