General Cardiology Health Care Reform ICD/Pacemaker

Who should write medical guidelines?

There are few other medical specialties that boast more guidelines than Cardiology. We don’t say a specific treatment plan was good or bad; we say it was “I, IIa, IIb, or III” Today, a well publicized health story (WSJ, and NY Times) from the Archives of Internal Medicine reported that more than 50 percent of […]

General Medicine Health Care Reform


There used to be only single society guidelines: AHA Guidelines. Or, ADA Guidelines. Then we progressed to two organizations:  AHA/ACC Guidelines. Soon the heart rhythm boys wanted in:  AHA/ACC/HRS Guidelines. But last night, I saw the this: ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guidelines. (For the treatment of blood vessels in the neck.) Geez. JMM