Specialties & Topics
- Arthritis/Rheumatic Disease
- Breast Cancer
- GERD/Peptic Ulcers
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Quick Question: Should We Still Be Recommending This Year’s Flu Vaccine? • January 28, 2015
From a football-obsessed primary care provider, written to me on one very snowy day in New England: Hi Paul, I’ve been reading about this year’s flu vaccine, and how ineffective it is. Not surprisingly, my patients have been hearing this too, and it has only increased their reluctance to go through with it. Should I […]
Notes from chief residents in family and internal medicine.
Thinking Introspectively About the Holidays • December 22, 2014
In the midst of the holiday season, nestled as we are between Thanksgiving and New Year’s, I find myself in a reflective frame of mind. December marks the end of the year, and it harkens new beginnings on the horizon — and I find myself transitioning to new phases of my training. Some readers might […]
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 […]