"lipitor titration is a failed step."
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Lipitor Image via WikipediaThree Vytotin/Zetia reps just came to me and said, "When do you feel comfortable using Zetia? After all, Lipitor titration is a failed step. It only reduces LDL by 6%."I gently referred them to the PROVE IT trial, asked them to come back when they had positive mortality data, and walked away.Has anyone else encountered this strategy by the Zetia reps?Related articlesCholesterol Drug Has No Benefit in TrialData About Zetia Risks Was Not Fully RevealedTrial of Cholesterol Drug Gets House ScrutinyCardiologists Question Delay of Data on 2 Cholesterol Drugs (Source: Kidney Notes)
Source: Kidney Notes - May 7, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
You'd never confuse diabetes mellitus with diabetes insipidus. the new york yimes has it wrong.
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Image via WikipediaI'm still puzzling over this article in the New York Times, "Some Diabetics Don't Have What They Thought They Had." The article seems to imply -- and some other news outlets have picked up -- that some children diagnosed with type 1 diabetes mellitus (DM) actually have diabetes insipidus (DI). What the article means to imply, I think, is that some children with type 1 DM actually have maturity onset diabetes of the young (MODY). (I've looked, but I could not find a situation in which you'd ever confuse type 1 DM and DI. In DI, for example, you wouldn't have glucose in the urine.)Why is this important? Be...
Source: Kidney Notes - May 6, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
How to tell you are married...
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Our nightly bedtime ritual involves my husband lovingly putting a Breathe-right strip on my nose. (allegedly, I snore, though I'm not convinced) .Before my LASIK surgery, I used to fall asleep next to my husband with my glasses on. Really sexy...When I reach over to cuddle with my husband, I also try to sneak in his monthly testicular exam.Hubby now feels perfectly comfortable to inform me that I look like a "car accident victim with a head injury" when I wake up in the morning. Granted I'm not a morning person and my AM conversation usually involves unintelligible monosyllabic grunts (hence the head injury part), and I gu...
Source: UroStream - May 1, 2008 Category: Urologists and Nephrologists Source Type: blogs
Acute renal failure associated with cosmetic soft-tissue filler injections of silicone in the buttocks
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This report summarizes the clinical findings for these cases and describes the subsequent public health investigation. All injections were administered by a practitioner with no medical training or supervision (practitioner A). Investigators were not able to identify the substances injected. Although records indicated that the injections contained liquid silicone, this substance has not been associated previously with renal failure. These findings underscore the risks posed by cosmetic injections administered by unlicensed practitioners. Public health officials should be alert for adverse events associated with these injec...
Source: Kidney Notes - May 1, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Gratis
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I encountered a somewhat difficult patient the other day to whom I recommended a standard of care cystocopy as part of a hematuria (blood in the urine) workup. He proceeded to question everything I was doing and my decisions for doing so. I usually encourage these questions, but I had the sense that this patient was extremely anxious and was just talking himself into an even higher state of anxiety.Finally, after all the relevant medical questions were exhausted, he asked me how much the procedure was going to cost, and I told him that "it depended but I could give him a ballpark figure". He then flew off the handle and ra...
Source: UroStream - April 24, 2008 Category: Urologists and Nephrologists Source Type: blogs
Kidney dissection
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Photo: William B. Gruber"This dissection of the kidneys was done after red latex was injected into the arteries and blue latex into the veins."See The Body in Depth from The New York Times. (Source: Kidney Notes)
Source: Kidney Notes - April 22, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Russian starbucks, brighton beach, brooklyn
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.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Russian Starbucks, Brighton Beach, Brooklyn, originally uploaded by KidneyNotes. (Source: Kidney Notes)
Source: Kidney Notes - April 21, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Six word memoir meme
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I'm very late in the game as this meme came out a few weeks ago, but I got tagged by Seaspray, and since I've let her down so many times before, I thought I would give this one a try.The Rules are:1. Write your own six word memoir.2. Post it on your blog and include a visual illustration if you want.3. Link to the person that tagged you in your post and to the original post if possible so we can track it as it travels across the blogosphere.4. Tag at least five more blogs with links.5. Leave a comment on the tagged blogs with an invitation to play.I've been very busy these past few weeks, to the extent that I've even had t...
