iPosted It...Medicine : observations learning and teaching internal medicine
Updated: 8/1/02; 10:51:14 PM.

 











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Tuesday, July 16, 2002

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7:59:52 AM    

Letter of Condolence
The NEJM Sounding Board article is not available for free access online. (Unfortunately only original articles are released after six months, not reviews such as this). So I will bring in paper copies. (N Engl J Med 2001;344:1162-1164). Expressing condolence humanizes a part of our work.
7:51:18 AM    

Strongyloides follow-up
Symptoms resolved on second day of therapy. Noted sweats & chills with fourth (final) dose of thiabendazole. Some numbness in fingertips.

...Also see comments on eosinophilia from Rob and me attached to earlier post about "Worms." (July 13).
6:49:00 AM    


Aspirin, coumadin and second MI?
Jeff had reported on aspirin use after acute coronary syndromes. Lancet this week reports the ASPECT-2 study, a randomized controlled study of 999 people after myocardial infarction (MI). It shows after 26 months a 9% incidence of MI in the aspirin group, 5% incidence in the coumadin group (target INR 3-4), and 5% incidence in the moderate intensity coumadin + aspirin group (target INR 2-2.5). Administration of drug was open, not blinded. (Look forward to comments of Chris & Tom especially on bleeding and mortality). Lancet 2002;360:109-112.
6:41:33 AM    

Noontime Conference today
Hospice introduction by Pam McCabe from Hospice of Cincinnati. Introduction to hospice services, how to refer, and what your rotation will be like.
6:24:55 AM    

© Copyright 2002 Carl Gandola. Comments by: YACCS



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