Do doctors know whether their therapies really work? We are doctors. We know. Don’t we? Wide variations in the application of medical treatments often differ greatly, sometimes solely by adjoining county or state line. This shouldn’t be. That a place of residence, not a clinical scenario, determines one’s treatment, highlights the inherent uncertainty of medicine. […]
Search: “statins”
We found 61 results for your search.
Medical advancement stomps on. This week, Genetics takes front stage. Really, it’s cool. I know; I was a skeptic too. That is, until I read this most amazing paper on the real-life clinical utility of knowing the whole genome of a person. It felt like peering into the future of medicine. Background from the real […]
Conflicted am I on reading of the strategy of a group of South Miami cardiologists who have written their patients complaining of the cuts to reimbursement, primarily cuts in imaging procedures. Â A tension emerges from within upon reading the following quote from a “healthcare expert.” “I’m not at all sympathetic with the cardiologists,” said Robert […]
Here are two vignettes illustrating the failure of doctors to master the obvious and maybe a window onto the future struggles to control medical costs. A 90 year old is referred for care due to “end stage dementia.” End-stage dementia is medical speak and as such does not really convey the appropriate imagery. It means […]
High intensity exercise was in the news today. Let’s do science: Don’t worry, I will make it easy. Background: It is known that exercise is good for the heart, even after stents or bypass. Historically, high intensity exercise was too scary to recommend for heart patients. Recently though, reports have suggested that high intensity exercise […]
The parking lot is devoid of the usual chaos. The coffee cart is closed. An unusual quiet in the hallway is the norm. Holiday in the hospital. There were dark circles underneath the fatigued eyes and a slowness of gait. A colleague “fixed” four heart attacks on Thanksgiving. Sometimes, I make fun of the “squishers,” […]