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 7.6” View full resource at medrants.com
Most Recently Shared on April 26, 2012 at 10:29 am By:
Medrants: Dangerous electrolytes - part 3 http://t.co/6rvcJo6S
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 prioritize” View full resource at medrants.com
Most Recently Shared on April 23, 2012 at 10:11 am By:
Medrants: Clinical reasoning should trump memorization http://t.co/KLKSxNsG
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: Health” View full resource at medrants.com
Most Recently Shared on April 15, 2012 at 3:03 pm By:
Medrants: A spontaneous tweet up on medical prices http://t.co/lB7cZaWx
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 option” View full resource at medrants.com
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 describe” View full resource at medrants.com
Most Recently Shared on March 16, 2012 at 2:16 pm By:
Medrants: ACP policy papers #1 - health information technology http://t.co/TpJHewNE
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 have” View full resource at medrants.com
Most Recently Shared on March 16, 2012 at 2:13 pm By:
Medrants: ACP policy papers - issue briefs http://t.co/7epnZm7W
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
Most Recently Shared on March 15, 2012 at 6:20 pm By:
Medrants: On patient satisfaction measures http://t.co/10QzgeMS
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, somewhat” View full resource at medrants.com
Most Recently Shared on February 24, 2012 at 11:40 am By:
Medrants: On patients dying unexpectedly http://t.co/mSfspbxz
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 C” View full resource at medrants.com
Most Recently Shared on February 11, 2012 at 1:09 pm By:
Medrants: Answer to the acid-base question from 2 days ago http://t.co/fIlNRSBi
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 encephalopathy” View full resource at medrants.com
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
Most Recently Shared on February 7, 2012 at 5:38 pm By:
Medrants: Mental simulation to aid decision making http://t.co/pXgCplFW
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 who” View full resource at medrants.com
Most Recently Shared on February 6, 2012 at 4:36 pm By:
Medrants: Higher education - who is the "customer" http://t.co/izm48xIY
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 to” View full resource at medrants.com
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. The” View full resource at medrants.com
Most Recently Shared on February 3, 2012 at 2:23 pm By:
Medrants: The danger of assumptions in medicine http://t.co/yhN538Qn
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 used” View full resource at medrants.com
Most Recently Shared on February 2, 2012 at 5:51 pm By:
Medrants: More on naturalistic decision making http://t.co/jc217uS7

