As an infectious disease specialist I often help in difficult medical and surgical cases. I am the Gregory House, M.D. of medicine, the expert diagnostician who knows the nuances of various antibiotic treatments and the varied processes of infection. My skill is a cognitive one. Unlike House, real infectious disease specialists do not tend to […]
Happy 200th Birthday to NEJM
200 years ago today, January 17th 1812, the New England Journal of Medicine and Surgery and the Collateral Branches of Science was born. The oldest continuously published medical journal in the world adopted its current name, the New England Journal of Medicine, in 1928 and has remained one of the most authoritative medical journals with […]
Sepsis Drug XIGRIS withdrawn from worldwide markets for lack of efficacy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 […]
JCAHO Descends Upon Us
Sometime in the past couple of months JCAHO paid an unannounced visit to my hospital. I should have known something was up when I saw our Chief Medical Officer up on one of the medical floors talking excitedly to an old man in a suit. My naïve self assumed he was interviewing a new physician…no […]
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