Browsing the archives for the Uncategorized category

A gold-standard for AKI?

Neutrophil gelatinase-associated lipocalin (NGAL) is a promising new biomarker of AKI.  While the cardiologists have troponins, and now highly sensitive troponins, nephrologists have been stuck using creatinine as a marker for AKI.  Creatinine has many flaws: at least 50% of kidney function must be lost before it even rises; it is highly dependent on age, [...]

0 Comments

ACP Leadership Day

After a week out of town on vacation, I was home for a night then off to Washington, DC for ACP Leadership Day. As always, it was a wonderful experience.
First, I am always so impressed by the ACP advocacy efforts. Bob Doherty in particular is such an impressive speaker, and is always in [...]

0 Comments

Imperial Nostalgia

I read an excellent article by Abraham Verghese in The Atlantic today. It made me think two things: first, I really love The Atlantic. Second, how much time are attending physicians spending on computers? He talks throughout the piece about how the problem with electronic medical records is that now he spends [...]

0 Comments

Hazards of Isolation

A doctor stops a fellow physician in the hallway. “I have a patient with MRSA, influenza, C. diff and TB.”
“Geez, that’s horrible. What do you do for a patient like that?”
“I have him on a special diet of pancakes and flounder.”
“Pancakes and flounder! My god, that’s revolutionary! Does it work?”
“I don’t know. It’s the only [...]

0 Comments

Is HCTZ the new atenolol?

In the early days of this century, as new antihypertensive medications were seeking their niche, the popular comparator drug was atenolol. The LIFE, ASCOT, and INVEST trials all used atenolol to demonstrate the “power” of their drug. Slowly, however, evidence emerged that atenolol was less effective than alternative antihypertensives. The Cochrane database [...]

0 Comments

Introduction

Welcome to yet another medical blog!  The purpose of this blog is essentially selfish.  I wanted to record in a journal those interesting facts one learns nearly everyday in medicine, as well as interesting cases I come along.  I actually looked for a good electronic journal, with tags &c.  I never found the perfect solution, [...]

0 Comments