I was consulted on an elderly patient who had developed an infection after surgery. The infection required intravenous antibiotic therapy for a long period. The patient required rehabilitation after discharge from the hospital. The intravenous antibiotics were given there. On follow-up in the office three weeks later I determined the patient still needed intravenous antibiotics. […]
Sepsis Drug XIGRIS withdrawn from worldwide markets for lack of efficacy
In what is breaking news today in the field of medicine, the pharmaceutical company Eli Lilly announced that activated drotrecogin alfa (XIGRIS) is to be pulled off all markets including the United States. This drug, intended to treat severe sepsis, has been shown in the new PROWESS-SHOCK trial to be no better than placebo in […]
Medical Bureaucracy
I get to attend a lot of meetings in my current role, meetings that medical school nor residency nor fellowship prepared me for, meetings with people who don’t have a clue about medicine but either control the money, make the policies, or care solely about the hospitals image. Meetings about value based purchasing or outcome […]
Bacteria are laughing at us!
I came across a nice article in the October issue of the Atlantic titled Resistance is Futile. It attempts to describe the problem of antibiotic resistance from an economic viewpoint. While I don’t understand all those nuances, despite my couple semesters of economics in college, I still think it’s an overall good read. I loved […]
Legionella at Aria Resort & Casino, Las Vegas
Great! Just received a letter from ARIA sent to guests who stayed there between June 21 2011 to July 4th 2011 that their water tests detected elevated levels of Legionella bacteria in several of their guest rooms. In addition, the health officials have confirmed instances of Legionnaires’ disease in guests who visited ARIA. The letter […]
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