Source: UroStream - April 19, 2008 Category: Urologists and Nephrologists Source Type: blogs
Hilarious journal articles #98: in jazz, brain takes five
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Image via WikipediaNeural Substrates of Spontaneous Musical Performance: An fMRI Study of Jazz Improvisation:To investigate the neural substrates that underlie spontaneous musical performance, we examined improvisation in professional jazz pianists using functional MRI. By employing two paradigms that differed widely in musical complexity, we found that improvisation (compared to production of over-learned musical sequences) was consistently characterized by a dissociated pattern of activity in the prefrontal cortex: extensive deactivation of dorsolateral prefrontal and lateral orbital regions with focal activation of the ...
Source: Kidney Notes - April 17, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #96: chocolate milk better than no milk at all
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Image via WikipediaFrom The Journal of the American Dietetic Association, "Drinking Flavored or Plain Milk Is Positively Associated with Nutrient Intake and Is Not Associated with Adverse Effects on Weight Status in US Children and Adolescents":Children and adolescents who included flavored milk in their diets reported higher total milk intakes than consumers of exclusively plain milk. Intakes of vitamin A, calcium, phosphorus, magnesium, potassium, and saturated fat (adjusted for energy intake and age) were generally comparable among milk drinking groups, whereas intakes by milk nondrinkers were significantly lower. Among...
Source: Kidney Notes - April 16, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Drug advertising has gone viral: anti-claritin pro-zyrtec ad in nyc
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"Missing: 2 hours. Last seen: while waiting for Claritin to start working. If found please call: 1-800-4-ZYRTEC." Apparently, drug advertising has gone viral. (Source: Kidney Notes)
Source: Kidney Notes - April 16, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #95: other people slow you down
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Seeing vs. believing: Is believing sufficient to activate the processes of response co-representation?:It has been suggested that the observation of another person's action affects the behavior of the observer because the observation of action leads to the excitation of similar response codes in the observer. It is unknown, however, if one must witness the action or if it is sufficient for one to believe that the other agent is responding for response co-representation to occur. To this end, participants in the present study performed a joint spatial-compatibility task with a confederate when: (1) the confederate sat besid...
Source: Kidney Notes - April 15, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #94: roads not taken disappear more quickly than we realize
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Image via WikipediaWhy People Misimagine the Future: The Problem of Attentional Collapse:Gilbert presents the results of four experiments, all involving predicted versus actual enjoyment of a very simple experience—eating potato chips. In three of the experiments, participants predicted how much they would like eating potato chips before, after, or instead of eating a much better food (chocolate) or a much worse food (sardines). They then ate the chips and reported how much they liked them. The results showed that the chocolate and the sardines had a large impact on participants’ predictions, but no impact whatsoever o...
Source: Kidney Notes - April 14, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Bruce sterling on the future of things
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Bruce Sterling from Innovationsforum on Vimeo.Related articlesBruce Sterling on the freaky future of installation design [via Zemanta]The videos of Innovationsforum are online (finally!) [via Zemanta] (Source: Kidney Notes)
Source: Kidney Notes - April 12, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Vocabulary lesson
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Presenting some new medical verbiage in the field of urology, as introduced to me by numerous patients:Prostrate:Male gland that likes to worship face down on the ground. Frankly it makes me feel uncomfortable when I encounter it because my god complex is not that highly developed.Sphinxter:Enigmatic yet strong lion-like little muscle in control of certain nether functions. May have egyptian etymology.Urether:In-betwixt a urethra and a ureter! It transports urine directly from the kidney straight out into the toilet!Blatter:Can be used to store and hold urine, as well as carry food on special occasions.Penes:A multi-purpos...
