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DB’s Medical Rants

Contemplating medicine and the health care system
DB’s Medical Rants Blog  
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17 days at the VA – day 9

Nov 23, 2009
So yesterday was day 9.  We have 4 patients, relatively stable, on call today.  We did have a major teaching point. We have a patient with legitimate severe pain.  The intern had written a prn order for a narcotic.  The patient complained that he was...

We publish a case report

Nov 22, 2009
One of my current interns and former medical students first authors this case report – Peritonsilar abscess requiring intensive care unit admission caused by group C and G Streptococcus: a case report. This case report has a special feature –...

Can a 3rd year student influence his attending? @autolycos

Nov 22, 2009
I received this tweet: Do you have any recommendations on how an MS3 should approach an attending to request something like your 2 hour commitment for ed I actually do not have any recommendations.  Your have a classic problem that many students...

17 days at the VA – Day 8

Nov 22, 2009
Relatively easy day – just the resident, 1 intern and me rounding on 6 patients.  We had an interesting acid-base puzzle.  The patient is in his 50s and has known hep C positivity (possible cirrhosis) and recent nephrotic syndrome.  How do you dissect...

Why I like The Blind Side?

Nov 21, 2009
Last night we went to see The Blind Side.  All 4 in my party loved the movie.  As I often do after seeing a movie, I read reviews on returning home.  The reviews were generally positive – 65% on the tomatometer. The movie, based on a book, is (as...


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