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Vexing Microbes

Musings of an Infectious Disease Specialist

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Risky Fluoroquinolones

19 August, 2016 by GAggreyMD Leave a Comment

The US Food and Drug Administration (FDA) issued a black box warning for the class of antibiotics known as fluoroquinolones which includes the popularly prescribed Levaquin (levofloxacin), Avelox (moxifloxacin), and Cipro (ciprofloxacin). The warning advises that the serious side effects associated with this class of antibiotics “generally outweigh the benefits for patients with acute sinusitis, […]

Filed Under: Infectious Diseases Tagged With: Abx Resistance, Abx Stewardship, Antimicrobials, Clinical Practice, Medical Education, Save Abx

Living in Fear – When Patients Kill Doctors

24 December, 2015 by GAggreyMD Leave a Comment

fear

As humans, we judge the people that we meet even before we know anything about them. Even before we hear what they have to say, we have categorized them in a box – “nice”, “stupid”, “racist”. When we hear bad or unpleasant news, it is tough for us to separate our feelings about that news […]

Filed Under: Musings Tagged With: Angry Patients, Death, Entitlement, Health Economics, Healthcare, In The News, Medical Education, Personal Responsibility, Social Commentary, Trust, Violence

Infectious Disease – The Coolest Medical Specialty

22 January, 2015 by GAggreyMD Leave a Comment

bacilli

I may just be biased but the coolest medical specialty out there by far is infectious disease (ID). It has been a while since I sung its praises on my path to being an infectious disease specialist here, here and here so this is a very overdue blog post. Everybody in medicine knows that the […]

Filed Under: Infectious Diseases Tagged With: Angry Patients, Bureaucracy, Coding, Diagnostics, Entitlement, In The News, Medical Education, Why ID

Sepsis Drug XIGRIS withdrawn from worldwide markets for lack of efficacy

25 October, 2011 by GAggreyMD Leave a Comment

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 […]

Filed Under: Medicine Tagged With: Big Pharma, Bioethics, Checklist Medicine, In The News, Medical Education, Medical Residency, Sepsis

Why do Doctors Complain So Much When They Make So Much Money?”

18 June, 2009 by GAggreyMD Leave a Comment

That was one response to my post “WSJ: How much do rookie doctors make? The latest scorecard”. I of course cannot speak for all doctors. The MGMA survey reveals a range of median doctor starting salaries; from $132, 500 for a pediatrician to $605,000 for a neurosurgeon. I agree, I would be hard pressed to […]

Filed Under: Musings Tagged With: In The News, Medical Education, Physician Income, Student Loans

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