August 28th, 2013
Vaccination Against Pertussis – Is It Worth the Trouble?
Paul Bergl, M.D.
“Four out of four!” exclaimed a proud PGY1 as she handed me the billing sheet for her last patient in continuity clinic. “Four out of four?” asked I. “Yes, I gave all of my patients their updated Tdap today,” she boasted. As her preceptor, I commended her for her commitment to routine health maintenance — you know, the supposedly […]
August 19th, 2013
Managing Hypertension – Not as Easy as It Once Seemed
Paul Bergl, M.D.
Hypertension… As a medical student, I never really understood the fuss over it. Practicioners had an excellent and concise guide in the JNC-7 to handle all of the major aspects of this disease. The JNC-7 guidelines were algorithmic, and a helpful table of compelling indications for antihypertensive agents couldn’t make life any easier. I soon realized […]
August 13th, 2013
Broad Is Best? The Culture and Etiquette of Antibiotic Selection in the Training Environment
Paul Bergl, M.D.
Friends and colleagues, welcome to the new academic year! I am delighted to be a chief resident blogger for NEJM Journal Watch for the coming year. Without further ado, let’s discuss residents’ use of antibiotics. Antibiotic selection can either be one of the most anguishing or most mindless decisions that an internal medicine resident makes. For […]