iPhone in Medicine
I have long been skeptical towards the party line that salt intake is a driver of high blood pressure, as I wrote here and here. Though hypertension is nearly unheard of in primitive cultures with sodium intake below 50 mmol/day (1.6 g day), increasing sodium intake has modest effects on blood pressure. Three mm of […]
I have a new patient that I inherited from a former colleague. She came to me with a letter from her ophthalmologist addressed to the patient that she was suppposed to give to her primary care doctor and nephrologist. Here is the money quote: I am going to give you a copy of Harrison’s textbook […]
It was incredible. The residents, who usually sleep through the second half of noon conference, were completely charged up and by the end of the lecture were holding up lighters and chanting my name. I dove from the stage and was passed around like a Rock God. Here is the lecture in powerpoint format to […]
One of my high volume referring doctors uses a lab which does not calculate the microalbumin to cr ratio. It always stops me in my tracks when I see the values. To convert microalbum and urine creatinine to the useful ratio first make sure both values are expressed as mg/L or mg/ml Divide the microalbumin […]
18.6! That corresponds to an average blood sugar of 486! Six months and 1,500 mg of metformin later it is down to 8.4% corresponding to an average of 194. That 18.6 has got to be an error. Right? Right? Unfortunately for her GFR is 30 mL/min. No metformin for you.
Different data from the iPhone, Blackberry: Fight! from a few months ago but the same conclusion. This battle is over! And the iPhone has won. From Larvalabs: Our two best selling games have been ranked and are currently ranked pretty highly on that hard to find list of paid apps. RetroDefense was #1 for a […]
Apparently a crap load: From Clinical Correlations Several studies have identified the overuse of daily lab testing and how certain interventions can effectively reduce tests ordered. A study by Miyakis et al. examined the effects of disclosing lab test costs on the frequency at which healthcare providers ordered these tests. 24,482 laboratory tests were ordered […]