http://contranemesis.monroeblogs.com/ Exploring the Medical Nemesis, in philosophy, history and practice en-us rmaddox@contranemesis.com 2009-10-04T07:06:30-06:00 hourly 1 2000-01-01T12:00+00:00 http://contranemesis.monroeblogs.com/archives/004107.html Dear Friends, I have just returned from the 66th Annual meeting of the AAPS. These past few days at the AAPS meeting have been very interesting. We heard from Kelly Jones (the PharmD who worked with my mentor, Dr. Terrell),... 4107@http://contranemesis.monroeblogs.com/ 2009-10-04T07:06:30-06:00 http://contranemesis.monroeblogs.com/archives/004106.html The NEJM contains two studies and an editorial on vertebroplasty. Both were blinded, randomized, controlled trials. One was done in Australia, the other at 11 centers around the world, by a Mayo Clinic lead. Cement is injected into the compression... 4106@http://contranemesis.monroeblogs.com/ 2009-09-16T13:20:59-06:00 http://contranemesis.monroeblogs.com/archives/004099.html This new health plan proposal is taking government doublespeak to a new level. We are now experiencing savings by not only not paying for services rendered, but by fining and taxing more people. Hogberg has an excellent analysis as usual.... 4099@http://contranemesis.monroeblogs.com/ 2009-07-09T07:27:21-06:00 http://contranemesis.monroeblogs.com/archives/004097.html A friend forwarded a commentary on a study on BP variability and its connection to dementia. This was a poster presentation at a conference, so the numbers are not available to us. As presented in this commentary, it raises more... 4097@http://contranemesis.monroeblogs.com/ 2009-06-30T21:08:48-06:00 http://contranemesis.monroeblogs.com/archives/004034.html This issue of JAMA, April 8 (301, 14 p. 1482-4) contains a commentary by Kirch and Vernon on Social Justice in medicine. They contend that the first three pillars of the foundation of medical ethics (beneficence, non maleficence and respect... 4034@http://contranemesis.monroeblogs.com/ 2009-04-07T21:39:07-06:00 http://contranemesis.monroeblogs.com/archives/004030.html Yesterday, the latest issue of JAPS arrived. It contains an article by Dr. Terrell published posthumously. It will give readers unfamiliar with his work just a taste of the stupendous wisdom, wit and insight of the man. I happened across... 4030@http://contranemesis.monroeblogs.com/ 2009-03-17T16:21:12-06:00 http://contranemesis.monroeblogs.com/archives/004027.html Dr. Ed O'Boyle, a former business professor and now research analyst, has written an excellent summary in the local paper of the reaction of doctors to the various types of cramdown that have been problematic in medicine for decades. His... 4027@http://contranemesis.monroeblogs.com/ 2009-03-10T06:40:13-06:00 http://contranemesis.monroeblogs.com/archives/004023.html There has been plenty written for and against the flu vaccine. I have been seeing a fair number of flu cases and more people who think they have it but have a negative test. So I find the study comparing... 4023@http://contranemesis.monroeblogs.com/ 2009-02-28T17:09:07-06:00 http://contranemesis.monroeblogs.com/archives/004022.html JAMA also reports (in the March 4 issue - this is amazing that I received it before it was published, that I have read it, and that I have access to a computer to write this) on the Obama transition... 4022@http://contranemesis.monroeblogs.com/ 2009-02-28T16:45:21-06:00 http://contranemesis.monroeblogs.com/archives/004021.html In a interesting abstract from Archives of Dermatology published in JAMA (current issue not yet on-line as of this writing , which is curious in this day and age), the VATTC study from 2005 is reported. This caught my eye... 4021@http://contranemesis.monroeblogs.com/ 2009-02-28T16:17:01-06:00 http://contranemesis.monroeblogs.com/archives/004020.html My mentor and friend, Dr. Hilton Terrell, died suddenly last week. His obituary is reproduced here. Below are comments I was privileged to make at his funeral. Dr. Hilton Pack Terrell Florence, SC... 4020@http://contranemesis.monroeblogs.com/ 2009-02-08T15:44:47-06:00 http://contranemesis.monroeblogs.com/archives/004018.html As mentioned in the previous post, JUPITER is the latest of the GALAXY trials to be announced. It is particularly welcome to the commercial interests which sponsored it because it extends the use of this drug to 20% of the... 4018@http://contranemesis.monroeblogs.com/ 2009-01-29T12:46:27-06:00 http://contranemesis.monroeblogs.com/archives/004017.html I admit that I have been negligent in keeping up with all the medical literature. (I will address that issue soon). But until I was looking at the JUPITER trial (more later), and was laughing at the names of related... 4017@http://contranemesis.monroeblogs.com/ 2009-01-29T12:29:33-06:00 http://contranemesis.monroeblogs.com/archives/004016.html After writing the positive review of Worried Sick a few weeks ago, I had intended to use another post covering some of the negatives. Instead, I will just post this link to a great review by my mentor (who deserves... 4016@http://contranemesis.monroeblogs.com/ 2009-01-29T09:41:56-06:00 http://contranemesis.monroeblogs.com/archives/004015.html As mentioned previously, the issue of the crud is copious, meaning that I am seeing many snotty nosed people. Rather than just assume that I am right, and doing the best for these suffering people, I have attempted to review... 4015@http://contranemesis.monroeblogs.com/ 2009-01-28T21:14:59-06:00