Allan Brett, MD
September 9th, 2011
Asymptomatic Carotid Stenosis: Medical Management or Revascularization?
Allan Brett, MD
Every so often, one of my patients with no history of stroke or transient ischemic attack asks my opinion on what to do about a carotid ultrasound — not ordered by me — showing high-grade stenosis. I am a general internist, and I don’t obtain these studies in patients without a history of cerebrovascular symptoms. Guidelines […]
May 3rd, 2010
(Mis)Information on Fenofibrate in the Clinic
Allan Brett, MD
Several days ago, I — a general internist — saw a 70 year old diabetic woman with coronary disease who was stented 3 years ago and has been asymptomatic since then. During our office visit, I noted that a nurse practitioner who does lipid management in her cardiologist’s practice had added fenofibrate to her statin just a week […]
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