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all matters medical, and some not so medical.
Seriously — How Much Would You Pay for a Curbside Consult? • April 22, 2015
Yes, seriously. Let me start with an email exchange I had with a PCP recently: Hi, Paul, quick question This lady, 49 YO woman from Haiti, asymptomatic, totally healthy. Got TSpot done for immigration purposes, it’s positive with negative chest Xray. Treated with INH 6 months in 2001. She travels to Haiti annually so could had been reexposed, […]
Notes from chief residents in family and internal medicine.
Being Taught to Be a Teacher • April 10, 2015
Guest Blogger: Jenna Kay, MD, is a Chief Resident at Emory University Hospital. She will be starting her cardiology fellowship in July, 2015. How to insert a central line had been drilled into me long before my first attempt, and I was admittedly nervous performing my first procedure as an intern. But, as a senior […]
An insider's notes on the practice.
Clip, Burn, Inject, or All Three? How Do You Treat Ulcer Bleeding? • October 23, 2014
As endoscopists, we have all sorts of tools to treat ulcer bleeding or other gastrointestinal bleeding, such as injection with epinephrine and thermal coaptive coagulation with heater probes or multipolar electrodes like the Gold probe. More recently, a myriad of clips have become available for use. It seems to me that both operator and ulcer […]
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Podcast 174: PARADIGM and heart failure • September 10, 2014
The PARADIGM-HF trial of LCZ696 — a novel compound that both blocks the renin-angiotensin system with an ARB component and blocks neprilysin’s degradation of natriuretic peptides — increased survival in heart failure by some 20% relative to enalapril. It seems to be a big deal, and the trial’s two principal authors have agreed to talk […]