db's Medical Rants
Med Rants. Internal medicine, American health care, and especially medical education.
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db's Medical Rants Yesterday I tweeted about our success in making some worthwhile diagnoses in the category of unusual presentations of common diseases. As I consider these successes, the principles...
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db's Medical Rants » Blog Archive » How do patients define quality medical care?
MACRA represents one “solution” to physician payment. The idea seems admirable – pay physicians for providing high quality care. Making a new framework for rewarding health care …
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db's Medical Rants » Blog Archive » Things that bug me 3 – vanc and pip/tazo
For many residents, hospitalists and other physicians, vancomycin and piperacillin-tazobactam has approached reflex status. The patient has a fever, looks sick (perhaps even septic) and has no obv…
Medrants.com news digest
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3 years
Some thoughts on diagnostic reasoning
Yesterday I tweeted about our success in making some worthwhile diagnoses in the category of unusual presentations of common diseases. As I consider these successes, the principles of diagnostic aggressiveness become central to my thoughts.
For arguments sake let’s imagine three types of diagnostic reasoning. The first occurs when there is no diagnosis but we know something is wrong. These patients generally require a broad differential and much clinical thought. We often go back and collect... -
3 years
Speeding vaccination – a supply chain problem
Many critics have emerged on COVID19 vaccination speed. News channels have interviewed experts who seem confused as to why we are giving vaccines so slowly. They should read the work of Eliyahu Goldratt who championed the Theory of Constraints. His...
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4 years
Lessons from Range by David Epstein
I received an email from Ryan Holiday – author of The Obstacle is the Way, a wonderful book that introduced me to Stoic philosophy as a guiding principle. In that email, he recommended Range: Why Generalists Triumph in a Specialized World by David Epstein...
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4 years
Internal Medicine is a Wicked Problem – implications
Currently listening to RANGE: Why Generalists Triumph in a Specialized World by David Epstein. In the first chapter he discusses the differences between wicked problems and kind problems. For example, chess is a kind problem. It has specified rules and...
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| Registrar: | Tucows Domains Inc. |
| Registrant: | REDACTED FOR PRIVACY |
| Updated: | June 19, 2023 |
| Expires: | July 21, 2024 |
| Created: | July 21, 2002 |
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