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In These Challenging Times for ID Doctors, A Little Comic Relief • September 13, 2014
I was passing a colleague in the hall the other day — he’s a general internist by training, now an important hospital administrator — and he briefly stopped me to get my take on the flurry of ID-related news bombarding the world right now. Him: Hey, Paul, good to see you. Me: Hi Jerry. Him: […]
Notes from chief residents in family and internal medicine.
Cynicism in Medicine • April 28, 2014
“Are you more or less cynical than when you started residency?” This was the question my Program Director asked our senior internal medicine residents at a recent dinner with Dr. Bob Wachter. If you aren’t familiar with Dr. Wachter, he is widely acclaimed as the “Father of Hospital Medicine” and a renowned champion of patient […]
An insider's notes on the practice.
EMR: What Is Your Solution? • August 14, 2014
Endoscopic mucosal resection (EMR) has become an indispensable part of the therapeutic endoscopy armamentarium. However, the technique varies from endoscopist to endoscopist — including differences in volume used, solution ingredients, and snare type. In my institution, the three of us who do the most EMR all differ in our approaches in many respects, including choice […]
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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 […]