Appearances can be deceiving: aging, homelessness, and acute care
June 17, 2013
Before reading any further, stop to think about the last older homeless adult you saw. If you are a…
Surrogate End Points in Drug Trials: Caveat Emptor
April 29, 2013
It seems like such a good idea. Before a patient takes a new drug, they would like to know that…
Six Awkward Concerns in My Not-Yet-Opened Notes
January 23, 2013
Note: This baby is not a veteran, nor is this the VA Medical Record system. The VA has just taken…
Aricept 23 – Another Victory for Marketing Over Patients
March 23, 2012
“What is the difference between 20 and 23? If you said three, you are off by millions—of dollars in sales,…
Potpourri from Clinical Work V
December 6, 2011
The following observations and questions came up during my recent work as palliative care attending. Thoughts and responses are welcome:…
Too Much of A Good Thing
November 26, 2011
There is an estimated 6.7 million emergency hospitalizations every year in the US. One out of every 67 of these…
Opioid Dysmotility Dance Video
September 24, 2011
If you see just one YouTube video where a doctor uses his own body to teach, then see Cardiac Arrhythmias…
Befuddlement at Hospital Discharge
September 12, 2011
Hospitalizations present a host of dangers to an older patient, and perhaps one of the most hazardous parts of hospitalization…
Now I Trust My Heart to Lipitor OTC
September 2, 2011
The New York Times just published an excellent piece by Paula Span on a plan by Pfizer to make its…
Hospital Medicine is Part of Primary Care
August 22, 2011
There has been a lot of policy discussions about the emergence of the hospitalist movement. A decade ago, when a…