Source: UroStream - April 9, 2008 Category: Urologists and Nephrologists Source Type: blogs
Information overload
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We are required by law to give an informed consent on any medical procedure/surgery we perform. This involves explaining in detail what the procedure is, what the risks and benefits are, and what other alternatives are available for treating the ailment. It's something we are taught to do very early on in our career, not only because it's a requirement, but it's also the correct course of action in order for the patient to make an informed decision about his/her medical care. Should you fail to do so, not only would you be deemed a bad doctor, but there are many unpleasant legal ramifications that can await you...I take c...
Source: UroStream - April 3, 2008 Category: Urologists and Nephrologists Source Type: blogs
Tactical internet pants by merlin mann
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Tactical Internet Pants from merlinmann on Vimeo. (Source: Kidney Notes)
Source: Kidney Notes - April 3, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #93: gossip boosts cognitive functioning
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Image from WikipediaVia the Personal and Social Psychology Bulletin:Social interaction is a central feature of people's life and engages a variety of cognitive resources. Thus, social interaction should facilitate general cognitive functioning. Previous studies suggest such a link, but they used special populations (e.g., elderly with cognitive impairment), measured social interaction indirectly (e.g., via marital status), and only assessed effects of extended interaction in correlational designs. Here the relation between mental functioning and direct indicators of social interaction was examined in a younger and healthie...
Source: Kidney Notes - April 1, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
New articles of note from the new england journal of medicine
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Image from WikipediaTelmisartan, Ramipril, or Both in Patients at High Risk for Vascular EventsACE Inhibitors in Cardiovascular Disease — Unbeatable?Treatment of Hypertension in Patients 80 Years of Age or Older (Source: Kidney Notes)
Source: Kidney Notes - March 31, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
I've changed my middle name
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I've come to realize that I have become increasingly obsessive-compulsive in my old age. I don't know exactly when this change occured, but I can assure you that I wasn't born this way. Procrastination was my middle name. Growing up, I always did my homework at the last minute, waited until the very end to send in college applications and always pulled all-nighters to finish up papers and other assignments due to poor time management. Medical school wasn't much of an improvement, and the lack of sleep and constant fatigue during residency ensured that I rarely did anything ahead of time. Utility bills were often paid late ...
Source: UroStream - March 27, 2008 Category: Urologists and Nephrologists Source Type: blogs
Questionable choice for doctor's lobby decor
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.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Questionable Choice for Doctor's Lobby Decor, originally uploaded by KidneyNotes. (Source: Kidney Notes)
Source: Kidney Notes - March 25, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Please don't press that button
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PCA (Patient Controlled Analgesia) is a godsend for most patients and nurses. It's a pump attached to your IV that contains your narcotic of choice (usually morphine or dilaudid), and by pressing a button whenever you need it, you are able to get a preset amount of pain med into your system.You can order the settings in a variety of ways, from the dose of each pain med, to how often it can be administered, to a four hour maximum dose limit. This way, no matter how many times a patient pushes on the button, you only get a certain set amount, and very rarely do you see overdoses. And if you don't need any pain meds, you just...
Source: UroStream - March 24, 2008 Category: Urologists and Nephrologists Source Type: blogs
Just call me bozo
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For those of you who don't give a hoot about women's hair issues, you can stop reading now. This post is for the 51% of the population who can commiserate with me. I had a somewhat eventful trip to my hair stylist yesterday whom I love and who usually does a top-notch job. She just returned from an 8 month hiatus and had been sorely missed. Since I was overjoyed at seeing her again, I decided to entrust fully in her artistic flair and became putty in her capable hands. She cut my hair to perfection, but when I mentioned I wanted "vibrant highlights" in my hair, she interpreted this to mean "fiery orange-red".To my dismay, ...
