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Archive for December, 2012

Chaos in the Diagnosis of C diff, and Dogs are Amazing Creatures

Paul Sax • December 22nd, 2012

Categories: Health Care, Infectious Diseases, Medical Education, Misc, Patient Care

(5 votes, average: 4.80 out of 5)

If you’re confused about the best way to diagnose C diff these days, welcome to the club. There are all kinds of tests out there, and no uniform approach between labs. Our lab actually does three tests — and will do a fourth (the classic cytotoxicity assay) if you request it. The result? Chaos, confusion, [...]

Severe Telaprevir Rashes and Waiting (or Not Waiting) to Treat Hepatitis C

Paul Sax • December 20th, 2012

Categories: Health Care, HIV, Infectious Diseases, Patient Care

(3 votes, average: 5.00 out of 5)

Yesterday, the FDA issued a drug safety alert about severe rashes — “some fatal” — in patients treated for HCV with interferon, ribavirin, and telaprevir. The culprit, of course, is the telaprevir. The label already contained warning information about serious skin rashes with the drug, and this alert serves to heighten our awareness of the [...]

On Service — But Some Works in Progress

Paul Sax • December 17th, 2012

Categories: Health Care, Infectious Diseases, Misc

(5 votes, average: 5.00 out of 5)

When several of my colleagues attend on the inpatient consult service, they turn on an “out of office” message that provides an automated e-mail reply that goes something  like this: I am currently attending on the inpatient consult service. During this busy time, I may not be able to respond to email in a timely [...]

Top HIV Stories of 2012

Paul Sax • December 5th, 2012

Categories: Health Care, HIV, Infectious Diseases, Patient Care, Policy, Research

(3 votes, average: 5.00 out of 5)

Somewhere in our genome, we are programmed to use the end of the year as a time to reflect on the previous 12 months — and to make lists! If you don’t believe me, there’s barely a publication or web site out there that hasn’t already succumbed, and we’re just in early December. And what [...]