Recommended Pages at medrants.com

Dangerous electrolytes – part 3 — db's Medical Rants

medrants.com — “The patient, a 40-something year old woman, has a long history of alcohol abuse. Recently she has had minimal oral intake with much vomiting. BP 100/60, pulse 120 120 67 32 99 1.9 21 0.7 8.9 pH 7.6View full resource at medrants.com

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Most Recently Shared on April 26, 2012 at 10:29 am By:

Clinical reasoning should trump memorization — db's Medical Rants

medrants.com — “Readers know that I have serious problems with how we test students finishing the first two years of medical school. The test drives our curriculum. Thus, too often we teach facts and details rather than understanding. We do not prioritizeView full resource at medrants.com

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Most Recently Shared on April 23, 2012 at 10:11 am By:

medrants Robert Centor Doctor, Internist, and Physician

Medrants: Clinical reasoning should trump memorization http://t.co/KLKSxNsG

1 month ago...

A spontaneous tweet up on medical prices — db's Medical Rants

medrants.com — “Earlier today I tweeted the NY Times article on the confusing state of medical pricing. I am specifically referring to prices rather than costs, because likely only accountants or economists could begin to understand medical costs. First some assumptions: HealthView full resource at medrants.com

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Most Recently Shared on April 15, 2012 at 3:03 pm By:

The danger of hospitalization — db's Medical Rants

medrants.com — “As an academic hospitalist, I see how the hospital affects patients. The hospital has become a necessary evil for those who are very sick. But too many patients virtually insist on staying in the hospital when a reasonable outpatient optionView full resource at medrants.com

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Most Recently Shared on March 25, 2012 at 10:39 am By:

ACP policy papers #1 – health information technology — db's Medical Rants

medrants.com — “Key Findings and Recommendations from the Paper ACP’s recommendations center on the following key concerns: • Preserving patient-clinician trust • Addressing liability concerns among clinicians • Defining and consistently applying an appropriate taxonomy (a set of terms that describeView full resource at medrants.com

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Most Recently Shared on March 16, 2012 at 2:16 pm By:

medrants Robert Centor Doctor, Internist, and Physician

Medrants: ACP policy papers #1 - health information technology http://t.co/TpJHewNE

3 months ago...

ACP policy papers – issue briefs — db's Medical Rants

medrants.com — “Over the next week or two I plan to provide an overview of 10 recent ACP policy positions. Clearly, as a member of the ACP Board of Regents and as Chair of the Health and Public Policy committee I haveView full resource at medrants.com

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Most Recently Shared on March 16, 2012 at 2:13 pm By:

On patient satisfaction measures — db's Medical Rants

medrants.com — “Earlier today, in a meeting, I heard that hospital administrative support to departments will depend partly on patient satisfaction questionnaires. Ironically, just this morning I had read this NY Times op-ed - Hospitals Aren’t Hotels This article makes several important points,View full resource at medrants.com

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Most Recently Shared on March 15, 2012 at 6:20 pm By:

On patients dying unexpectedly — db's Medical Rants

medrants.com — “Last night I watched the season finale of Royal Pains – the only medical show that I watch. The penultimate show had a paient die. A patient who had become the main characters friend and patient. The finale explored, somewhatView full resource at medrants.com

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Most Recently Shared on February 24, 2012 at 11:40 am By:

Answer to the acid-base question from 2 days ago — db's Medical Rants

medrants.com — “To restate: 35-year-old man admitted for worsening ascites. We know the patient because he had just left AMA 3 days before. He had HIV with a low CD4 and did not take any anti-retrovirals. He also had hep CView full resource at medrants.com

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Most Recently Shared on February 11, 2012 at 1:09 pm By:

medrants Robert Centor Doctor, Internist, and Physician

Medrants: Answer to the acid-base question from 2 days ago http://t.co/fIlNRSBi

4 months ago...

An acid-base question — db's Medical Rants

medrants.com — “35-year-old man admitted for worsening ascites. We know the patient because he had just left AMA 3 days before. He had HIV with a low CD4 and did not take any anti-retrovirals. He also had hep C cirrhosis with encephalopathyView full resource at medrants.com

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Most Recently Shared on February 9, 2012 at 11:44 am By:

Mental simulation to aid decision making — db's Medical Rants

medrants.com — “Regularly readers know that I am currently fascinated with Gary Klein's work. I am currently writing a discussion for a clinical problem solving exercise. Using Klein's work, I learned the value of mental simulation that he labels a "pre-mortem" examination.View full resource at medrants.com

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Most Recently Shared on February 7, 2012 at 5:38 pm By:

Higher education – who is the “customer” — db's Medical Rants

medrants.com — “Throughout my career I have worked as a medical school faculty member. I took my first job with the naive belief that my main job involved teaching medical students and residents. Over the years I have learned that those whoView full resource at medrants.com

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Most Recently Shared on February 6, 2012 at 4:36 pm By:

The danger of weekend admission — db's Medical Rants

medrants.com — “We who work in hospitals know that most hospitals do not work as well on weekends as during the week. I have worked at several hospitals over the years, and every hospital is understaffed on weekends. Patients 'more likely toView full resource at medrants.com

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Most Recently Shared on February 5, 2012 at 1:51 pm By:

The danger of assumptions in medicine — db's Medical Rants

medrants.com — “Early in my academic career I became fascinated with decision analysis. I still like decision analysis as a strategy to make explicit the structure of a problem. However, over time the major weakness of decision analysis became very clear. TheView full resource at medrants.com

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Most Recently Shared on February 3, 2012 at 2:23 pm By:

More on naturalistic decision making — db's Medical Rants

medrants.com — “This week my team presented a patient who had puzzled them. The patient complained of 3 weeks of facial swelling. She had diabetes mellitus type II with severe gastroparesis. She had both a feeding tube and a port (she usedView full resource at medrants.com

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Most Recently Shared on February 2, 2012 at 5:51 pm By:

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