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DB's Medical Rants Contemplating medicine and the health care system

English - Health, Medicine, Science
http://www.medrants.com/
DB's Medical Rants · 1w ago

The Fusobacterium story as of 2018 – a very long post

Over the past 15 years I have developed an obsession to understand Fusobacterium necrophorum both as a cause of adolescent/young adult pharyngitis and the development of suppurative complica...
DB's Medical Rants · 3W ago

Why I love inpatient IM ward attending

38 years and I still get excited making rounds.  45 years ago I discovered that I was meant to be an internist – it was my first week on the IM rotation.  Prior to that week I had no idea! I...
DB's Medical Rants · 4W ago

Tips for IM attendings – Chapter 21 – make rounds a conversation

Recently I observed rounds someone else’s rounds.  During those rounds, interns or students reported to the attending physician who took notes.  Interaction was minimal, and other members of...
DB's Medical Rants · 1M ago

The #5goodminutes project

As readers and twitter followers know, I have embarked on a yearlong project – tweet a relatively short internal medicine topic each day.  This project came from advice I have been giving le...
DB's Medical Rants · 1M ago

Try to avoid vancomycin/pip-tazo

This weekend I started listening to the Curbsiders end of the year spectacular.  Matt’s pick of the year was an upcoming meta-analysis about the risk of the vanc/pip-tazo combination.  We de...
DB's Medical Rants · 1M ago

#5goodminutes Type IV RTA

For a number of years I have advised students and residents to keep a notebook of topics that arise on rounds.  Pick 2 topics that we discussed, then read about them for 5 minutes.  Everyone...
DB's Medical Rants · 1M ago

The daily clinical post #KashlakChief

In honor of becoming the Chief of Medicine at Kashlak Memorial (for those who are not aware, this the imaginary hospital that hosts the Curbsiders podcast. This position comes with great res...
DB's Medical Rants · 1M ago

My suggested New Year’s resolution for physicians and patients

Exercise! This should come as no surprise to regular readers.  I admit to an exercise obsession.  Each day I make plans to do something. As I read the research, exercise is the best preventi...
DB's Medical Rants · 1M ago

My descent into guideline fatigue syndrome (GFS)

It started slowly.  My former resident and present colleague, Terry Shaneyfelt first authored Are Guidelines Following Guidelines? The Methodological Quality of Clinical Practice Guidelines ...
DB's Medical Rants · 2M ago

More on sepsis

A great comment from Dr. Cory Franklin: As an ICU physician and one of the people who drafted the initial “Sepsis guidelines” in 1991-1992, I want to point out they were not drafted with the...