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...
The World Has Moved On
I do a lot of driving as part of my job. I am the sole Infectious Disease doctor at three hospitals and I can spend an hour or two a day in the car, depending on traffic. What prevents me from going crazy sitting in traffic is listening to podcasts and audible books. I especially like reading (and yes, audio books is...
Triskaidekaphobia times two.
There is germaphobia, the fear of germs. Or Germans. One of the two. Oddly, I do not fear most germs, despite my daily reminders as to how destructive these wee beasties can be. I recognize their limits and my immunologic strengths and know I have more to fear from cars or unsaturated fats than E. coli or influenza. There is also a...
Deadly Indeed
There are sources of information I inclined to accept with minimal questioning. I do not have time to examine everything in excruciating detail, and like most people, use intellectual short cuts to get through the day. If it comes from Clinical Infectious Diseases or the NEJM, I am inclined to accept the conclusions without a great deal of analysis, especially for non-infectious...
It is all about me.
I was interviewed for Birmingham Skeptics and you can hear the result at http://brumskeptics.blogspot.com/2011/01/podcast-posting-interview-with-mark.html. It is bad enough listening to myself as I correct my podcasts, so I have no idea how good the interview is; it was fun at the time. And the picture makes me look fatter than I am. Oh well.
Rambling Musings on Using the Medical Literature
For those who are new to the blog, I am nobody from nowhere. I am a clinician, taking care of patients with infectious diseases at several hospitals in the Portland area. I am not part of an academic center (although we are affiliated with OHSU and have a medicine residency program). I have not done any research since I was a fellow,...
Cranberry Juice
It always somewhat surprises me how some interventions never seem to die. Theophylline seems to have disappeared in the medical pantheon, but what comes around, goes around. I predict a resurgence of theophylline this century. Despite the recent study that shows, yet again, echinacea has no effect on colds, I predict the study will neither decrease the sales of echinacea nor prevent...
Compare and Contrast
I have been in Infectious Diseases for almost 25 years. I have two major jobs: I see inpatient consults and I chair the Infection Control program. I have been involved in quality improvement, especially as it relates to hospital acquired infections, for my entire career. It has been an interesting quarter century. Year after year we have driven down infection rates and...
Like a Car Accident, Slow Down and Stare.
I gave a lecture last fall on The Vaccine Pseudocontrovery for Oregonians for Science and Reason. There are evidently Oregonians against Science and Reason, hence the title. My Dad went and said it was a good talk. You going to argue with Dad? I think not. Someone with a handheld camera recorded it, edited it, and put it up on the YouTubes...