Source: UroStream - March 16, 2008 Category: Urologists and Nephrologists Source Type: blogs
Green urine. happy st. patrick's day!
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Via The New England Journal of Medicine. Thanks to my wife, who's great at finding stuff like this. (Source: Kidney Notes)
Source: Kidney Notes - March 12, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
"what would new york women do in bed with eliot spitzer for $5,500?"
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It turns out, a whole lot.(From the New York Observer, and very not safe for work. But hilarious.) (Source: Kidney Notes)
Source: Kidney Notes - March 11, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Merlin mann's flocked up presentation at sxsw (worst website ever)
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(Source: Kidney Notes)
Source: Kidney Notes - March 11, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Recent reviews in the field of liver support
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Recently several interesting reviews on liver support concepts have been published.
Roger Wiliams, Institute of Hepatology, University College London Medical School, London, UK, reported on "Acute liver failure--practical management".
John O'Grady, Institute of Liver Studies, King's College Hospital, London, UK, gave an overview on the management of acute or fulminant liver failure: "Modern management of acute liver failure".
J.P. Vacanti and H.I. Pryor, 2nd, reviewed the significant clinical findings of ALF, as well as, the non-biologic liver support systems and the bioartificial liver devices that have been clinically...
Source: ESAO - Liver Support Working Group - March 6, 2008 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Papers Source Type: blogs
Bizarre interruption
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I've already discussed this topic on one of my previous posts, but I always shudder when I get a consult from the locked psychiatric ward. No matter which hospital you happen to be in, the locked ward is always the same. First of all, it's a veritable hassle to enter, as you have to call from the phone outside of the impressive-looking set of steel doors, and wait for someone from the central desk/tower to let you in. It's the same process (though perhaps more frantic) when you are trying to exit the ward as well.Inside are rather depressing bare rooms with unmade beds, while heavily-medicated lost souls slowly wander arou...
Source: UroStream - March 1, 2008 Category: Urologists and Nephrologists Source Type: blogs
Nyc subway ads -- lung cancer
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.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } NYC Subway Ads -- Lung Cancer, originally uploaded by KidneyNotes. (Source: Kidney Notes)
Source: Kidney Notes - February 28, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Nephritic syndrome workup
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.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Nephritic Syndrome Workup, originally uploaded by KidneyNotes. (Source: Kidney Notes)
Source: Kidney Notes - February 26, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Smug and proud of it.
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At the risk of sounding extremely smug and self-satisfied, I have to tell you that I had a very productive Saturday morning this past weekend. Alas, I happened to be on-call, and there were several patients at different hospitals that needed to be seen, in addition to new consults and procedures to be done.Nevertheless, before 11:00 AM, I was able to:-Wake up at 6:45 AM. (Come on! Remember that this was a SATURDAY... this should be considered a major achievement already!!!!)-See a trauma consult for a bladder rupture and meatal stenosis (tightness at the opening of the urethra, making insertion of a foley catheter impossib...
Source: UroStream - February 25, 2008 Category: Urologists and Nephrologists Source Type: blogs
Jonathan coulton, merlin mann, leo laporte, and veronica belmont perform "still alive"
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More thoughts on "Still Alive" and Portal here. (Source: Kidney Notes)
Source: Kidney Notes - February 25, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Arbios receives conditional approval from the fda to initiate pivotal clinical trial for sepet™
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Arbios Systems, Inc., announced that the Company has received conditional approval from the U.S. Food and Drug Administration (FDA) of an Investigational Device Exemption to begin the pivotal clinical trial for SEPET™, Arbios’ extracorporeal artificial liver assist device for blood purification of chronically ill patients suffering from acute liver failure. Permission was granted to initiate the trial while the Company responds to the FDA’s conditions and request for additional information. In particular, FDA has requested a survival primary endpoint, which could potentially increase the total number of patients req...
