Glycemic index, new data on why it might be so important […]
Primary Care Corner with Geoffrey Modest: Insufficient evidence to screen for glaucoma?
Insufficient evidence to screen for glaucoma but maybe we should do it anyway for some? […]
Primary Care Corner with Geoffrey Modest MD: the state of maternity health in the US
the US health care system seems to have achieved even higher levels of dysfunction. today’s new york times has a front-page article on the exorbitant cost and simultaneous deterioration of the maternity care system (see http://www.nytimes.com/2013/07/01/health/american-way-of-birth-costliest-in-the-world.html?nl=todaysheadlines&emc=edit_th_20130701&_r=0 ). the gist of the article is: –several health insurance policies no longer cover maternity care, leaving it up to women/families […]
Primary care corner with Geoffrey Modest MD: hypertension guidelines: european society of cardiology and european society of hypertension
the NICE hypertension guidelines are the most thorough and thoughtful guidelines i’ve seen… […]
Primary Care Corner with Geoffrey Modest MD: Hepatitis C and HIV screening
Primary Care Corner: Hepatitis C and HIV screening […]
Primary Care Corner with Geoffrey Modest MD: Opioids, yet again
Primary Care Corner: Opioids, yet again […]
Primary Care Corner with Geoffrey Modest MD: Evidence-based medicine and implantable defibrillators
Primary Care Corner: Evidence-based medicine and implantable defibrillators […]
Primary Care Corner
Primary Care Corner […]
Will we ever learn? Probably not, because we are too confident: Heart failure drug doesn’t prevent heart failure, and sepsis drug doesn’t decrease mortality from sepsis.
They all sound good at first. A decade later they don’t sound so good. Human recombinant activated protein C (HR APC; drotrecogin alfa; Xigris) addresses the pathophysiology of sepsis. It is low in sepsis and associated with death. Replacing it should work. So a randomized trial was done in 2001 (http://bit.ly/vQ0f5B) showing that it decreased […]
Thousands of American Men to Die this year because of Evidence-Based Medicine (EBM)?
Does Belief-based medicine trump EBM? breast and prostate cancer screening recommendations redux It has been an exasperating couple of weeks and there will be more to come. I got my coffee and sat down, thinking I could rest a bit and gather strength for the day while a grand rounds speaker droned on. But then […]