The Annals of Internal Medicine Qualifies for Fail Blog.
As most readers of the blog know, I am mostly an Infectious Disease doc. I spend my day diagnosing and treating infections and infectious complications. It is, as I have said before, a simple job. Me find bug, me kill bug, me go home. Kill bug. It is the key part of what I do everyday, and if there is karmic payback...
Train Therapy
Summertime and the living is busy. Finally we have sun in the Northwest. While the rest of the country has been melting in heat, this year we have rarely cracked 85. Global heating has avoided Oregon this year, and I will need some green tomato recipes. Good weather, work is busy, and it is the last two weeks with my eldest before...
CAM: The Beer Goggles of Medicine
It is summer, the kids are off, and time to write dwindles in the face of sun and golf. Nonsense knows no season, and in my readings this week I came across the phrase “the undeniable power of the placebo.” I will do my best to deny that power at least three times before I crow my conclusion. One of my first...
Honey
I cram for TAM, and, combined with other commitments, not the least of which is that it is finally sunny and warm in Portland, after a year that has resembled All the Summer in a Day, which leads to a relatively short post. There are just so many hours in a day and if possible those days need to be spent in...
SOS DD
What does it take to become a doctor? Endurance and perseverance help. It is a long haul from college to practice. But the skill that is most beneficial is the ability to consume prodigious amounts of information, remember it, and recall it as needed. Although I often relied on ‘B’ to get me through some of the exams. Thinking, specifically critical thinking,...
The Dow of Accutane
At home the kids current TV show of choice is How I Met Your Mother, supplanting Scrubs as the veg out show in the evening. Both shows are always on a cable channel somewhere and are often broadcast late at night. Late night commercials can be curious, and as I work on projects, I watch the shows and commercials out of the...
Ambiguity
Some people have made the mistake of seeing Shunt’s work as a load of rubbish about railway timetables, but clever people like me, who talk loudly in restaurants, see this as a deliberate ambiguity, a plea for understanding in a mechanized world. The points are frozen, the beast is dead. What is the difference? What indeed is the point? The point is...
Raw Milk in Modern Times
Is raw milk a good idea? Survey says....OH GOD NO!!!
Parasites
I saw a patient recently for parasites. I get a sinking feeling when I see that diagnosis on the schedule, as it rarely means a real parasite. The great Pacific NW is mostly parasite free, so either it is a traveler or someone with delusions of parasitism. The latter comes in two forms: the classic form and Morgellons. Neither are likely to...
Without Borders
Take up the White Man’s burden– The savage wars of peace– Fill full the mouth of Famine And bid the sickness cease; And when your goal is nearest The end for others sought, Watch CAM and woo Folly Bring all your hopes to nought. Rudyard Kipling. Sort of. The White Man’s burden, a bit of racism from the 19th century: The term...