Specialties & Topics
- Arthritis/Rheumatic Disease
- Breast Cancer
- GERD/Peptic Ulcers
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At the risk of betraying a deep streak of nerdiness, I confess to being a huge fan of Residents’ Report. This infatuation goes back to my medical student days, when the occasional chance to watch the Chief Medical Resident — who seemed the smartest doctor on the planet — lead a discussion of an interesting case inspired […]
Notes from chief residents in family and internal medicine.
Barriers • February 17, 2015
In an era of near-instantaneous transmission of data, where multi-billion dollar financial transactions are completed in the blink of an eye and where the worldwide web will answer any question in less than 0.19 seconds, communication during patient encounters remains a thorny issue. One recent afternoon, I saw Mrs. D in the medicine clinic. […]
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 […]