Source: ESAO - Liver Support Working Group - February 23, 2008 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Companies Source Type: blogs
Lunar eclipse
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Was anyone else able to catch a view of the lunar eclipse last night? It was quite amazing! I was worried that clouds would obscure our view, but it was an unusually clear night, and the event was wonderous.We have a telescope that I bought as one of my better christmas present for hubby several moons ago, that is now mainly used as a decorative accent to our living space. I always feel like Jimmy Stewart from "Rear Window" when I look through it, but this was the perfect opportunity to use it as it was originally intented. The shadow of the earth eclipsing the moon is a sight to behold! (Source: UroStream)
Source: UroStream - February 21, 2008 Category: Urologists and Nephrologists Source Type: blogs
Girll's best friends
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No, not diamonds, but high heels!!!I just read this little article on high heels from BBC online which suggests that "high heels may improve sex life".An Italian urologist and self-professed lover of the sexy shoe set out to prove that high heels are not as bad for women's health as some suggest. Although high heels can cause a host of problems, Dr Maria Cerruto asserts in her letter to European Urology (an academic journal) that they improve pelvic muscles (Kegels anyone?), which can assist in sexual performance and satisfaction, and provide support to the pelvic organs, including the bladder.I'm inferring from the articl...
Source: UroStream - February 20, 2008 Category: Urologists and Nephrologists Source Type: blogs
Green iphone camera problem
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(Source: Kidney Notes)
Source: Kidney Notes - February 18, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #91: parkinson's disease patients benefit from tango
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Via the Journal of Neurologic Physical Therapy:Effects of Tango on Functional Mobility in Parkinson's Disease: A Preliminary Study.Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail and elderly. Individuals with Parkinson's disease (PD) experience declines in functional mobility that may be even more pronounced than those experienced by frail elderly individuals without PD. The purpose of this study was to compare the effects of two movement programs: tango classes or exercise classes. Nineteen subjects...
Source: Kidney Notes - February 18, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
"street" diagnosis
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I was walking around my little part of town this Saturday with Hubby, doing a little shopping--embracing the clinical benefits of retail therapy, not to mention fulfilling my patriotic duty to help out ailing retailers in these dog-days of looming recession.I was feeling just a tad sorry for myself since the last three pairs of jeans I tried on were far from flattering, emphasizing the less desirable aspects of my physique. Try as I might to shift the blame on the jeans themselves, still, I could not help being just a little sulky. Hubby attempted to convince me that my thighs were not hideously obese and lard laden, but I...
Source: UroStream - February 16, 2008 Category: Urologists and Nephrologists Source Type: blogs
Project runway
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Why hasn't anyone told me about this show before??????I just discovered it last night because hubby was working late, and I was listessly flipping through channels, looking for anything of interest. I suddenly happened upon Heidi Klum looking annoyingly perky and blonde amidst a group of anguished would-be designers, and the remote control locked itself in place.There is so much drama, cruelty, back-stabbing and tears!!! I was immediatly hooked.I admit that I don't usually watch the "popular" TV shows. I've never seen "Grey's Anatomy", don't know that the big deal is about "Lost" and couldn't tell you what "Desperate House...
Source: UroStream - February 14, 2008 Category: Urologists and Nephrologists Source Type: blogs
Currently reading: shaping things by bruce sterling
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(Source: Kidney Notes)
Source: Kidney Notes - February 14, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
To mitigate pains in the kidneys (from 1696)
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Via Google Book Search. (Source: Kidney Notes)
Source: Kidney Notes - February 6, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Heath ledger's drug interactions
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According to the Chief Medical Examiner of New York, Heath Ledger "died as the result of acute intoxication by the combined effects of oxycodone (Percocet), hydrocodone (Vicodin), diazepam (Valium), temazepam (Restoril), alprazolam (Xanax), and doxylamine (Unisom)."To illustrate why he died, the following is a list of potential drug interactions from Epocrates, an online drug database. Nearly everything interacted with everything else:1. diazepam oxycodonecaution advised, especially w/ IV benzodiazepines and IV opioids, consider dose reduction: combo may result in vasodilation, severe hypotension, CNS and respiratory depre...
Source: Kidney Notes - February 6, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Mr. grumpy
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I've known Mr Grumpy for a little while now, and he didn't come by this nickname because I love Snow White. (well, I actually do love classic Disney animated movies, but that's beside the point). Mr Grumpy always comes to my office full of piss and vinegar, generally annoyed at the whole world. The 30 minutes office visits consist of a litany of grumbles about everything, even when I try to direct the conversation to pleasant topics like kittens and pink cotton candy. Perhaps he is allergic to cats, but then again, he would have to be allergic to the whole world to excuse his mindset.Mr. Grumpy has cancer, and I have to op...
Source: UroStream - February 5, 2008 Category: Urologists and Nephrologists Source Type: blogs
Frozen grand central (from improv everywhere)
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(Source: Kidney Notes)
Source: Kidney Notes - February 5, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Why you must read intueri
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Maria writes:Hospital staff can easily tell when the medical center has hired new telephone/paging operators: They sound absolutely terrified when they announce codes.To their credit, they try to speak calmly and clearly, but their voices invariably betray their fears:“Code one-nine-nine, second floor, south wing, room twenty… code one-nine-nine, SECOND floor, SOUTH wing, room TWENTY… CODE ONE-NINE-NINE SECOND FLOOR SOUTH WING ROOM TWENTY—”oh my GOD someone just told me that someone is dying will you PLEASE hurry up and DO SOMETHING (Source: Kidney Notes)
Source: Kidney Notes - February 5, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Pedialyte pops
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Note: If you're sick, frozen pedialyte pops aren't half bad. (Source: Kidney Notes)
Source: Kidney Notes - February 4, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
At outside hospital, we can cath you.
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(Source: Kidney Notes)
Source: Kidney Notes - January 31, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Hilarious journal articles #90: the impact of video games on surgeons
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Arch Surg -- The Impact of Video Games on Training Surgeons in the 21st Century, February 2007, Rosser et al. 142 (2): 181: Background Video games have become extensively integrated into popular culture. Anecdotal observations of young surgeons suggest that video game play contributes to performance excellence in laparoscopic surgery. Training benefits for surgeons who play video games should be quantifiable... Results Past video game play in excess of 3 h/wk correlated with 37% fewer errors (P (Source: Kidney Notes)
Source: Kidney Notes - January 31, 2008 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs
Abbreviations
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Abbrevations are incredibly common in the medical world. They are practically a way of life in medicine, and I use them on a daily basis in my notes, dictations and orders. It was a mark of great pride when I managed to write the following clinic note as a 3rd year medical student:67 yo H M c/HTN & DM, dx c/PCa (init PSA 5, Gleason 3+3) s/p RRP 3 yrs ago. PSA:0, DRE: neg. No c/o. No LUTS, mild ED. RTC 6mo with PSA.*This two-liner managed to convey all the critical pertinent information while being terse enough as a surgical note, and even my senior resident at the time was thoroughly impressed by this feat.However, rec...
Source: UroStream - January 30, 2008 Category: Urologists and Nephrologists Source Type: blogs
Heavy stones
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Again, I must apologize for my lack of blogging of late. My insidiuous cough has persisted, keeping me up at nights, and it's been rather trying. Moreover, being the ever dutiful wife, I have given this lovely virus to my husband who is seriously attempting to cough out one of his lungs.Needless to say, neither one of us has gotten much sleep recently, and I'm feeling tired and perhaps the tiniest bit guilty. I have been concocting some homemade naturopathic remedies from the "old country" consisting of lemons, pears, ginger, dates and honey (slice and dice, mix it all up and pour hot water to make a wonderful aromatic and...
Source: UroStream - January 29, 2008 Category: Urologists and Nephrologists Source Type: blogs
